Abstract：Objective: To compare the clinical efficacy of modified Kirschner wire internal fixation with traditional Kirschner wire internal fixation for the treatment of phalangeal fractures. Methods: A retrospective analysis of 46 cases of phalangeal fractures admitted to our hospital from August 2015 to August 2017 was performed with modified Kirschner wire internal fixation or traditional Kirschner wire internal fixation. Among them, 25 patients underwent modified surgical method group (improved group) and 21 patients underwent traditional surgical method group (traditional group). The clinical efficacy of the two surgical Methods: was evaluated by observing the operation time, fracture healing time, and total finger active flexion (TAFS) score. Results: All patients were followed up for 12 to 24 months with an average of 16.7 months. In the traditional group, there were 2 cases of surgical failure, 19 cases of the result analysis, and 25 cases of the improved group all entered the result analysis. The results showed that the operation time of the improved group was significantly shorter than that of the traditional group. There was significant difference in the operation time between the two groups (P<0.05). There was no significant difference in the fracture healing time and TAFS score between the two groups (P>0.05). Conclusion In treating the phalangeal fractures, modified closed reduction percutaneous K-wire cross-fixation is better than traditional method. Conclusion: For the treatment of closed proximal and middle phalanx A fractures, modified Kirschner wire internal fixation has obvious advantages over traditional Kirschner wire internal fixation.
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2019, Vol. 25 
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