微创空心钉与切开复位钢板内固定治疗肱骨大结节骨折疗效分析

Clinical efficacy of minimally invasive hollow nail and open reduction and internal fixation for fracture of great tubercle

目的探讨微创空心钉与切开复位钢板内固定治疗肱骨大结节骨折的临床疗效。方法回顾性分析在我院进行治疗的肱骨大结节骨折的患者60例的临床资料。其中30例患者采用微创空心钉治疗,30例患者采用切开复位钢板内固定。比较两组的临床疗效。结果微创组切口长度显著较短,手术时间和住院时间显著短于钢板组,术中出血量显著少于钢板组(P均<0.01)。两组肩关节功能优良率差异无统计学意义(P>0.05)。结论微创空心钉治疗肱骨大结节骨折具有创伤小、恢复快、临床疗效好等优点,值得临床推广。

ObjectiveTo discuss clinical efficacy of minimally invasive hollow nail and open reduction and internal fixation for fracture of great tubercle.Methods Clinical data of 60 cases with fracture of great tubercle were analyzed. 30 cases were treated by minimally invasive hollow nail, and 30 cases were treated by open reduction and internal fixation. Clinical efficacy were compared.Results Compared to internal fixation group, length of incision of hollow nail group was shorter, operation time and hospital stays were shorter, intraoperatve blood loss was less（P all 〈0.01）. Excellent and good rates of two groups showed no significant difference（P〉0.05） . Conclusion Minimally invasive hollow nail for fracture of great tubercle shows advantages of surgical trauma, fast recovery and good clinical efficacy, worthy of clinical application.