摘要
目的探讨微型钢板植入内固定与克氏针(kirschner wire)固定在新发跖骨骨折治疗中的临床疗效。方法回顾性分析2020年1月至2022年2月于宜兴市善卷骨科医院收治的60例新发性的跖骨骨折患者,按照治疗方式的不同将患者分为钢板植入组和克氏针组,钢板植入组患者采用微型钢板植入内固定下的骨折手术治疗,纳入28例;克氏针组采用kirschner wire固定下的骨折手术治疗,纳入32例。记录两组患者的治疗效果、骨折愈合率、临床指标、疼痛程度、生活质量和并发症发生情况并进行比较。结果钢板植入组的临床疗效为96.43%,克氏针组为79.41%,差异有统计学意义(P<0.05)。术后3个月,钢板植入组患者的骨折愈合率为96.43%(27/28),钢板植入组为87.50%(28/32),差异有统计学意义(P<0.05)。钢板植入组患者的手术时间、骨折愈合时间和下地负重行走时间均短于克氏针组患者,差异有统计学意义(P<0.05)。钢板植入组出血量少于克氏针组,差异有统计学意义(P<0.05)。两组患者的术后1周疼痛程度>术后3周>术后6周,差异有统计学意义(P<0.05);且钢板植入组患者术后1周、术后3周和术后6周的疼痛程度均较克氏针组轻,差异有统计学意义(P<0.05);且随着时间变化,表现出显著的时间×组间交互作用(P<0.05)。术后1个月和术后6个月,钢板植入组生活质量均优于克氏针组,差异有统计学意义(P<0.05)。钢板植入组患者的并发症发生率为7.14%,克氏针组为28.12%,差异有统计学意义(P<0.05)。结论微型钢板植入内固定的治疗疗效和临床症状的改善较kirschner wire固定下的骨折手术治疗好,可缓解跖骨骨折患者的术后疼痛,提升其足踝功能和活动度,改善患者预后和生活质量,减少并发症的发生,具有较好的应用效果。
Objective To investigate the clinical efficacy of microplate implantation and kirschner wire fixation in the treatment of new metatarsal fractures.Methods How A retrospective analysis was performed on 60 patients with newly diagnosed metatarsal fracture admitted to our hospital from January 2020 to February 2022.According to different treatment methods,the patients were divided into plate implantation group and Kirschner wire group.The patients in the plate implantation group were treated with micro-plate implantation under internal fixation,and 28 cases were included.In the kirschner wire group,32 patients were treated with Kirschner wire fixation.Surgical indicators,fracture healing rate,clinical indicators,pain degree,quality of life and complications were recorded and compared between the two groups.Results The clinical efficacy was 96.43%in the plate implantation group and 79.41%in the Kirschner wire group,the difference between the two groups was statistically significant(P<0.05).Three months after surgery,the fracture healing rate of patients in the plate implantation group was 96.43%(27/28)and that in the plate implantation group was 87.50%(28/32),the difference was statistically significant(P<0.05).The operative time,fracture healing time and weight-bearing walking time of patients in plate implantation group were shorter than those in Kirschner wire group,and the differences were statistically significant(P<0.05).The blood loss in the plate implantation group was less than that in the Kirschner wire group,and the difference was statistically significant(P<0.05).Pain degree of 1 week after surgery>3 weeks after surgery>6 weeks after surgery in both groups,with statistical significance(P<0.05);pain degree of 1 week after surgery,3 weeks after surgery and 6 weeks after surgery in plate implantation group was lighter than that in Kirschner wire group,with statistical significance(P<0.05),and as time changed,The time×group interaction was significant(P<0.05).At 1 month and 6 months after surgery,the quality
作者
张信为
吴利洋
宗吉燕
刘飞
丁静
Zhang Xinwei;Wu Liyang;Zong Jiyan;Liu Fei;Ding Jing(Department of Hand-foot Surgery,Yixing Shanshu Orthopaedic Hospital,Wuxi 214200,China;Department of Hand Surgery,Yixing Shanshu Orthopaedic Hospital,Wuxi 214200,China)
出处
《足踝外科电子杂志》
2023年第3期49-53,63,共6页
Electronic Journal of Foot and Ankle Surgery
关键词
微型钢板植入
克氏针
跖骨骨折
microplate implantation
Kirschner's wire
metatarsal fracture
