交锁髓内钉治疗胫骨骨折术后再骨折的疗效

Effect of Interlocking intrameduUary nail on refracture after tibial fracture operation

目的探讨交锁髓内钉治疗胫骨骨折术后再骨折的效果。方法选择2013年12月至2014年12月胫骨骨折术后再骨折患者40例，随机分为两组，每组20例。对照组采取钢板内固定治疗，观察纽采取交锁髓内钉治疗。对比两组手术操作时间、骨折愈合时间、治疗前后症状积分以及临床治疗效果。结果观察组疼痛积分、肿胀积分以及功能障碍积分均显著低于对照组；观察组总有效率为90％，对照组为70％；观察组骨折愈合时间和手术操作时间显著低于对照组，差异有统计学意义（P〈0．05）。结论对于胫骨骨折术后再骨折患者采取交锁髓内钉治疗可有效缩短骨折愈合时间，减少手术时间，提高临床治疗有效率。

Objective To investigate the effect of interlocking intramedullary nail on refracture after tibial fracture operation. Methods From December 2013 to December 2014, 40 patients with refracture after tibial fracture operation were selected, and randomly divided into two group, with 20 cases in each group. The control group was treated by internal fixation with steel plate, while the observation group was given interlocking intramedullary nail. The operation time, healing time of fracture, symptom integral before and after treatment and effects were compared between the two groups. Results Pain integral, swelling integral and dysfunction integral of observation group were significantly lower than those of the control group. Overall effective rate of observation group was 90%, while that in control group was 70% ;Healing time and operating time of observation group was significantly lower than those in the control group, the differences were significant （P 〈 0. 05 ）. Conclusions Using interlocking intramedullary nail can effectively shorten healing time of fracture, reduce surgery time and improve effective rate of clinical treatment for patients with refracture after tibial fracture operation.