| 两种方法治疗Bennett骨折的病例对照研究 |
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Received:January 19, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赖震 |
LAI Zhen |
浙江省中西医结合医院骨科，浙江 杭州 310003 |
Department of Orthopaedics,Integrated Chinese and Western Medicine Hospital of Zhejiang Province,Hangzhou 310003,Zhejiang,China |
laizhen76@163.com |
| 石仕元 |
SHI Shi-yuan |
浙江省中西医结合医院骨科，浙江 杭州 310003 |
Department of Orthopaedics,Integrated Chinese and Western Medicine Hospital of Zhejiang Province,Hangzhou 310003,Zhejiang,China |
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| 魏威 |
WEI Wei |
浙江省中西医结合医院骨科，浙江 杭州 310003 |
Department of Orthopaedics,Integrated Chinese and Western Medicine Hospital of Zhejiang Province,Hangzhou 310003,Zhejiang,China |
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| 费骏 |
FEI Jun |
浙江省中西医结合医院骨科，浙江 杭州 310003 |
Department of Orthopaedics,Integrated Chinese and Western Medicine Hospital of Zhejiang Province,Hangzhou 310003,Zhejiang,China |
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| 余涌杰 |
YU Yong-jie |
浙江省中西医结合医院骨科，浙江 杭州 310003 |
Department of Orthopaedics,Integrated Chinese and Western Medicine Hospital of Zhejiang Province,Hangzhou 310003,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第6期，第479-481页 |
| DOI：10.3969/j.issn.1003-0034.2011.06.011 |
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目的：比较石膏固定和骨片钉固定两种方法治疗Bennett骨折的疗效。
方法：对2005年5月至2009年6月收治的31例分别接受2种方法治疗的Bennett骨折患者资料进行回顾性分析，其中石膏固定组(A组)17例，男12例，女5例；平均年龄(43.9±5.7)岁；骨折按Buechler分型：1区3例，2区11例，3区3例。骨片钉固定组(B组)14例，男8例，女6例；平均年龄(45.6±6.1)岁；骨折按Buechler分型：1区3例，2区9例，3区2例。观察比较两组患者：①住院时间，骨折愈合时间，固定失败情况；②骨折复位质量采用Kjaer-Petersen等方法进行对比分析；③拇指运动功能采用Cannon等方法进行评判。
结果：31例均获随访，时间6～15个月，平均(9.0±3.5)个月，A、B组平均住院时间分别为(7.0±2.5) d和(9.0±3.9) d,A组住院时间短。术后骨折复位质量：A组优4例，良8例，差5例；B组优8例，良6例，差0例，B组复位质量优于A组。A、B组平均骨折愈合时间分别为(6.0±0.5)周和(6.0±1.9)周，两种治疗方法差异无统计学意义(P>0.05).术后3个月拇指运动功能：A组优6例，良8例，可3例；B组优8例，良5例，可1例，两种治疗方法差异无统计学意义(P>0.05).A组出现骨折再次移位2例，B组无固定失败病例。
结论：两种治疗方法均获得满意疗效，石膏固定具有操作简便、无创伤的优点，但稳定性差，容易发生骨折再移位；骨片钉固定具有固定牢固、术后功能恢复好的优点，但手术创伤大，住院时间长。 |
| [关键词]:Bennett骨折 内固定器 外固定 病例对照研究 |
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| Case-control study on two different methods in the treatment of Bennett fractures |
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Abstract:
Objective: To compare the clinical outcomes between two different methods in the treatment of Bennett fractures.
Methods: From May 2005 to June 2009,31 patients with Bennett fractures were treated with gypsum and percutaneous fragment pin fixation. In gypsum fixation group,there were 17 cases including 12 males and 5 females with an average age of (43.9±5.7) years; according to Buechler classification:3 cases were Ⅰ region fracture,11 cases were Ⅱregion fracture,3 cases were Ⅲ region fracture. In percutaneous fragment pin fixation group,there were 14 cases including 8 males and 6 females with an average age of (45.6±6.1) years; according to Buechler classification:3 cases were Ⅰregion fracture,9 cases were Ⅱregion fracture and 2 cases were Ⅲ region fracture. The observing and comparing items of the two groups included:① length of stay,time of fracture healing,failure of fixation; ②postoperative radiographs comparison according to method of Kjaer-Petersen; ③cannon scores used for outcome measurement.
Results: All the patients in the two groups were followed up,the duration ranged from 6 to 15 months,with an average of(9.0±3.5) months. The length of stay were (7.0±2.5) d in gypsum fixation group and (9.0±3.9) d in percutaneous fragment pin fixation group with statistically significant differences(P<0.05). The postoperative reduction quality according to method of Kjaer-Petersen,in gypsum fixation group:4 patients got an excellent result,8 good and 5 poor;in percutaneous fragment pin fixation group,the above data were 8,6 and 0 respectively;there were statistically significant differences(P<0.05)between the two groups. The time of fracture healing were (6.0±0.5) weeks in gypsum fixation group and (6.0±1.9) weeks in percutaneous fragment pin fixation group with no statistically significant differences(P>0.05). Cannon scores were evaluated at postoperative 3 months,in gypsum fixation group:6 patients got an excellent result,8 good and 3 fair; in percutaneous fragment pin fixation group,the above data were 8,5 and 1 respectively; there were no statistically significant differences(P>0.05)between two groups. Two patients had fracture re-displacement in gypsum fixation group,and no failure cases in percutaneous fragment pin fixation group.
Conclusion: There are satisfied therapeutic effects in two different methods for the treatment of Bennett fractures. However,gypsum fixation has advantage of easy to operate and atraumatic,but unstability and easy to displacement; percutaneous fragment pin fixation has advantage of fixed solidly and better in functional rehabilitation,but big in surgical trauma and long in length of stay. |
| KEYWORDS:Bennett fractures Internal fixators External fixators Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赖震,石仕元,魏威,费骏,余涌杰.两种方法治疗Bennett骨折的病例对照研究[J].中国骨伤,2011,24(6):479~481 |
| 英文格式: | LAI Zhen,SHI Shi-yuan,WEI Wei,FEI Jun,YU Yong-jie.Case-control study on two different methods in the treatment of Bennett fractures[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(6):479~481 |
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