目的 探讨微型钢板螺钉内固定用于治疗掌骨骨折的效果。方法 选取2016年1月—2018年12月采用微型钢板螺钉内固定进行治疗的80例(89处)掌骨骨折患者作为研究对象,对其临床资料进行回顾性分析。结果 平均住院时间(5.12±1.06) d;平均随访时间(11.36±3.95)个月;平均骨折愈合时间为(43.6±3.7) d;治疗优良率为95.51%;平均掌指关节总体活动度为(236.84±8.06)°;平均握力相比健侧丢失度为(2.61±0.21)%;并发症总发生率为7.50%。结论 微型钢板螺钉内固定用于治疗掌骨骨折治疗效果及预后良好,同时并发症发生率较低,安全有效。
Objective To investigate the effect of micro-plate and screw internal fixation on metacarpal fracture.Methods A total of 80 cases (89 fractures) of metacarpal fractures treated with micro-plate and screw internal fixation from January 2016 to December 2018 were selected in the study, and their clinical data were retrospectively analyzed.Results The average hospitalization duration was (5.12±1.06) d; the average follow-up time was (11.36±3.95) months; the average fracture healing time was (43.6±3.7) d; the excellent treatment rate was 95.51%; the average overall degree of metacarpal joint motion was (236.84±8.06)°; the average ratio of grip force loss in the affected to unaffected side was (2.61±0.21) %; the total incidence of complications was 7.50 %.Conclusion Micro-plate and screw internal fixation for the the treatment of metacarpal fracture has a good effect and prognosis, with a low incidence of complications and a high level of safety.
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