金日浩 王夫平 冷树立

    [摘要] 目的:为提高AO微型钢板螺钉治疗掌骨骨折效果。方法:笔者总结了2006～2008年用微型钢板螺钉治疗30例掌骨骨折的临床资料。共19例患者,30处骨折,闭合性骨折16处,开放性骨折14处。骨干部骨折用4孔AO微型钢板固定,干骺部骨折用T或L形AO微型钢板固定;大斜形或螺旋形、关节内骨折用螺钉加压固定。术后即行主被动活动。结果:术后22处关节活动达到优秀,其中,开放性骨折8处,闭合性骨折14处。8处发生了并发症,其中,开放性骨折6处,闭合性骨折 2处。结论:AO微型钢板及螺钉为掌骨骨折提供了牢稳的固定,有利于早期功能康复训练,获得了较好的手功能恢复。

    [关键词] 掌骨骨折;AO微型钢板;螺钉;内固定

    [中图分类号] R683.41[文献标识码]A[文章编号]1673-7210(2009)07(b)-033-02

    Analysis of metacarpal fractures fixed by AO miniplates and screw

    JIN Rihao,WANF Fuping,LENG Shuli

    (Xiaolan People's Hospital of Southern Medical University,Zhongshan 528415, China)

    [Abstract] Objective: To improve the therapeutic effect of miniplate and screw in the treatment of metacarpal fractures.Methods: Data of30 cases of fractures treated with miniplate from 2006 to 2008 were reviewed.Among 30 cases of patients, there were 16 cases of closed fractures,14 cases of open fractures. the 4-hole 2.0 mm AO miniptate was used for midshaft fracture of the metacarpals;the "T" or "L"AO shaped plate was used for urmtabie intraarticular and periarticular fractures;the screw was used for long ob lique diaphyseal fractures,spiral fracture and some of intraarticular fraeturs.Immediate active and passive motion was done postoperatively.Results: The quality of recovery of joint motion was assessed by the Total Active Flexion Scale,22 cases were excellent, including 8 cases of open and 14 cases of closed fractures. Complications occurred in 8 cases(6 cases of open and 2 cases of closed fractures) among 30 cases of fractures. Conclusion: AO miniplate and screws can provide the stable fixation for metacarpal fractures,and stabilize the fracture site allowing immediate motion postoperatively,so that the hand function recovers better and more quickly. ......