[1]高艳龙 何建平 刘爱华 王月鹏.无头加压螺钉与微型钢板内固定治疗掌指骨骨折效果对比的荟萃分析[J].中华老年骨科与康复电子杂志,2025,(06):365-371.[doi:10.3877/cma.j.issn.2096-0263.2025.06.007]
　Gao Yanlong,He Jianping,Liu Aihua,et al.Meta-analysis of the efficacy of headless compression screw and mini-plate internal fixation in the treatment of metacarpal and phalangeal fractures[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2025,(06):365-371.[doi:10.3877/cma.j.issn.2096-0263.2025.06.007]
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无头加压螺钉与微型钢板内固定治疗掌指骨骨折效果对比的荟萃分析()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2025年06期
页码:
365-371
栏目:
Meta分析
出版日期:
2025-12-05

文章信息/Info

Title:
Meta-analysis of the efficacy of headless compression screw and mini-plate internal fixation in the treatment of metacarpal and phalangeal fractures
作者:
高艳龙 何建平 刘爱华 王月鹏
101200 北京市平谷区医院骨科
Author(s):
Gao Yanlong;  He Jianping;  Liu Aihua;  Wang Yuepeng.
Department of Orthopedics, Beijing PingguDistrict Hospital, Beijing 101200, China
关键词:
无头加压螺钉;  微型钢板;  掌指骨骨折;  Meta分析
Keywords:
Headless compression screw;  Mini-plate;  Metacarpal and phalangeal fracture;  Meta analysis
DOI:
10.3877/cma.j.issn.2096-0263.2025.06.007
文献标志码:
A
摘要:
目的 评价无头加压螺钉技术和微型钢板技术治疗掌指骨骨折的效果。方法 检索英文数据库Pubmed、Web of Science和中文数据库中国知网、维普、万方数据库2013年1月至2023年12月发表的有关掌指骨骨折术后无头加压螺钉和微型钢板内固定效果对比的临床试验文献，同时手工检索杂志目录以及参考文献。采用Review Manager 5.4软件对手术时间，骨折愈合时间，手功能术后恢复优良情况，术后感染以及术后肌腱粘连情况进行Meta分析。结果 本研究共纳入9篇文献进行研究，包括英文文献2篇，中文文献7篇。无头加压螺钉技术在手术时间（SMD=-1.37，95% CI：-1.68，-1.06，P＜0.01）以及骨折愈合时间（SMD=-1.33，95% CI：-2.12，-0.54，P＜0.01）上均短于微型钢板技术，并且术后手功能恢复优良情况也优于微型钢板技术（OR=5.39，95% CI：2.17，13.39，P＜0.01）。在术后并发症方面，两者术后感染发生情况相近（OR=1.28，95% CI：0.48，3.42，P=0.62），但术后肌腱粘连（OR=0.07，95% CI：0.03，0.20，P＜0.01）方面无头加压螺钉技术明显少于微型钢板技术。结论 在治疗掌指骨骨折中，无头加压螺钉技术在手术时间、骨折愈合时间，术后手功能恢复及并发症方面均优于微创钢板技术，对于适应症合适的掌指骨骨折患者无头加压螺钉技术可以取代微创钢板技术，作为首选治疗方式。
Abstract:
Objective To evaluate the effect of headless compression screw technique and mini-plate technique in the treatment of metacarpal and phalangeal fractures. Methods The English databases PubMed, Web of Science and Chinese databases CNKI, VIP and WanFang Data were searched for the clinical trial literatures about the comparison of the fixation effects of headless compression screws and mini-plates after metacarpal and phalangeal fractures from January 2013 to December 2023. At the same time, the magazine catalogue and references were searched manually. The operation time, fracture healing time, excellent postoperative recovery of hand function, postoperative infection andpostoperative tendon adhesion were analyzed by Review Manager 5.4 software. Results A total of 9 articles were included in this study, including 2 in English and 7 in Chinese. The operation time (SMD=-1.37, 95% CI: -1.68, -1.06, P<0.01) and fracture healing time (SMD=-1.33, 95% CI: -2.12, -0.54, P<0.01) of the headless compression screw technique were shorter than those of the mini-plate technique, and the postoperative hand function recovery of the headless compression screw technique was better than that of the mini-plate technique (OR=5.39, 95% CI: 2.17, 13.39, P<0.01). In terms of postoperative complications, the incidence of postoperative infection was similar between the two groups (OR=1.28, 95% CI: 0.48, 3.42, P=0.62), but the incidence of postoperative tendon adhesion (OR=0.07, 95% CI: 0.03, 0.20, P<0.01) was significantly less than those of mini-plate technique. Conclusion In the treatment of metacarpal and phalangeal fractures, headless compression screw technique is superior to mini-plate technique in operation time, fracture healing time, postoperative hand function recovery and complications for patients with metacarpal and phalangeal fractures with suitable indications, headless compression screw technology can replace minimally invasive plate technology as the first choice.

备注/Memo

备注/Memo:
基金项目：北京市平谷区医院院内科研种子课题项目（2025-kyzz-2）
更新日期/Last Update: 2026-05-18