|
|
|
| Clinical Efficacy of Ultrasonic Guided Closed Reduction K-Wires Transverse Internal Fixation for Metacarpal Fracture |
| LI Yali, et al |
| The Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China |
|
|
|
|
Abstract Objective: To investigate the clinical efficacy of ultrasonic guided closed reduction K-wires transverse internal fixation for metacarpal fracture. Methods: The data of 84 patients with metacarpal fractures treated in our hospital from March 2017 to March 2020 were retrospectively analyzed. The observation group of 36 patients were treated with closed reduction K-wires transverse internal fixation under ultrasound guidance,and active flexion and extension of fingers began on the first postoperative day.X-ray was re-examined 4-6 weeks after surgery and the K-wires were removed. In the control group, 48 patients received internal fixation with mini-plate, active flexion and extension functional exercise of fingers began on the first postoperative day, and X-ray was reviewed at 1st, 2nd, 3rd, 6th months. Results: Patients operated on the fracture of metacarpal bones were followed up for 12-18 months, with an average of 14.6 months. There were no serious complications such as infection, malformation or delay in healing. The observation group had significant advantages over the control group in operation time, intraoperative blood loss, fracture healing time and hospital stay (P<0.05). Total motion of flexion and extension (TAM) was used to assess hand function. The excellent and good rate was 100% in observation group. The excellent and good rate of the control group was also 100%. There was no significant difference between the two groups (P>0.05). Conclusion: Ultrasonic guided closed reduction K-wires transverse fixation in the treatment of metacarpal fracture is simple and easy to operate, with less radiation, less trauma, less bleeding, short operation time, and fast fracture healing, especially for pregnant women and teenagers, and it is worthy of clinical promotion.
|
|
|
|
|
|
[1] van Bussel EM,Houwert RM,Kootstra TJM,et al.Antegrade intramedullary kirschner-wire fixation of displaced metacarpal shaft fractures[J].Eur Trauma Emerg Surg,2019,45(1):65-71.
[2] Hussain MH,Ghaffar A,Choudry Q,et al.Management of fifth metacarpal neck fracture (boxer's fracture):a literature review[J].Cureus,2020,12(7):e9442.
[3] Carreno A,Ansari MT,Malhotra R.Management of metacarpal fractures[J].Clin Orthop Trauma,2020,11(4):554-561.
[4] 曾浪清,曾路路,陈云丰,等.顺行双弹性髓内钉与微型钢板内固定治疗第五掌骨骨折的疗效比较[J].中华手外科杂志,2019,35(1):59-61.
[5] 唐德胜,王晓亚,刘西斌,等.MIPPO技术微创内固定与常规锁定钢板固定治疗股骨远段骨折的疗效比较[J].创伤外科杂志,2020,22(1):76-77.
[6] 刘世豪,王旭东,巫文强,等.闭合复位克氏针内固定治疗第5掌骨骨折[J].实用手外科杂志,2020,34(1):47-49.
[7] 牛顺林,邓建海,杨庆玲,等.微型钢板与克氏针内固定治疗掌指骨骨折的疗效比较[J].中国骨与关节损伤杂志,2018,33(3):321-322.
[8] Melamed E,Joo L,Lin E,et al.Plate fixation versus percutaneous pinning for unstable metacarpal fractures:a meta-analysis[J].Hand Surg Asian Pac Vol,2017,22(1):29-34.
[9] 沈素红,王孝辉,付卓.超声引导下闭合复位微创固定治疗掌指骨骨折[J].中国医学影像技术,2018,34(2):293-296.
[10] Grandizio LC,Speeckaert A,Kozick Z,et al.Anatomic assessment of K-wire trajectory for transverse percutaneous fixation of small finger metacarpal fractures:a cadaveric study[J].Hand (N Y),2018,13(1):86-89. |
|
|
|
2023, Vol. 29 
