60例胫腓骨骨折手术治疗临床效果探讨

Discussion on Clinical Effect of 60 Cases of Tibiofibula Fracture Operation

目的探讨胫腓骨骨折手术治疗的临床疗效。方法将该院收治的60例胫腓骨骨折患者根据患者手术类型,分为A、B和C组,分别采取外固定架手术,带锁髓内钉固定手术和加压钢板内固定手术,比较3组患者的愈合时间和治疗效果。结果随访结果显示,愈合时间C组>A组>B组;A组优良率为85.0%,B组优良率为95.2%,C组优良率为73.7%,治疗效果B组>A组>C组,愈合时间和治疗效果比较差异有统计学意义(P<0.05)。结论手术方式的选择应根据患者骨折类型加以确定,建议使用带锁髓内钉固定手术和外固定架手术。

Objective To explore the clinical effect of operation treatment for tibial and fibular fracture.Methods 60 patients with cases of tibiofibular fracture admitted to our hospital patients were,according to the type of operation,divided into A,B and C groups,receiving external fixator operation,internal fixation of intramedullary locking nail and compression plate internal fixation operation,respectively.The healing time and curative effects were compared between 3 groups.Results The follow-up results showed that,the healing time of C group A group B group;A group,the excellent and good rate was 85%,the excellent and good rate was 95.2%in B group,C group,the excellent and good rate was 73.7%,the treatment effect of B group A group C group,the healing time and curative effect comparison of the differences were statistically significant（P〈0.05）.Conclusion The operation methods should be selected according to the type of fractures in patients.Intramedullary interlocking nail and external fixator operation operation should be recommended.