摘要
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2h～3d。B组:男9例,女10例;年龄24～59岁,平均(28.8±7.9)岁;病程0.5h～2d。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。
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.
出处
《中国骨伤》
CAS
2011年第8期638-640,共3页
China Journal of Orthopaedics and Traumatology
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
Metatarsal bones
Fractures
Fracture fixation
internal
Surgical procedures
minimally invasive
Case-control studies
作者简介
通讯作者：王卫Tel：0571—85986088 E-mail：pgb88@163．com
