CAJ | 학술논문

目的探讨与评价微型钛板螺钉在四肢短骨、关节骨折中的临床应用疗效.方法回顾性分析2004年2月-2013年6月,采用Medicon微型钛板螺钉切开复位内固定治疗四肢骨关节骨折病例,其中掌指骨骨折60例(93处)、跖趾骨骨折37例(62处),桡骨小头骨折15例,腕舟状骨骨折9例,关节内撕脱骨折尺骨冠状突骨折4例,髌骨4例,股骨髁3例.术后早期行主被动功能锻炼.结果手足组:术后随访4 ～12个月,骨折愈合时间8～12周,优78例,良66例,差11例,优良率为92.9％;桡骨头骨折组:随访6个月～1年均骨性愈合,按改良法Cassebaum评分评定,优良率93.3％;腕舟骨骨折组:采用改良Mayo法对腕关节功能进行评估,优良率88.9％;尺骨冠状突骨折4例,髌骨4例,股骨髁3例,均全部愈合,且关节功能佳,优良率100％.结论微型钛板、螺钉内固定治疗手足指掌骨、趾跖骨骨折,能达到解剖复位、控制旋转、防止畸形发生并能在骨折端维持加压作用,是较理想的内固定材料;对四肢大关节内撕脱游离骨折复位精确,对关节面损伤小、固定满意,也可适当选择应用.
목적 탐토여평개미형태판라정재사지단골、관절골절중적림상응용료효.방법 회고성분석2004년2월-2013년6월,채용Medicon미형태판라정절개복위내고정치료사지골관절골절병례,기중장지골골절60례(93처)、척지골골절37례(62처),뇨골소두골절15례,완주상골골절9례,관절내시탈골절척골관상돌골절4례,빈골4례,고골과3례.술후조기행주피동공능단련.결과 수족조:술후수방4 ～12개월,골절유합시간8～12주,우78례,량66례,차11례,우량솔위92.9％;뇨골두골절조:수방6개월～1년균골성유합,안개량법Cassebaum평분평정,우량솔93.3％;완주골골절조:채용개량Mayo법대완관절공능진행평고,우량솔88.9％;척골관상돌골절4례,빈골4례,고골과3례,균전부유합,차관절공능가,우량솔100％.결론 미형태판、라정내고정치료수족지장골、지척골골절,능체도해부복위、공제선전、방지기형발생병능재골절단유지가압작용,시교이상적내고정재료;대사지대관절내시탈유리골절복위정학,대관절면손상소、고정만의,야가괄당선택응용.
Objective To study and evaluate mini-titanum-plates the effects applied to four limbs bone and joint fracture.Methods 132 patients in our hospital suffered from four limbs fractures treated with open reduction internal fixation of Medicon mini-plate from February 2004 to June 2013 were studied retrospectively,including 60 cases of metacarpal and phalanx fracture(93 lesions),37 cases of metatarsal and phalanx fracture(62 lesions),15 cases of radial head fracture,9 cases of scaphoid fracture,4 cases of coronoid process of ulna fracture,4 cases of patella frature,3 cases of condyles of femur.Results Clinical outcomes:hands and feet group:follow-up postoperative 8-12 months,evaluation results showed that excellent was 78cases,good was 66cases,poor was 11cases,good rate was 92.9％.group of radius head fracture:Fractures got osteal union after 6 months to 1 year.good rate was 93.3％.group of scaphoid bone fracture:Fractures got osteal healing.all cases adopt improved Mayo Evaluation Wrist Function to evaluate,good rate was 88.9％.Including 4 cases of Coronoid process of ulna fracture,4 cases of patella fracture,3 cases of femoral condylar fracture,the excellent good rates was 100％.Conclusions Metacarpal and metatarsals phalanx fracture treated with mini-plate can get reduction anatomically,control rotation,prevent malformation and keep compression,they are the ideal internal fixation material;free fragments for intra-articular fracture fixed by mini-titanum-plate and screws can get reduction precisely,be fixed satisfactory,also can choose the appropriate application.