交锁髓内钉与加压钢板治疗胫骨中远段骨折疗效比较

Clinical efficacy of interlocking intramedullary nail and dynamic compressive plate for treatment of fracture of tibia

目的比较交锁髓内钉与加压钢板治疗胫骨中远段骨折的临床疗效。方法回顾性分析在我院进行治疗的胫骨中远段骨折患者60例的临床资料。其中30例患者采用交锁髓内钉内固定治疗,30例患者采用加压钢板内固定治疗。比较两组临床疗效。结果髓内钉组优良率显著优于钢板内固定组(P<0.05)。髓内钉组骨痂出现时间和愈合时间显著早于钢板组(P<0.01)。结论交锁髓内钉与加压钢板内固定治疗胫骨中远段骨折临床疗效比较,具有愈合早、骨折愈合优良率高等优点。

Objective To compare clinical efficacy between interlocking intramedullary nail and dynamic compressive plate for treatment of fracture of tibia. Methods Clinical data of 60 cases with fracture of tibia were retrospectively analyzed. Thirty cases were treated by interlocking intramedullary nail, and thirty cases were treated by dynamic compressive plate. Clinical efficacy were compared between two groups. Results Good rate of group of interlocking intramedullary nail was higher than that of group of dynamic compressive plate（P 〈 0.05）.Porotic time and fracture healing time of group of interlocking intramedullary nail were shorter than those of group of dynamic compressive plate（P 〈 0.01）. Conclusion Compared to dynamic compressive plate for treatment of fracture of tibia, interlocking intramedullary nail shows better clinical efficacy and without more cmplications.