微型锁定钢板内固定治疗多发掌骨粉碎性骨折临床分析.docVIP

微型锁定钢板内固定治疗多发掌骨粉碎性骨折临床分析 　　[摘要] 目的 探讨微型锁定钢板内固定治疗多发掌骨粉碎性骨折的临床疗效。方法 随机选取2013年1―9月该院收治的多发掌骨粉碎性骨折患者80例，根据随机对照原则均分为两组，其中观察组40例患者采用微型锁定钢板内固定治疗，对照组40例患者采用单纯的微型螺钉钢丝捆扎治疗，观察患者的临床治疗效果以及术后3月的随访结果。 结果 治疗后观察组患者治疗34例患者术后恢复情况评定结果优（34例）、良（5例）、差（1例），明显由于对照组的优（28例）、良（8例）、差（4例），两组比较差异有统计学意义（P0.05）。结论 微型锁定钢板内固定治疗多发掌骨粉碎性骨折，可以有效地达到临床上要求的解剖复位愈合，患者术后愈合较好，术后随访患肢功能恢复情况较好，具有较好的临床效果，可以在临床上进一步推广应用。 　　[关键词] 多发掌骨粉碎性骨折；微型锁定钢板；内固定；疗效分析 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2015）06（c）-0078-02 　　[Abstract] Objective To discuss the clinical effect of miniature locking plate internal fixation therapy in the treatment of multiple comminuted fractures of metacarpal bones. Methods 40 cases of patients with multiple comminuted fractures of metacarpal bones who were received and cured in our hospital were selected and all the patients were treated with the miniature locking plate internal fixation therapy. The clinical effects and follow-up results of the patients in 3 months after the operation were observed and analyzed. Results There are 36 cases of healing by first intention in the 40 cases of patients with operative incision healing rate 90.0% and without infection of incisional wound. The anatomical reduction was kept for all the patients after operation and bony union was achieved without malunion and delayed union. The healing time is 3-7 weeks， averaging（4.5±0.5）weeks. In the follow-up visit 3 months after the operation， the evaluation results of downward pointing functions of fracture metacarpal bone are as follows： excellent： 34； good： 5； bad： 1； the postoperative recovery rate was 85.0%. Conclusion The application of miniature locking plate internal fixation to multiple comminuted fractures of metacarpal bones can effectively achieve the anatomical reduction union required clinically， and the postoperative union of patients is quite good with a low occurrence rate of complications as malunion etc. The functional recovery of patients in the post-operation follow-up is quite good with go