切开复位或闭合复位交锁髓内钉内固定治疗胫腓骨骨折的分析

Analysis of Opened or Closed Reduction and Interlocking Intramedullary Nail in the Treatment of Tibial Fibular Fracture

目的分析切开复位或闭合复位交锁髓内钉内固定治疗胫腓骨骨折的效果和可靠性。方法随机将收治的胫腓骨骨折患者124例分成试验组对照组各62例,试验组应用闭合复位、对照组应用切开复位,对治疗优良率及副反应发生率进行比较。结果试验组治疗优良率高于对照组、术后副反应发生率低于对照组,差异有统计学意义(P<0.05)。结论胫腓骨骨折应用闭合复位较切开复位具有手术的创伤性降低、骨折易快速愈合、术后副反应少、临床可靠性高的优势。

Objective Analysis of the the efficacy and reliability of opened or closed reduction in the treatment of tibial fibular fracture. Methods Randomly divided 124 cases patients with tibial fibular fracture to experimental group（apply closed reduction） and control group（apply opened reduction ）,each group has 62 cases,to compared The rate of good treatment and incidence of adverse events. Results The rate of good treatment of experimental group was higher than control group; incidence of adverse events of experimental group was lower than control group, the difference was significant（P〈0.05）. Conclusion Compared with opened reduction,closed reduction have the advantage of surgical traumatic lower,easy to heal quickly,Less postoperative adverse events and clinical high reliability.