内固定物治疗股骨远端骨折的效果评价

Evaluation of the internal fixation for the treatment of distal femoral fractures

目的分析不同的内固定物治疗股骨远端骨折的疗效。方法选择2011年10月—2013年10月于该院就诊的股骨远端骨折患者50例,随机将患者分为治疗组与对照组,对照组采用锁定加压钢板进行治疗,治疗组患者使用逆行髓内钉进行治疗,比较两组患者的临床治疗效果。结果治疗组的治疗有效率与对照组患者相比有所提高,差异有统计学意义(P<0.05);治疗组患者与对照组患者在手术时间和术中出血量方面具有明显差异,差异有统计学意义(P<0.05);两组患者的愈合时间和并发症发生率并无明显差异,差异无统计学意义(P>0.05)。结论逆行髓内针与锁定加压钢板相比,具有手术时间短、术中出血少等优点,其用于治疗股骨远端骨折在促进患者膝关节功能恢复方面更具优势。

Objective To observe the curative effect of distal femoral fixation treatment of different fracture. Methods 50 patients were selected in 2011 October^2013 year in October in our hospital for treatment of distal femoral fracture, the patients were ran-domly divided into the treatment group and the control group, the control group using locking compression plate for treatment, treatment of retrograde interlocking intramedullary nail for the treatment of using group patients, compared two groups of patients with clinical curative effect. Results the effective rate of treatment group and control group were compared to improve, P 〈 0.05, there was statistical significance; there is significant difference between the patients in the treatment group and the control, the amount of bleeding groups in operative time and P〈0.05, with statistical significance; healing time and complication incidence of two groups of patients there was no significant difference. P〉0.05, not statistically significant. Conclusion the retrograde in-tramedullary needle compared with locking compression plate, with shorter operation time, less bleeding during the operation and other advantages, for the treatment of distal femoral fractures in the promotion of knee joint function recovery in patients with more advantages.