PDLLA可吸收材料与克氏针内固定治疗掌骨骨折疗效比较.docVIP

PDLLA可吸收材料与克氏针内固定治疗掌骨骨折疗效比较 　　【摘要】 目的 评估PDLLA可吸收材料治疗掌骨骨折的临床疗效。方法 采用PDLLA可吸收棒治疗掌骨骨折25例(28处),克氏针内固定治疗31例(35处),比较两种手术的治疗效果。结果 经 4~12个月随访,PDLLA可吸收棒髓内植入组25例(28处)骨折全部愈合,其中2例(2处)延迟愈合,骨折平均愈合时间4.6周。参照TAFS评分标准,优l6例,良6例,差3例,优良率88%。克氏针内固定组3例(3处)出现畸形愈合,5例(5处)延迟愈合,1例(1处)骨不连,余骨折全部正常愈合。骨折平均愈合时间7.8 周,优20例,良3例,差8例,优良率 74.2%。两组问优良率有显著差异(P0.05)。结论 PDLLA可吸收棒治疗掌骨骨折固定牢靠,不需要二次手术取出,其疗效明显优于克氏针组。 　　【关键词】 　　PDLLA可吸收棒;克氏针;掌骨骨折;骨折内固定 　　 　　Comparison of effects of PDLLA stick and Kirschner wire for the treatment of metacarpalfractures 　　 　　CAI Hanzhou.The Fourth Shenzhen Peoples Hospital Orthopaedic Department,Guangdong,Shenzhen 518031,China 　　 　　【Abstract】 Objective To evaluate the clinical effects of PDLLA sticks in treatment of metacarpal fractures.Methods Twentyfive cases(28 metacarpal fractures)were performed with.Thirtyone cases(35 metacarpal fractures)were treated with internal fixation withKirschner wire,Comparison of curative effects of two operations were performed.Results Twenty five cases were followed up for 4 to 12 months,in PDLLA sticks group,mean healing time were 4.6 weeks.All 25 cases fractures healed.Two cases suffered delayed union.According to the TAFS Scoring System:sixteen cases were excellent,6 cases were fine,3 cases were bad.The rate of excellent andgood was 88%,In Kirschner’s group,the mean healing time were 7.8 weeks.Three cases were malunion,5 cases suffered delayed union,1 case was nonunion,the other fractures healed normally.Mean healing time were 7.8 weeks,Twenty cases were excellent,3 cases were good,8 cases were bad.The rate of excellent and good was 74.2%,Therewas significant differencein rate ofexcellent and good between two groups(P0.05).Conclusion PDLLA sticks for the treatment of metacarpal fractures was available,do not need to remove the second operation,its effect is better than Kirschner wire group. 　　【Key words】 　　PDLLA sticks;Kirschner wire;Metacarpal fracture; Fracture fixation internal 　　 　　DOI:10.3760/cma.j.issn2010.01.56 　　基金项目:深圳市科技局科技项