两种手术方式治疗儿童胫骨骨折的效果分析

Effectiveness analysis of two surgical methods in the treatment of tibial fractures in children

目的比较弹性髓内钉和经皮加压微创锁定钢板法在儿童胫骨骨折治疗中的效果。方法选择符合胫骨骨折诊断标准的儿童,随机分成两组:弹性髓内钉组治疗,经皮加压微创锁定钢板组治疗,利用在治疗后的Johner-Wruhs功能评价结果,术后并发症发生情况比较两组儿童胫骨骨折治疗效果,评估弹性髓内钉和经皮加压微创锁定钢板法对儿童胫骨骨折治疗的效果。结果 Johner-Wruhs评分统计,髓内钉组、锁定钢板组优良率依次为90.63%,93.55%,愈合率可达100%,差异无统计学意义(P=0.318);并发症发生率依次为9.38%,6.45%,差异无统计学意义(P=0.553)。结论两组均可取得较好疗效,要明确各治疗方法优缺点,从中选择合理的手段,以提高儿童胫骨骨折的治疗效果。

Objective To investigate the effect of intramedullary nail and locking compression plate in the treatment of pediatric tibial fractures. Methods Children diagnosed with tibial fractures were randomly divided into two groups including flexible intramedullary nail treatment group and locking compression plate treatment group. The effect of intramedullary nail and locking compression lalate in the treatment of pediatric tibial fractures were compared using the post-treatment Johner-Wruhs scores and postoperative complications. Results The post-treatment Johner- Wruhs scores, treatment of excellent rate among flexible intramedullary nail treatment group and locking compression plate treatment group were respectively ~0.63% and 93.55%. Fracture healing rate of both was 100 percent （P=0.318）. Postoperative complieations were respectively 9.38% and 6.45%, the differences were not statistically significant （P=0.553）. Conclusion Both the two groups have access to good efects. We should clear the advantages and disadvantages of each treatment method to choose reasonable means to improve the effect of treatment of pediatric tibial fractures.