微创经皮钢板与交锁髓内钉内固定治疗胫骨骨折的临床疗效比较

Comparison of the Effects Between Minimally Invasive Percutaneous Plate and Interlocking Intramedullary Nail for the Treatment of Tibia Fracture

【目的】比较微创经皮钢板与交锁髓内钉治疗胫骨骨折的临床疗效。【方法】70例胫骨骨折患者被随机分成两组，分别行微创经皮钢板接骨术（A组）和交锁髓内钉（B组）治疗。全部病例获得随诊，时间12~24个月，平均16个月。从手术时间、手术出血量、平均住院时间、骨折愈合时间和并发症进行比较分析。【结果】A组与B组比较，手术时间、术中出血量、住院时间、愈合时间及并发症差异无统计学意义（P〉O．05）。【结论】微创经皮钢板接骨术与交锁髓内钉治疗胫骨骨折都能减少对骨折处血运的干扰，提高骨折愈合率，减少并发症。掌握好手术指征，是治疗胫骨骨折的两种较理想方法。

[Objective] To compare the clinical effects of minimally invasive percutaneous plate vs interlocking intramedullary nail for the treatment of tibia fracture. [Methods] Seventy cases of tibia fracture were divided into two groups randomly. Group A（ n = 34） were treated with minimally invasive percutaneous plate osteosynthesis. Group B（ n =25） were treated with interlocking intramedullary nail. All the patients were fol- lowed up for 12~24 months after operation （16 months on average）. Operation time, intraoperative bleeding, length of stay, healing time and complications were compared between two groups. [Results] There was no significant difference in the operation time, intraoperative bleeding, length of stay, healing time and complications between group A and group B（ P 〉0.05）. [Conclusion] Both minimally invasive plate osteosynthesis and interlocking intramedullary nail for the treatment of tibia fracture can decrease the disturbance to the vaseulariaation of bone fragment, accelerate the union of fracture and reduce complications. As long as appropriate indications are selected, the two surgical methods are the ideal therapy for tibia fracture.