切开复位微型钢板与钢丝内固定治疗掌指关节周围部位创伤骨折患者疗效对比研究.pdfVIP

2016年02月 中国民康医学 Feb,2016 第28卷摇 半月刊摇 第03期摇 摇 摇 摇 摇 Medical Journal of Chinese Peoples Health摇 摇 摇 摇 摇 Vol.28摇 Semimonthly摇 No.03 揖临床研究铱 切开复位微型钢板与钢丝内固定治疗掌指关节周围 部位创伤骨折患者疗效对比研究 张金涛 (辽宁省营口市中医院骨外科,辽宁摇 营口摇 115000) 揖摘要铱摇 目的:比较切开复位微型钢板与钢丝内固定治疗掌指关节周围部位创伤骨折患者的临床疗效。 方法:选取掌指关节周围部 位创伤骨折患者80例,随机分为微型钢板组与钢丝组,每组各40例。 两组患者分别给予微型钢板与钢丝内固定治疗,观察疗效。 结果:钢丝 组患者的手术时间短于和手术费用低于微型钢板组(P0.05);两组患者的稳定性骨折治疗优良率均为100.00%;钢丝组患者非稳定性骨折治 疗优良率47.06%、总优良率77.50%,均低于微型钢板组90.00%、95.00%(P0.05)。 结论:钢丝内固定治疗掌指关节周围部位创伤骨折患 者具有手术时间短及手术费用低的优势,但对非稳定性骨折患者的治疗效果不及微型钢板。 揖关键词 铱摇 微型钢板内固定;钢丝内固定;掌指关节;骨折 doi:摇 10.3969/ j.issn.1672-0369.2016.03.006 中图分类号:摇 R681.7摇 摇 摇 摇 文献标识码:摇 B摇 摇 摇 摇 文章编号:摇 摇 1672-0369(2016)03-0014-03 Comparative study of effects of open reductionmini plate andsteel wire internal fixationfor patients with traumatic fractures aroundmetacarpophalangealjoint ZHANGJintao (Bone Surgery of Yingkou Chinese Medicine Hospital,Yingkou Liaoning 115000,China) 揖Abstract铱摇 Objective:To compare clinical effect of open reduction mini plate and steel wire internal fixationjoint for patients with traumatic fractures around metacarpophalangeal joint. Methods:80 cases with traumatic fractures around metacarpophalangeal joint were selected and randomly divided into mini plate and steel wire groupswith40 cases in each group. These patientswere given the mini plateandsteelwireinternalfixationtreatments,andthecurativeeffectswereobserved. Results:Theoperationtimeandoper鄄 ation cost of steelwiregroupwerelowerthanthoseofminiplategroup (P0.05). Theexcellentandgoodratesfortreatingstablefrac鄄 tures of the two groupswere 100%;however,the excellent and good rates for treating unstable fractures and total excellent and good rate of steel wire group (47.06% and77.50%)we