中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (26): 4927-4930.doi: 10.3969/j.issn.1673-8225.2012.26.035

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

螺钉与经皮克氏针治疗Buechler 2区Bennett骨折的2年随访

夏羿凡，吴 青，蔚 芃，陈 路   

  1. 川北医学院附属医院骨科，四川省南充市 637000
  • 收稿日期:2012-03-01 修回日期:2012-04-10 出版日期:2012-06-24 发布日期:2013-11-02
  • 通讯作者: 蔚芃，硕士，教授，川北医学院附属医院骨科，四川省南充市 637000 weipeng789@vip.163.com
  • 作者简介:夏羿凡★，男，四川省南充市人，汉族，2011年重庆医科大学毕业，硕士，讲师，主要从事创伤骨科方面工作。 xiayifan823@sina.com

Two-year follow-up of screws versus percutaneous K-wire for the treatment of Bennett fractures in Buechler zone 2

Xia Yi-fan, Wu Qing, Wei Peng, Chen Lu   

  1. Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
  • Received:2012-03-01 Revised:2012-04-10 Online:2012-06-24 Published:2013-11-02
  • Contact: Wei Peng, Master, Professor, Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China weipeng789@vip.163.com
  • About author:Xia Yi-fan★, Master, Lecturer, Department of Orthopedics, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China xiayifan823@sina.com

PDF

370

被引次数

6

摘要：

背景：治疗Bennett骨折方法颇多，对于较为多发的Buechler 2区Bennett骨折目前尚无统一的治疗方案及评价标准。
目的：对比切开复位螺钉内固定及经皮克氏针内固定对Buechler 2区Bennett骨折固定后的功能恢复情况。
方法：将Buechler 2区Bennett骨折患者随机分为螺钉治疗组和克氏针治疗组，螺钉治疗组施行切开复位螺钉内固定，克氏针组施行闭合复位经皮交叉克氏针内固定。采用上肢功能评分评价其功能恢复情况。
结果与结论：固定后、随访1年及随访2年，螺钉组上肢功能评分均低于克氏针组(P < 0.05)。证实，短期内螺钉对于Buechler 2区Bennett骨折的功能恢复优于克氏针。

关键词: 螺钉, 克氏针, Buechler, Bennett骨折, 植入物, 临床应用, 植入体

Abstract:

BACKGROUND: There are a lot of methods for the treatment of Bennett fractures; however, there is no uniform therapeutic regimen and evaluation criterion for the more prone Buechler zone 2 Bennett fractures.
OBJECTIVE: To compare the function recovery of open reduction screw fixation and percutaneous pinning for the treatment of Buechler zone 2 Bennett fractures.
METHODS: Patients with Buechler zone 2 Bennett fractures were randomly divided into the screw group and the K-wire group; the patients in the screw group were treated by open reduction screw fixation and the patients in the K-wire group were purposed by close reduction percutaneous fixation. The disabilities of the arm, shoulder and hand score were used to evaluate the function recovery.
RESULTS AND CONCLUSION: The disabilities of the arm, shoulder and hand score of the screw group were lower than those of the K-wire group after fixation, 1-year follow-up and 2-year follow-up (P < 0.05). The functional recovery of open reduction screw fixation is better than percutaneous K-wire fixation for Buechler zone 2 Bennett fractures.

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