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| Clinical Efficacy of Closed Reduction and Pin Fixation Under the Guidance of C-Arm X-Ray Machine and Open Reduction and Internal Fixation in the Treatment of Closed Phalangeal Fractures |
| CHI Haotian, YANG Guoyong, TANG Xiaoyu, et al |
| Chengdu First Orthopaedic Hospital, Sichuan Chengdu 610000, China |
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Abstract Objective: To observe the clinical efficacy of closed reduction and pin fixation under the guidance of C-arm X-ray machine and open reduction and internal fixation in the treatment of closed phalangeal fractures. Methods: A total of 131 patients with closed phalangeal fractures in the hospital between April 2017 and April 2021 were selected as the research subjects and were grouped according to the non-randomized concurrent control and principle of voluntariness of patients. Among them, 70 cases underwent closed reduction and pin fixation under the guidance of C-arm X-ray machine and were included in observation group, and 61 cases underwent open reduction and internal fixation and were enrolled as control group. The reduction success rate, surgery-related indicators (surgical time, fracture healing time), occurrence of postoperative complications and total active motion (TAM) recovery of hand joints at 6 months after surgery were compared between the two groups. Results: There was no statistical significance in the reduction success rate between the two groups (P>0.05). The surgical time and fracture healing time in observation group were shorter than those in control group (P<0.05). The total incidence rate of postoperative infection and internal fixation loosening was lower in observation group than that in control group (P<0.05). The excellent and good rate of TAM evaluation in observation group was higher than that in control group at 6 months after surgery (P<0.05). Conclusion: Closed reduction and pin fixation under the guidance of C-arm X-ray machine has the same reduction effect with open reduction and internal fixation on closed phalangeal fractures, but the former one has faster postoperative fracture healing, better functional recovery and fewer complications.
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2022, Vol. 28 
