加压钢板与带锁髓内钉治疗肱骨干骨折疗效比较

Comparison between the Effect of Compression Plate and Interlocking Medullary Nail in Humeral Shaft Fracture

目的比较加压钢板与带锁髓内钉治疗肱骨干骨折的疗效。方法61例肱骨干骨折患者,骨折复位后38例采用加压钢板、23例采用带锁髓内钉内固定。结果术后平均随访17个月,带锁髓内钉组6个月内骨折愈合率为87.0%(20/23),并发症发生率为0,优于加压钢板组的63.2%(24/38)和23.7(9/38),P<0.05。结论加压钢板与带锁髓内钉均能可靠固定,但带锁髓内钉能缩短骨折愈合时间,减少并发症,是治疗肱骨干骨折的较好方法。

Objective To comparatively analyze the effect of compression plate and interlocking medullary nail for humeral shaft fracture. Method 61 cases of humeral shaft fracture underwent surgical treatment of different fixation including compression plate in 38 cases and interlocking medullary nail in 23 cases. Result With regard to averagely 17 months follow-up, the rate of fracture healing in 6 months was 87.0% （20/23） and the complication rate was 0 in the cases fixed with interlocking medullary nail, both were better than those of the cases fixed with compression plate of 63.2% （24/38） and 23.7% （9/38） respectively （ P 〈 0.05 ）. Conclusion Both the compression plate and interlocking medullary nail can have a reliable fixation, while the later can shorten the healing duration and lower complication rate, demonstrating a better indicated procedure for humeral shaft fracture.