[1]苟永胜,丁柯元,李海波,等.双枚克氏针与双固定螺钉治疗陈旧末节指骨基底部撕脱性骨折的疗效比较[J].医学信息,2021,34(23):96-98.[doi:10.3969/j.issn.1006-1959.2021.23.027]
　GOU Yong-sheng,DING Ke-yuan,LI Hai-bo,et al.Comparison of Curative Effect of Double Kirschner Wire and Double Fixation Screw in the Treatment of Avulsion Fracture of the Base of the Old Distal Phalanx[J].Medical Information,2021,34(23):96-98.[doi:10.3969/j.issn.1006-1959.2021.23.027]
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双枚克氏针与双固定螺钉治疗陈旧末节指骨基底部撕脱性骨折的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年23期
页码:
96-98
栏目:
论著
出版日期:
2021-12-01

文章信息/Info

Title:
Comparison of Curative Effect of Double Kirschner Wire and Double Fixation Screw in the Treatment of Avulsion Fracture of the Base of the Old Distal Phalanx
文章编号:
1006-1959（2021）23-0096-03
作者:
苟永胜; 丁柯元; 李海波; 等
（成都市双流区第一人民医院/四川大学华西空港医院骨科，四川 成都 610200）
Author(s):
GOU Yong-sheng; DING Ke-yuan; LI Hai-bo; et al.
(Department of Orthopedics,Chengdu Shuangliu First People’s Hospital/West China Airport Hospital Sichuan University,Chengdu 610200,Sichuan,China)
关键词:
指伸肌腱; 锤状指; 克氏针; 内固定
Keywords:
Extensor tendon; Hammer finger; Kirschner wire; Internal fixation
分类号:
R683.41
DOI:
10.3969/j.issn.1006-1959.2021.23.027
文献标志码:
A
摘要:
目的 研究双枚克氏针与双固定螺钉分别治疗陈旧末节指骨基底部撕脱性骨折的临床疗效。方法 选择2013年1月-2019年3月于我院就诊行手术治疗的陈旧末节指骨基底部撕脱性骨折患者共62例，按照手术内固定方式不同分组，将采用双枚克氏针固定的32例设为A组，采用双固定螺钉30例设为B组。比较两组随访时间、手术时间、患指疼痛度、伸屈活动度、Crawford疗效、Buck-Gramcko疗效及并发症。结果 术后两组随访时间、手术时间、疼痛度、伸屈活动度比较，差异无统计学意义（P＞0.05）；A组Crawford及Buck-Gramcko疗效评分优良率高于B组，B组术后指甲畸形发生率，锤指畸形复发发生率、切口感染发生率高于A组，但差异无统计学意义（P＞0.05）；B组线结外露发生率高于A组，差异有统计学意义（P＜0.05）；A组术后并发症的总发生率小于B组（P＜0.05）。结论 采用双枚克氏针与微型双固定螺钉治疗陈旧末节指骨基底部撕脱性骨折疗效相当，但微型双固定螺钉治疗陈旧末节指骨基底部撕脱性骨折有较高的并发症发生，尤其是并发线结外露发生率偏高。
Abstract:
Objective To compare the clinical efficacy of double kirschner wire and double fixation screw in the treatment of avulsion fracture of the base of the old distal phalanx.Methods A total of 62 patients with avulsion fracture of the base of the old distal phalanx treated in our hospital from January 2013 to March 2019 were selected. According to different surgical internal fixation methods, 32 cases of double Kirschner wire fixation were set as group A, and 30 cases of double screw fixation were set as group B. The follow-up time, operation time, finger pain, flexion and extension activity, Crawford efficacy, Buck-Gramcko efficacy and complications were compared between the two groups.Results There was no significant difference in the follow-up time, operation time, pain degree and flexion activity between the two groups (P>0.05). The excellent and good rates of Crawford and Buck-Gramcko efficacy scores in group A were higher than those in group B, and the incidences of postoperative nail deformity, mallet deformity recurrence and incision infection in group B were higher than those in group A, but the difference was not statistically significant (P>0.05). The incidence of line junction exposure in group B was higher than that in group A, and the difference was statistically significant (P<0.05). The total incidence of postoperative complications in group A was lower than that in group B(P<0.05).Conclusion The curative effect of double Kirschner wire and micro double fixation screw in the treatment of avulsion fracture of the base of the old distal phalanx is similar, but the micro double fixation screw in the treatment of avulsion fracture of the base of the old distal phalanx has higher complications, especially the incidence of suture exposure.

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更新日期/Last Update: 1900-01-01