CAJ | 학술논문

目的：探讨应用微型钢板螺钉内固定治疗跖骨骨折的临床疗效。方法2009年6月-2012年12月对84例85足跖骨骨折患者采用切开复位微型钢板螺钉内固定治疗，术后于医生指导下行康复功能锻炼。结果本组84例均获得随访，随访时间6~24个月，平均10个月。84例85足患者中一期愈合82例83足，1例术后3 d出现皮下血肿感染，1例开放性骨折术后出现皮肤坏死，采取相应治疗措施后愈合。术后定期复查X线片，骨折愈合时间为8~16周，平均13周。术后无骨折不愈合及内固定松动断裂等情况，平均14周（9~18周）可完全负重行走，平均6个月（5~12个月）取出内固定物。参照美国足踝矫形协会（AOFAS）前足评分标准评估，优29足，良49足，可5足，差2足，优良率91.76%。结论采用微型钢板螺钉内固定治疗跖骨骨折，不仅可恢复足弓生理形态，而且有利于患足关节功能恢复，骨折愈合快，值得临床推广应用。
목적：탐토응용미형강판라정내고정치료척골골절적림상료효。방법2009년6월-2012년12월대84례85족척골골절환자채용절개복위미형강판라정내고정치료，술후우의생지도하행강복공능단련。결과본조84례균획득수방，수방시간6~24개월，평균10개월。84례85족환자중일기유합82례83족，1례술후3 d출현피하혈종감염，1례개방성골절술후출현피부배사，채취상응치료조시후유합。술후정기복사X선편，골절유합시간위8~16주，평균13주。술후무골절불유합급내고정송동단렬등정황，평균14주（9~18주）가완전부중행주，평균6개월（5~12개월）취출내고정물。삼조미국족과교형협회（AOFAS）전족평분표준평고，우29족，량49족，가5족，차2족，우량솔91.76%。결론채용미형강판라정내고정치료척골골절，불부가회복족궁생리형태，이차유리우환족관절공능회복，골절유합쾌，치득림상추엄응용。
Objective To evaluate the clinical results of treating metatarsal fractures by minitype plate and screw fixation. Methods From June 2009 to December 2012, 84 cases (85 foots) with metatarsal fractures were treated with minitype plate and screw fixation, postoperative rehabilitation was applied by dortor's directions. Results All patients were followed up for 6 to 24 months, with an average of 10 months. In the 84 cases(85 foots), the results were primary healing in 82 cases(83 foots), the hematoma infection after 3 days of surgery in 1 case, and cutaneous necrosis after open fracture in 1 case. To recheck the X ray in regular after operation, all the fractures healed from 8 to 16 weeks, with an average of 13 weeks. There were no obvious complications such as malunion or nonunion, or screw loosening. All patients could walk with weight-bearing from 9 to 18 weeks, with an average of 14 weeks after operation. We took out of the minitype plate and screw from 5 to 12 months, with an average of 6 months after operation. According to AOFAS scales, the results were excellent in 29 cases, good in 49 cases, fair in 5 cases and poor in 2 cases, with an excellent and good rate of 91.76%. Conclusion Minitype plate and screw fixation is a reliable method to treat metatarsal fractures in clinical. It not only recover the arch of foot physiological shape, but also promote to recover the foot Joint function and fractures healed.