钢板与克氏针固定Bennett骨折的比较
作者:
作者单位:

作者简介:

丰瑞兵,主治医师,研究方向:脊柱、创伤外科,(电话)15629053081,(电子信箱)fengruibing@126.com

通讯作者:

中图分类号:

R683.41

基金项目:

湖北省卫生健康委员会项目(编号:WJ2021M182)


Comparison of plate versus Kirschner wire for internal fixation of Bennett fracture
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的]比较切开复位钢板固定与闭合复位经皮克氏针固定治疗 Bennett 骨折的临床效果。[方法]回顾性分析本院 2015 年 1 月—2019 年 1 月手术治疗 Bennett 骨折 52 例患者的临床资料。依据术前医患沟通结果,28 例采用切开复位钢板固定,24 例采用闭合复位经皮克氏针固定。比较两组围手术期、随访与影像资料。[结果]两组患者均顺利完成手术。钢板组术中透视次数、恢复主动活动时间显著优于克氏针组 (P<0.05),但前者术中失血量显著多于后者 (P<0.05)。平均随访时间 (18.4±3.6) 个月,两组恢复完全负重时间的差异无统计学意义 (P>0.05)。随着术后时间推移,两组 DASH 评分均显著下降 (P<0.05),术后 3 个月钢板组 DASH 评分显著优于克氏针组(P<0.05),但术后 1 年两组间的差异无统计学意义(P>0.05)。影像方面,两组骨折对合和第一掌腕对线较术前显著改善 (P<0.05),术前两组骨折对合及第一掌腕对线的差异均无统计学意义 (P>0.05),但是末次随访时钢板组上述影像指标均显著优于克氏针组 (P<0.05)。两组骨折愈合时间差异无统计意义 (P> 0.05)。[结论]两种术式治疗 Bennett 骨折均可获得良好疗效,各具优缺点,切开复位钢板固定复位精准,固定牢靠。

    Abstract:

    [Objective] To compare the clinical outcomes of open reduction and internal fixation (ORIF) with locking plate fixation ver- sus closed reduction and percutaneous Kirschner wire fixation of Bennett fracture. [Methods] A retrospective study was performed on 52 patients who received surgical treatment for Bennett fracture in our hospital from January 2015 to January 2019. According to preoperative doctor-patient communication, 28 patients had plate used, while the remaining 24 patients had Kirschner wire applied. The data regarding to perioperative period, follow-up and radiographs were compared between the two groups. [Results] All the patients in both groups had cor- responding procedures conducted successfully. The plate group proved significantly superior to the wire group in terms of times of fluorosco- py and the time to return active activity (P<0.05) , whereas the former got significantly more intraoperative blood loss than the latter (P< 0.05) . All the patients were followed up for (18.4±3.6) months on an average, with no a significant difference in the time to resume fullweight bearing activity between the two groups (P>0.05) . The DASH scores decreased significantly in both groups over time after operation (P<0.05) , which were not significantly different between the two groups at 1 year after operation (P>0.05) . Radiographically, fracture align- ment and first metacarpal alignment in both groups significantly improved postoperatively compared with those preoperatively (P<0.05) , which proved not significant between the two groups before operation (P>0.05) , whereas the plate group were significantly better than the wire group at the latest follow-up (P<0.05) . However, there was no significant difference in fracture healing time between the two groups (P>0.05) . [Conclusion] Both plate and wire for fixation are effective treatment of Bennett fracture, with their own advantages and disadvan- tages. By comparison, the ORIF with plate is more accurate and reliable than the percutaneous Kirschner wire.

    参考文献
    相似文献
    引证文献
引用本文

丰瑞兵,王华松,胡昊,等. 钢板与克氏针固定Bennett骨折的比较[J]. 中国矫形外科杂志, 2023, 31 (4): 305-309. DOI:10.3977/j. issn.1005-8478.2023.04.04.
FENG Rui-bing, WANG Hua-song, HU Hao, et al. Comparison of plate versus Kirschner wire for internal fixation of Bennett fracture[J]. ORTHOPEDIC JOURNAL OF CHINA , 2023, 31 (4): 305-309. DOI:10.3977/j. issn.1005-8478.2023.04.04.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-11-30
  • 最后修改日期:2022-10-08
  • 录用日期:
  • 在线发布日期: 2023-03-03
  • 出版日期: