交锁髓内钉与锁定加压钢板内固定治疗胫骨骨折的疗效比较

Comparative analysis of interlocking intramedullary nailing and compression plate fixation for the treatment of tibial fracture

目的探讨交锁髓内钉与锁定加压钢板内固定治疗胫骨骨折的临床疗效。方法回顾性分析该院2010-02~2012-04分别采用交锁髓内钉（A组）与锁定加压钢板（B组）内固定治疗的68例胫骨骨折患者的临床资料,比较两组临床疗效。结果两组手术时间、术中出血量、骨折愈合时间比较差异均无统计学意义（P均〉0.05）;A组优良率为97.1%,B组优良率为97.0%,两组疗效比较差异无统计学意义（P〉0.05）。结论交锁髓内钉与锁定加压钢板内固定均是治疗胫骨骨折的有效方法。

Objective To discuss the clinical effect of interlocking intramedullary nail and compression plate fixation for the treatment of tibial fracture.Methods Sixty-eight patients cases with tibal fracture from Feb 2010 to Apr 2012 in our hospital were randomly divided into A goup（n = 35） and B group（n = 33）.A group were given internal fixation of interlocking intramedullary nail,while B group were given internal fixation of compression plate,and the clinical efficacy between two groups were compared and analyzed.Results The difference in the operation time,bleeding volume during operation and fracture healing time between the two groups had no statistical significance（P 0.05）;The therapeutic effect was 97.1% in group A and 97.0% in group B,it had no statistical significance between the two groups（P 0.05）.Conclusion Both interlocking intramedullary nail and compression plate are good methods in treating tibial fracture.