Clinical Study Manual Reduction Combined With The Bennett Fractures Is Percutaneous Pinning Bennett Fracture Treatment

Objective:To observe the clinical efficacy of this manual reduction Nessler fractures is percutaneous pinning treatment Bennett fracture.Methods:In this study, non-blind test,62 cases of Bennett fracture were selected in March 2014 to October 2015 Hand Bone Microsurgery treated Wendeng osteopathic hospital after patient visits to explain to him based on the Bennett fracture treatment according to the wishes of the patient were divided into experimental and control groups. Test group manipulative reduction combined with the Nessler fractures is percutaneous pin fixation treatment, the control group with open reduction and pin fixation treatment, before surgery, all patients are given the same treatment. Two groups of patients were collected operation time, blood loss, hospital costs, and the first day after the first day and the quality of fracture reduction on day 1 thumb radial abduction, palmar outreach activities in post after needle injection needle injection of data, then the data were obtained in the two groups were used for statistical analysis, measurement data using t test or analysis of variance, chi-square and count data rank sum test.Results:Collected included 62 cases, of which 100 patients were discharged,1 patient during the study refused to cooperate with the treatment plan, the clinician has repeatedly explained invalid Exit research, shedding a total of two cases, the actual completion of 60 cases. Two groups of patients in gender, age, site of injury, injury to surgery aspect statistical analysis, the difference was not statistically significant (P> 0.05), two groups were comparable between the two groups have; the two groups were in operation time, blood loss, hospital costs, there is a statistically significant difference (P<0.01); fractures quality evaluation:the first day after the first day after needle injection carpometacarpal joint surface quality of fracture reduction, not two sets of data there are differences, no statistical significance (P> 0.05); thumb evaluation activities:Day 1 thumb radial abduction, palmar abduction motion, two sets of data do not exist after needle injection difference was not statistically significant (P> 0.05).Conclusion:Manual reduction combined with the Nessler fractures is percutaneous pinning treatment of Bennett fractures with less trauma, simple operation, low cost of hospitalization, recovery of joint function is good, the advantages of the high quality of fracture reduction and reset and lose less, is a worthy promote the use of methods of treatment.