|
|
|
| Comparison of the Efficacy of Dynamic External Fixator with two KirschnerWires and Mini Plate in the Treatment of Unstable Metacarpal and Phalangeal Fractures |
| Mei Linjun, Liu Ganliang, Chen Mian, Yuan Kaiping, Xie Guangzhong, Tan Zhenlian, Lei Fangjin |
| Department of Bone Orthopedics,The Houjie Hospital of Dongguan City,Dongguan 523945,China |
|
|
|
|
Abstract Objective To investigate the effect of dynamic external fixator with two Kirschner wires and mini plate in the treatment of unstable metacarpal and phalangeal fractures.Methods 60 cases of metacarpal and phalangeal unstable fractures were selected as the research objects.The micro plate group（30 cases）was treated with micro plate internal fixation,and the dynamic external fixator group（30 cases）was treated with two Kirschner wire dynamic external fixator.The clinical efficacy,hospitalization time,operation time and other related indicators of the two groups were compared and analyzed.Results The excellent and good rate of dynamic external fixator group（93.34%）was higher than that of mini plate group（73.33%）（P<0.05）.The operation time,hospital stay,fracture healing time and starting time of functional exercise in the dynamic external fixator group were lower than those in the mini plate group（P<0.05）.The complication rate of dynamic external fixator group（3.33%）was lower than that of mini plate group（20.00%）（P<0.05）.Conclusion The treatment of unstable metacarpal and phalangeal fractures with Kirschner wire dynamic external fixator has better effect and can achieve healing in a short time.It is a safe and valuable treatment scheme.
|
|
Received: 12 September 2021
|
|
|
|
|
|
[1] 钟晓,贾叙峰,黄光平.微型外固定支架联合克氏针内固定治疗掌指关节骨折的效果分析[J].四川医学,2020,41(3):231-234.
[2] 褚庭纲,周宗伟,薛继鑫,等.外置接骨板、克氏针与外固定支架治疗开放性掌骨骨折的比较研究[J].中华手外科杂志,2019,20(5):321-324.
[3] 郑峰,李冰.微型接骨板和克氏针固定治疗掌骨骨折的疗效比较分析[J].临床研究,2019,27(10):71-72.
[4] 陈瑜,刘立华,梁健,等.切开复位微型钢板内固定治疗掌指关节周围创伤性骨折的效果观察[J].临床医学工程,2019,26(9):1239-1240.
[5] 宋春林,朱雨,王永才.微型外固定架、微型钢板与克氏针固定治疗开放性掌指骨骨折的比较[J].中国骨与关节损伤杂志,2019,34(7):769-771. |
|
|
|
2022, Vol. 42 
