| 经皮微型空心螺钉治疗第5跖骨基底部骨折的病例对照研究 |
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Received:January 25, 2011
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王卫 |
WANG Wei |
杭州市第一人民医院吴山院区骨科,浙江 杭州 310002 |
Department of Orthopaedics,Wushan District of the First People's Hospital of Hangzhou,Hangzhou 310002,Zhejiang,China |
pgb88@163.com |
| 潘国标 |
PAN Guo-biao |
杭州市第一人民医院吴山院区骨科,浙江 杭州 310002 |
Department of Orthopaedics,Wushan District of the First People's Hospital of Hangzhou,Hangzhou 310002,Zhejiang,China |
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| 王敏 |
WANG Min |
杭州市第一人民医院吴山院区骨科,浙江 杭州 310002 |
Department of Orthopaedics,Wushan District of the First People's Hospital of Hangzhou,Hangzhou 310002,Zhejiang,China |
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| 平立原 |
PING Li-yuan |
杭州市第一人民医院吴山院区骨科,浙江 杭州 310002 |
Department of Orthopaedics,Wushan District of the First People's Hospital of Hangzhou,Hangzhou 310002,Zhejiang,China |
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| 干军 |
GAN Jun |
杭州市第一人民医院吴山院区骨科,浙江 杭州 310002 |
Department of Orthopaedics,Wushan District of the First People's Hospital of Hangzhou,Hangzhou 310002,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第8期，第638-640页 |
| DOI：10.3969/j.issn.1003-0034.2011.08.005 |
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目的: 探讨第5跖骨基底干骺端骨折(Jones骨折)常规石膏固定及微创治疗的临床效果.
方法: 2006年至2010年分别采用石膏固定(A组)及经皮微型空心螺钉内固定(B组)治疗此类损伤41例,其中A组:男14例,女8例；年龄21～62岁,平均(32.3±8.7)岁；病程2 h～3 d.B组:男9例,女10例；年龄24～59岁,平均(28.8±7.9)岁；病程0.5 h～2 d.对2组病例进行长期随访,观察其远期疗效.
结果: 41例均获随访,时间3个月～2.5年,平均11.3个月.A、B2组均获得骨性愈合,B组患者术后伤口Ⅰ期甲级愈合,无并发症发生.按照Maryland足部评分系统评分,B组疗效优于A组,且愈合时间短于A组.
结论: 经皮微型空心螺钉微创治疗Jones 骨折,操作简单易行,固定坚强,创伤小,是治疗Jones骨折的理想方法之一. |
| [关键词]:跖骨 骨折 骨折固定术,内 外科手术,微创性 病例对照研究 |
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| Case-control study on percutaneous treatment of foot Jones fracture with cannulated screws |
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Abstract:
Objective: To compare clinical effects between plaster fixation and cannulated screw for the treatment of Jones fracture.
Methods: From 2006 to 2010,41 patients with Jones fractures were divided into 2 groups. In Group A,there were 14 males and 8 females,ranging in age from 21 to 62 years,with an average of (32.3±8.7) years;the course of disease ranged from 2 h to 3 d;the patients in Group A were treated with plaster fixation. In Group B,there were 9 males and 10 females,ranging in age from 24 to 59 years,with an average of(28.8±7.9) years;the course of disease ranged from 0.5 h to 2 d;the patients in Group B were treated with cannulated screw fixation. The patients in two groups were followed up from a long time and the long-term effects were studied.
Results: All the 41 patients were followed up,from 3 months to 2.5 years,with a mean of 11.3 months. All the patients in both groups were healed. The patients in Group B got postoperative wound healing with A degree at the first stage without complications. In accordance with the Maryland Foot Score,the therapeutic effect in Group B was better than that of Group A. The healing time in Group B was shorter than that of Group A.
Conclusion: Percutaneous minimally invasive treatment with micro-cannulated screw is an ideal method for the treatment of the Jones fracture. |
| KEYWORDS:Metatarsal bones Fractures Fracture fixation,internal Surgical procedures,minimally invasive 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: | 王卫,潘国标,王敏,平立原,干军.经皮微型空心螺钉治疗第5跖骨基底部骨折的病例对照研究[J].中国骨伤,2011,24(8):638~640 |
| 英文格式: | WANG Wei,PAN Guo-biao,WANG Min,PING Li-yuan,GAN Jun.Case-control study on percutaneous treatment of foot Jones fracture with cannulated screws[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(8):638~640 |
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