摘要
Abstract
Objective:To explore the clinical therapeutic effect of Kirschner wire combined with intramedullary fixation on patients with metacarpal neck fractures and its influence on hand function.Methods:A retrospective analysis was conducted on the clinical data of 60 patients with metacarpal neck fractures admitted to Lijin County Hospital of Traditional Chinese Medicine from June 2021 to May 2024.They were divided into a control group(n=25)and a study group(n=35)according to different surgical methods.The control group was treated with open reduction and Kirschner wire fixation,while the study group was treated with Kirschner wire combined with intramedullary internal fixation.The clinical indicators,carpal and palmar joint functions,hand functions and the occurrence of complications of the two groups were compared.Results:The intraoperative blood loss in the study group was less than that in the control group,and the clinical healing time of fractures was shorter than that in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the operation time between the two groups(P>0.05).The excellent and good rate of carpal and metacarpal joint function in the study group was 97.14%,which was higher than 76.00%in the control group,the difference was statistically significant(P<0.05).Six weeks after the operation,the score of the Carroll Hand Function Assessment Scale in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 2.86%,which was lower than 16.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:Kirschner wire combined with intramedullary internal fixation in the treatment of patients with metacarpal neck fractures can reduce intraoperative blood loss,shorten the clinical healing time,be more conducive to promoting the recovery of carpal and metacarpal joint function and hand function,and have fewer postoperative complications.关键词
掌骨颈骨折/髓内固定术/切开复位克氏针固定术/手功能/腕掌关节功能Key words
Metacarpal neck fracture/Intramedullary fixation/Wire/Hand function/Carpal and metacarpal joint function分类
医药卫生
