摘要
目的：探讨应用微型钢板内固定法治疗手足短骨骨折的临床疗效。方法：对我院2008年1月～2009年7月收治的63例手足短骨骨折患者采用微型钢板内固定治疗，观察其临床疗效。结果：63例患者均手术切口均获得一期愈合，无一例患者发生切口感染等并发症。63例患者均获得12～18个月门诊随访，经x线检查显示全部病例骨折愈合良好，未见骨折不愈合、延迟愈合，也无骨折畸形愈合，骨折愈合时间平均为（8.3±1.0）周。手部功能评定优者46例，良者4例，中者3例，差者0例，优良率为94.3%（50/53）。脚跖跗关节骨折脱位患者10例中功能评定优者5例，良者4例，中者1例，优良率为90.0%（9／10）。结论：微型钢板内固定法内固定效果可靠，手术疗效显著，患肢功能恢复好，可于临床推广并进一步应用。
Objective To investigate the treatment of mini-plate fixation of hone fractures hand, foot and short clinical efficacy. Methods From January 2008 ～July 2009 63 patients admitted to short-bone fractures were treated with hand-foot mini-plate fixation, clinical efficacy. Resuits were 63 patients have received a surgical incision healing, no case of wound infection and other complications in patients. 63 patients have received 12 to 18 months of outpatient follow-up, the X-ray examination showed good healing in all cases, no nonunion, delayed union, malunion and no fracture, fracture healing time average （8.3 ± 1.0） weeks. Excellent assessment of hand function in 46 cases, good in 4 cases in 3 cases and poor in 0 cases were excellent and good rate was 94.3% （50/53）. Foot fracture and dislocation of tarsometatarsal joint in patients with functional evaluation of 10 cases excellent in 5 cases, good in 4 cases, in I case, the fine rate was 90.0% （9 / 10）. Conclusion mini-plate fixation and internal fixation effect reliable operation a significant effect, limb function recovery, and can be applied in clinical practice and further.
关键词
微型钢板
内固定
短骨
骨折
Mini-plate
internal fixation
short bone
fracture
