摘要
目的 研究跖跗关节损伤患者经切开复位双重加压螺钉固定治疗的效果。方法 将2014年6月-2015年6月在我院接受治疗的跖跗关节损伤患者100例纳入到本次研究,根据随机数字表法将患者分为两组,分别为研究组50例和对照组50例。对照组采用空心钉或结合克氏针进行固定;研究组经切开复位双重加压螺钉固定治疗。对两组患者术后美国矫形足踝协会（AOFAS）足评分、术后住院时间和手术治疗优良率、创伤性关节炎、感染等手术不良事件发生率进行比较。结果 研究组优良率80.00%,对照组优良率76.00%,且两组患者均未出现股筋膜室综合征、感染或创伤性关节炎、内固定断裂等,其中,研究组仅2例出现伤口延迟愈合,对照组有2例伤口感染。研究组术后AOFAS评分（82.67±9.31）分,住院时间（5.12±0.23）d;对照组术后AOFAS评分（80.12±9.14）分,住院时间（5.16±0.18）d,两组各项指标比较无显著差异（P〉0.05）。结论 跖跗关节损伤患者经切开复位双重加压螺钉固定治疗的效果跟空心钉或结合克氏针进行固定的治疗效果相似,均可达到良好复位和坚强固定,并发症少,足功能恢复良好,值得推广。
Objective To study the curative effects of double compression screw fixation by open reduction in the patients with tarsometatarsal joint injury. Methods 100 patients with metatarsal tarsal joint injury who were treated in our hospital from June 2014 to June 2015 were included in the study. According to the random number table, the patients with tarsometatarsal joint injury were divided into two groups, with 50 patients in the study group and 50 cases in the control group. The control group was treated with hollow nail or combined Kirschner wire fixation; the study group was treated by double compression screw fixation by open reduction. The American Orthopedic and Ankle Society （AOFAS） foot rate, postoperative length of stay and excellent and good rate of surgical treatment, incidence of traumatic arthritis, infection and other surgery-induced adverse events were compared between the two groups. Results The excellent and good rate in the study group was 80.00%, and the excellent and good rate in the control group was 76.00%. There were no femoral compartment syndrome, infection or traumatic arthritis and internal fixation fracture in the two groups. Wound delayed healing was only shown in 2 patients in the study group, and would infection was shown in 2 patients in the control group. The AOFAS score of the study group was （82.67±9.31） and the length of stay was （5.12±0.23）days; the AOFAS score was （80.12±9.14） in the control group and the length of stay was （5.16±0.18） days. There was no sig- nificant difference between the two groups （P〉0.05）. Conclusion The effect of double compression screw fixation by open reduction in patients with tarsometatarsal joint injury is similar to that of hollow nail or combined Kirschner wire fixation. It can achieve good reduction and finn fixation with few complications and good reeovery of foot function, which is worthy of promotion.
出处
《中国现代医生》
2016年第26期70-72,共3页
China Modern Doctor
