CAJ | 학술논문

目的观察两种多角度固定钢板治疗复杂掌指骨骨折的临床效果.方法 2010年1月至2012年9月,我科应用两种多角度固定钢板(翼形和梯形)行内固定治疗58例66处复杂性掌指骨骨折,比较两组骨折愈合时间和术后功能恢复情况.结果术后随访4～ 18个月,X线片显示骨折愈合时间:采用翼形钢板组为9～ 15周,平均12.3周;梯形钢板组为9～13周,平均11.2周.两者差异有统计学意义.按手指关节总活动度(TAM)法评分:翼形钢板组,优14处、良12处、可3处、差2处,优良率达到83.87％;梯形钢板组,优18处、良14处、可2处、差1处,优良率为91.43％.两者差异有统计学意义.结论多角度固定钢板对复杂掌指骨骨折固定效果确切,术后早期辅以功能锻炼能达到较满意疗效.
목적 관찰량충다각도고정강판치료복잡장지골골절적림상효과.방법 2010년1월지2012년9월,아과응용량충다각도고정강판(익형화제형)행내고정치료58례66처복잡성장지골골절,비교량조골절유합시간화술후공능회복정황.결과 술후수방4～ 18개월,X선편현시골절유합시간:채용익형강판조위9～ 15주,평균12.3주;제형강판조위9～13주,평균11.2주.량자차이유통계학의의.안수지관절총활동도(TAM)법평분:익형강판조,우14처、량12처、가3처、차2처,우량솔체도83.87％;제형강판조,우18처、량14처、가2처、차1처,우량솔위91.43％.량자차이유통계학의의.결론 다각도고정강판대복잡장지골골절고정효과학절,술후조기보이공능단련능체도교만의료효.
Objective To evaluate the clinical efficacy of two types of multi-angle plates in treating comminuted metacarpal and phalangeal fractures.Methods From January 2010 to September 2012,58 patients with 66 mild comminuted metacarpal or phalangeal fractures were treated with internal fixation using two types of multi-angle plate (wing-shaped and ladder-shaped).Bone union time and postoperative functional recovery were compared between the two groups.Results All the cases were follow-up for 4 to 18 months.X-ray evidence of fracture healing was seen between 9 and 15 weeks (average,12.3 weeks) postoperatively in the wing-shaped plate group,and between 9 and 13 weeks (average,11.2 weeks) in the ladder-shaped plate group.The difference was statistically significant.Based on total active motion evaluation system the results in the wingshaped plate group were excellent in 14 fractures,good in 12 fractures,fair in 3 fractures,and poor in 2 fractures.The results in the ladder-shaped plate group were excellent in 18 fractures,good in 14 fractures,fair in 2 fractures and poor in 1 fracture.The overall satisfactory rate was 83.87％ in the former and 91.43％ in the latter,the difference being statistically significant.Conclusion The multi-angle plates can achieve accurate fixation of mild comminuted metacarpal and phalangeal fractures,which allows early postoperative functional exercise that leads to satisfactory functional outcomes.