Abstract

目的 评价AO微型钢板和克氏针治疗掌、指骨骨折的疗效.方法共评价68例88处掌、指骨骨折病例,分为AO微型钢板组(26例37处)及交叉克氏针组(42例51处),随访3~12个月(平均5.3个月).以TAFS评分为评价标准.结果所有病例均达骨性愈合.AO微型钢板组TAFS评分中,优良率为78.4%;而交叉克氏针组为54.9%.两者的TAFS功能评分结果差异有统计学意义(x2=5.179,P<0.05),前者明显优于后者.AO微型钢板组延迟愈合率为2.70%;交叉克氏针组为7.84%,前者优于后者.AO微型钢板组平均骨折愈合时间为4.5周,交叉克氏针组为7.6周,两者结果差异有统计学意义(t=2.964,P<0.05),前者病例骨折愈合时间明显短于后者.两者术后感染率相似.结论 AO微型钢板治疗掌、指骨骨折在术后关节功能恢复情况、骨折延迟愈合率及骨折愈合时间、并发症发生等指标上明显优于交叉克氏针固定,但在术后感染率上无明显差异。

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