微型钢板与空心加压螺钉治疗闭合性跖跗关节损伤的疗效比较分析

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1、微型钢板与空心加压螺钉治疗闭合性跖跗关节损伤的疗效比较分析郑铁钢1刘爱文河北张家门解放军第251医院骨科河北张家口075100【摘要】目的：探讨微型钢板与空心加压螺钉治疗跖跗关节损伤的疗效。方法：2012年1月至2014年1月我院收治并给予手术治疗的闭合性跖跗关节损伤的患者51例，其屮26例患者行切幵复位背侧微型钢板内固定术，25例患者行切开复位空心加压螺钉A固定术，术后所有患者均获得12〜25个月的随访。应用Maryland足部评分系统对所有患者进行疗效评价。同时对两种内固定方式发生骨性发关节炎和二次行关节融合手术率进行比较分析。结果：背侧钢板内固定治疗可使患者足部功能评价总优R率(84.

2、62%)优于空心加压螺钉内固定治疗(72%)(P<0.05)o术后常见的并发症关节炎在治疗组出现例数要少于对照组(P<0.05)；关节融合再次手术例数治疗组较对照组少见(P<0.05)。结论：背侧微型钢板N固定术治疗跖跗关节损伤效果较好，并发症少。【关键词】跖跗关节损伤；背侧微型钢板内固定术；治疗效果；并发症；临床观察【中图分类号】R684【文献标识码】B【文章编号】1674-8999(2015)9-0634-02ComparativeanalysisofcurativeeffectbetweenDorsalminiplateinternalfixationandcannulateds

3、crewfixationforthelisfranccurativeeffectofjointdamageZhengTiegang，LiuAiwenThe251STHospitalofPLAThewardofOrthopedic075100HebeiprovinceZhangjiakoucity【Abstract】Objective:ToinvestigatethedorsalminiplateinternalfixationandcannulatedscrewfixationforthetreatmentofLisfranccurativeeffectofjointdamage.Metho

4、ds:51patientswhowerelisfranccurativejointdamagefromto2012Januaryin2014Januaryinourhospital.Including26casesofpatientsunderwentopendorsalreductionandminiplateinternalfixation,25patientsunderwentopenreductionandcannulatedscrewfixationafteroperation,allthepatientswere12〜25monthsfollowup.ApplicationofM

5、arylandfootscoresystemeffectevaluationwasperformedonallpatients.Atthesametimeoftwokindsofinternalfixationmethodsbonyarthritisoccurredandtwojointfusionforcomparativeanalysisoperationrate.Results:Dorsalplateinternalfixationforthetreatmentofpatientswithfootfunctioncanmaketheevaluationofthetotalexcelle

6、ntrate(84.62%)wasbetterthanthatofhollowcompressionscrewinternalfixationforthetreatmentof(72%)(P<0.05).Postoperativecomplicationsofarthritiscommonlyinthetreatmentgroupthenumberofcasestobelessthanthatofthecontrolgroup(P<0.05);jointfusionoperationagainintreatmentgroupthaninthecontrolgroupofrarec

7、ases(P<0.05)Conclusion:DorsalminiplateinternalfixationfortreatmentofLisfrancjointinjuryhasgoodeffect,lesscomplications.【keyword】Lisfrancjointinjury,dorsalminiplateinternalfixation,treatment,complications