闭合复位内固定治疗胫骨干骨折的疗效分析

目的探讨闭合复位交锁髓内钉内固定治疗胫骨干骨折的可行性及疗效分析。方法选择胫骨干骨折患者21例作为观察组,采用闭合复位有限固定治疗;同时随机选择同期采用切开复位的18例胫骨干骨折患者作为对照组。比较两组患者的骨折治疗效果及术后的恢复情况。结果观察组患者的一次复位骨折愈合率达到100%明显高于对照组患者的77.78%(P<0.05);观察组患者术后无皮肤坏死、骨不连及肌萎缩的发生,有1例(4.76%)患者发生膝关节疼痛,对照组患者5例(27.78%)患者发生皮肤坏死、4例(22.22%)患者发生膝关节疼痛、4例(22.22%)患者发生骨不连、3例(16.67%)患者发生肌萎缩,观察组患者术后并发症的发生率明显低于对照组患者(P<0.05)。结论闭合复位交锁髓内钉内固定治疗胫骨干骨折具有疗效可靠、患者损伤小、术后恢复好、骨折愈合快、可早期进行功能锻炼等优点,值得临床推广使用。

Objective To investigate the therapeutic effect of closed reduction and internal fixation for treatment of tibial shaft fracture. Methods 21 patients of tibial shaft fracture who treated with closed reduction and internal fixation were chosen as observe group. 18 patients of tibial shaft fracture who treated with open reduction were chosen as control group. Compared the treatment effect and postoperative recovery of the two groups. Results Once fracture healing rate of observe group（100%） was obviously higher than control group（7？.？8%）. Observe group patients had no skin necrosis, bone nonunion and muscle atrophy. 1 patient（4.76%） of observe group patients had knee pain. In control group, 5 patients（27.78%） had skin necrosis, 4 patients（22.22%） had bone nonunion, 4 patients（22.22%） had knee pain, 3 patients（16.67%） had muscle atrophy. The postoperative complications in observe group patients were significantly lower than control group（P〈0.05）. Conclusion Closed reduction and interlocking intramedullary nail in the treatment of tibial shaft fracture by internal fixation with therapeutic effect of small injuries, postoperative recovery in patients with reliable, good, fast fracture healing, the advantages of early functional exercise, worthy of clinical use.