胫腓骨骨折合并软组织损伤治疗临床体会

Clinical Treatment Experience of Tibia and Fibula Fracture Complicated With Soft Tissue Injury

目的：探讨胫腓骨骨折合并软组织损伤的治疗方法及效果。方法收集2013年2月～2014年2月我院胫腓骨骨折合并软组织损伤40例，按照治疗方式不同将其分成两组。实验组共20例，治疗方式选择非扩髓髓内钉治疗；对照组共20例，治疗方式为常规治疗。观察两组疗效，并比较分析。结果两组相比，实验组骨折愈合时间较短（P＜0.05），并发症少（P＜0.05），优良率高（P＜0.05），差异显著。结论非扩髓髓内钉治疗胫腓骨骨折合并软组织损伤效果好。

Objective To explore treatment method and its effect of tibia and fibula fracture complicated with soft tissue injury.Methods Choose 40 patients of tibia and ifbula fracture complicated with soft tissue injury who are treated in clinic from February 2013 to February 2014 and separate them into two groups according to different treatment methods; 20 patients in study group are given non-reamed intramedullary nail surgery treatment and 20 patients in control group are given conventional treatment; and then observe and compare treatment effects between two groups.Results Compared to control group, patients’ fracture recovery time in study group is shorter （P〈0.05） with less complications （P〈0.05） and treatment excellence rate is much higher （P〈0.05）. There is a differential between two groups.Conclusion Non-reamed intramedullary nail surgery treatment is of efifcacy in treatment of tibia and ifbula fracture complicated with soft tissue injury; thus, such a treatment is quite worthwhile to be promoted clinically.