交锁髓内钉固定治疗胫骨骨折临床疗效观察

Intramedullary Nailing for Tibial Fracture Treatment

目的比较交锁髓内钉固定和外固定架两种方法治疗胫骨骨折的临床疗效。方法 102例胫骨骨折患者随机分为外固定支架组及交锁髓内钉固定组各51例,比较两组的疗效及并发症情况。结果所有患者术后随访10个月,交锁髓内钉组骨痂出现时间及骨折愈合时间均明显短于外固定支架组,差异有统计学意义(P<0.01);两组总有效率比较差异有显著统计学意义(P<0.01)。外固定支架组并发症发生率24.5%,交锁髓内钉组并发症发生率9.8%,交锁髓内钉组的并发症发生率明显低于外固定支架组(P<0.05)。结论交锁髓内钉治疗胫骨骨折在恢复时间和疗效等方面优于外固定支架且较并发症少、安全有效。

Objective To compare the clinical effect of intramedullary nailing and external fixation on tibial fractures. Methods All 102 cases of tibial fractures were randomly divided into the external fixator group and intramedullary nailing groups, and the effect and complications were compared. Results All patients were followed up for 10 months, time of occurrence and fracture callus healing time of the intramedullary nail group were significantly shorter than the external fixation group, the difference was statistically significant （P 〈 0.01 ）. Total effective rate between two groups had a significant difference （ P 〈 0.05 ）. External fixator group 24.5% incidence of adverse reactions, intramedullary nail group 9.8%, significantly lower than the external fixation group （ P 〈 0.05 ）. Conclusion Intramedullary nailing in the treatment of tibial fractures is superior to external fixator in the recovery time and effective rate, and has fewer complications than external fixator, which is a safe and effective method.