锁定钢板与交锁髓内钉固定治疗股骨干骨折临床效果分析

Clinical effects analysis of locking plate and interlocking intramedullary nail fixation treatment in femoral shaft fractures patients

目的探讨股骨干骨折患者开展锁定钢板与交锁髓内钉内固定治疗的临床疗效。方法选取2009年4月至2014年4月本院骨科收治的股骨干骨折患者64例,随机分为对照组与观察组各32例,对照组采用锁定钢板内固定治疗,观察组给予交锁髓内钉内固定。观察分析两组围术期表现及术后恢复效果。结果两组患者的手术时间、术后2d血红蛋白水平及术后膝关节功能比较差异无统计学意义(P>0.05)。观察组术中出血量为(375.4±40.8)mL,骨折愈合时间为(15.2±1.5)周,均显著少于对照组,术后引流量为(202.6±33.7)mL,明显高于对照组,差异均具有统计学意义(P<0.05)。结论针对股骨干骨折患者采用交锁髓内钉内固定治疗的综合效果相对较好,可作为临床治疗的首选方案。

Objective To investigate the clinical effects of locking plate and interlocking intramed- ullary nail fixation treatment in the femoral shaft fractures patients. Methods A total of 64 cases of femoral shaft fractures patients in the orthopedic department of our hospital from April 2009 to April 2014 were selected and randomly divided into the control group and observation group, with 32 cases in each group. The control group was given locking plate internal fixation treatment, and the observation group was given interlocking intranmedullary nail fixation treatment. The perioperative performances and postoperative recovery effects of these two groups were observed and statistically compared and analyzed. Results There were no statistical differences in operative time, 2d postoperative hemoglobin levels and postoperative knee functions of there two groups（P〉0.05）. The blood loss of observation group was （375.4±40.8） mL, fracture heali time was （15.2±1.5） weeks, the postoperative drainage of observation group was （202.6± 33.7） mL, significantly better than the control group, with statistical significance（P〈0.05 Conclusion The implementation of interlocking intramedullary nail fixation for the femoral sh fractures patients can obtain better effects, and is the first choice in the clinical treatment.