胫骨髓内钉(Ⅱ型)闭合复位内固定治疗胫腓骨下段骨折分析

Analysis of close reduction and internal fixation of tibial intramedullary nailing(Ⅱ) treatment of distal tibiofibular fracture

目的探讨胫骨髓内钉(Ⅱ型)与单侧外固定架闭合复位固定治疗胫腓骨下段骨折的临床疗效。方法选取我院胫腓骨下段骨折患者60例,分别采用胫骨髓内钉(Ⅱ型)治疗(观察组,n=30)与单侧外固定架(对照组,n=30)治疗,对两组术后的疗效进行评价,同时比较两组患者术后的骨折愈合时间、并发症发生率。结果观察组的优良率显著高于对照组(96.7%,76.7%,P<0.05)。观察组患者术后的骨折愈合时间明显短于对照组。观察组患者术后并发症发生率明显低于对照组(6.7%,23.3%,P<0.05)。结论胫骨髓内钉(Ⅱ型)闭合复位内固定治疗胫腓骨下段骨折效果确切,并发症少,骨折愈合快、值得临床广泛推广和应用。

Objective To study the clinical effect of close reduction with internal fixation of tibial intramedullary nailing（Ⅱ） and external fixation with single external fixator in the treatment of distal tibiofibular fracture. Methods 60 patients with distal tibiofibular fracture were divided into observation group treated by tibial intramedullary nailing（ Ⅱ ） and control group treated by external fixation with single external fixator, with 30 cases in each group. To evaluate the curative effect of the two groups after operation, and to compare the fracture healing time and the complication rate after operation between the two groups. Results The excellent and good rate in observation group was significantly higher than which in control group（96.7 % vs 76.7 % , P 〈 0.05）. The fracture healing time was shorter in observation group compared with control group, while the complication rate after operation of observation group was obviously lower（6.7%vs 23.3%, P〈0.05）. Conclusion Close reduction and internal fixation of tibial intramedullary nailing（ Ⅱ ） treatment of distal tibiofibular fracture has obvious curative effect, less complication, faster fracture healing, and is worthy of extensive promotion and application.