交锁髓内钉在尺、桡骨骨折中的应用

Application of Interlocking Intramedullary Nail on Patients with Ulnar and Radial Fracture

目的探讨交锁髓内钉治疗尺、桡骨骨折的疗效。方法 64例尺、桡骨骨折患者随机分为两组,对照组32例,观察组32例,对照组采用切开复位锁定钢板固定,观察组采用交锁髓内钉治疗。术后运用Anderson评分标准进行评价,并且评价患者的生活质量。结果本组随访8-34个月,观察组在肘关节功能丧失、前臂旋前功能丧失、前臂选后功能丧失方面均小于对照组(P<0.05,P<0.01)。观察组优良率为93.75%,对照组优良率为84.38%。两组比较有明显差异(P<0.05)。对照组并发症的发生率为25%,观察组的发生率为12.5%,两组比较有明显差异(P<0.05)。手术后两组患者的生活质量均有明显提高,并且与对照组比较,观察组提高更明显(P<0.05)。结论前臂交锁髓内钉治疗尺、桡骨骨折具有创伤小、恢复快、并发症少的优点。

Objective To study the effectiveness of interlocking intramedullary nail on patients with ulnar and radial fracture.Methods 64 patients with ulnar and radial fracture were divided into two groups,the control group（n=32 cases） and the observation group（n=32 cases）.The patients in the control group were operated through open reduction and locking plate fixation,while the patients in the observation group were operated through interlocking intramedullary nail. Anderson scores were applied after operation. The quality of life of patients were evaluated. Results The elbow, forearm pronation loss of function, loss of function of the forearm in the observation group were less than these in the control group（P〈0.05, P〈0.01）. The good rates were 93.75% in the observation group and 84.38% in the control group. There are significant differences between the two groups（P〈0.05）.The incidence of complications was 25% in the control group and 12.5% in the observation group, significantly different（P〈0.05）. Two groups of patients after surgery significantly improved the quality of life, and compared with the control group, the observation group improved more significantly（P〈0.05）. Conclusion Forearm interlocking intramedullary nailing in the treatment of ulnar and radial fracture were less trauma, quicker recovery, postoperative early functional exercise and less complication sloppy.