Clinical Research of Mini-plate for the Treatment of Metacarpal and Phalangeal Fractures and Early Rehabilitation_West China Medical Journal

Authors：

 QIANJun ,  RUIYong-jun , ZHANGQuan-rong , XUEMing-yu , WUQuan

Department of Hand Surgery, the Ninth People's Hospital of Wuxi, Wuxi, Jiangsu 214062, P. R. China;

Corresponding author：

RUIYong-jun, Email: ruiyj@hotmail.com

Keywords：

Metacarpal and phalangeal fracture; Mini-plate; Internal fixation; Rehabilitation training

DOI：

10.7507/1002-0179.20140676

Video：

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Objective To discuss the clinical curative effect of internal fixation for metacarpal and phalanx fractures using stainless steel mini-plate and the early rehabilitation. Methods The study included 47 cases treated from January 2006 to June 2011, including 25 cases of 72 phalangeal fractures, 17 cases of 43 metacarpal fractures, and 5 cases of 23 complex metacarpal and phalangeal fractures. All the patients underwent open reduction and micro-plate internal fixation. Three days after surgery, passive function training was initiated. Patients accompanied with blood vessel damage began the training one week later. The training was carried out based on the early rehabilitation schedule. Results Primary healing occurred in all the 47 cases. There was one case of broken plate because of crashing. Postoperative follow-up lasted for 4 to 10 months, and the fractures were healed in 138 lesions. X-ray examination showed that bone union took place at week 8 to 11 averaging at 10. According to the functional evaluation of total autive movement scales, the excellent and good rate was 83.0%. Conclusion The stainless steel mini-plate in the treatment of metacarpal and phalangeal fractures has a firm fixation and is advantageous. Combined with early rehabilitation training, it can maximize the recovery of hand function with satisfactory clinical results.

Citation： QIANJun, RUIYong-jun, ZHANGQuan-rong, XUEMing-yu, WUQuan. Clinical Research of Mini-plate for the Treatment of Metacarpal and Phalangeal Fractures and Early Rehabilitation. West China Medical Journal, 2014, 29(12): 2236-2238. doi: 10.7507/1002-0179.20140676 Copy

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11.	Lu WW, Furumachi K, Ip WY, et al. Fixation for comminuted phalangeal fractures:a biomechanical study of five methods[J]. J Hand Surg (Br), 1996, 21(6):765-767.
12.	洪建军, 高伟阳, 李志杰, 等. AO微型钢板内固定治疗掌指骨骨折[J]. 中华手外科杂志, 2004, 20(2):92-93.
13.	鲜思平, 项舟, 黄富国. 微型钢板螺钉内固定治疗掌指骨骨折[J]. 华西医学, 2006, 21(1):14-15.
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16.	杨波, 金超. 微型钢板在手部骨折中的临床应用与疗效分析[J]. 实用手外科杂志, 2012, 26(4):376-377.
17.	魏巍, 王广宏, 鲁世荣. 微型钢板在掌指骨骨折中的应用[J]. 世界最新医学信息文摘·电子版, 2013, 13(19):5.
18.	石海林, 罗轶. 微型钢板内固定掌指骨骨折的生物力学评价[J]. 中国组织工程研究, 2013, 17(17):3200-3207.
19.	谢强, 刘艺祥, 谢伟清. 手部多发掌骨骨折术后的功能康复指导疗效[J]. 中外医学研究, 2013, 11(34):44-45.
20.	杜春萍, 陈佳佳, 赖华, 等. 康复期骨折患者夜间疼痛护理技术的应用[J]. 华西医学, 2011, 26(5):762-763.

1. 劳杰, 顾玉东, 徐建光, 等. 应用AO微型不锈钢板内固定治疗手部骨折[J]. 中华手外科杂志, 2002, 18(2):66-68.
2. 朱振杰, 蔡俊燕, 胡玉明, 等. Bennett骨折16例闭合复位克氏针内固定术后康复治疗观察[J]. 交通医学, 2011, 25(3):275-276.
3. 李艳军, 宗海斌. 掌骨骨折内固定术后的康复护理[J]. 医学信息·中旬刊, 2009, 22(12):1172-1173.
4. 赵鑫. 微型钢板与克氏针固定治疗掌指骨骨折的疗效和并发症分析[J]. 中国医药指南, 2013, 11(30):427-428.
5. 王彤华. 掌指骨骨折微型外固定架固定术后的康复护理[J]. 临床合理用药杂志, 2013, 6(1):161-162.
6. 黄新威, 黄建, 孙文广. 创伤性肘关节骨化性肌炎的预防治疗[J]. 华西医学, 2007, 22(4):809.
7. 夏翠兰, 邓珊. 指骨骨折患者的护理体会[J]. 中国医药导报, 2010, 7(31):88.
8. 潘达德, 顾玉东, 侍德, 等. 中华医学会手外科学会上肢部分功能评定试用标准[J]. 中华手外科杂志, 2000, 16(3):4-9.
9. Nunley JA, Kloen P, Durham NC. Biomechanical and functional testing of plate fixation devices for proximal phalangeal fractures[J]. J Hand Surg (Am), 1991, 16(6):991-1001.
10. 张长青, 金东旭, 施慧鹏, 等. 掌指骨骨折AO微型钢板内固定25例报告[J]. 中华手外科杂志, 2002, 18(2):71-72.
11. Lu WW, Furumachi K, Ip WY, et al. Fixation for comminuted phalangeal fractures:a biomechanical study of five methods[J]. J Hand Surg (Br), 1996, 21(6):765-767.
12. 洪建军, 高伟阳, 李志杰, 等. AO微型钢板内固定治疗掌指骨骨折[J]. 中华手外科杂志, 2004, 20(2):92-93.
13. 鲜思平, 项舟, 黄富国. 微型钢板螺钉内固定治疗掌指骨骨折[J]. 华西医学, 2006, 21(1):14-15.
14. 刘爱学, 黄富国, 岑石强, 等. 中节指骨基底掌侧撕脱骨折伴近指间关节背侧脱位的治疗及疗效评价[J]. 华西医学, 2007, 22(3):552-554.
15. 田文, 王夫平, 黄俭, 等. 克氏针与微型钢板内固定手部骨折的疗效比较[J]. 中国医师进修杂志, 2012, 35(增刊1):160-161.
16. 杨波, 金超. 微型钢板在手部骨折中的临床应用与疗效分析[J]. 实用手外科杂志, 2012, 26(4):376-377.
17. 魏巍, 王广宏, 鲁世荣. 微型钢板在掌指骨骨折中的应用[J]. 世界最新医学信息文摘·电子版, 2013, 13(19):5.
18. 石海林, 罗轶. 微型钢板内固定掌指骨骨折的生物力学评价[J]. 中国组织工程研究, 2013, 17(17):3200-3207.
19. 谢强, 刘艺祥, 谢伟清. 手部多发掌骨骨折术后的功能康复指导疗效[J]. 中外医学研究, 2013, 11(34):44-45.
20. 杜春萍, 陈佳佳, 赖华, 等. 康复期骨折患者夜间疼痛护理技术的应用[J]. 华西医学, 2011, 26(5):762-763.

West China Medical Journal

Clinical Research of Mini-plate for the Treatment of Metacarpal and Phalangeal Fractures and Early Rehabilitation

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