腓骨闭合复位弹性钉内固定联合胫骨其它固定方式治疗胫腓骨骨折

A Study of Fibula Closed Reduction and Internal Fixation by Elastic Nails Combined with Other Tibia Fixation Methods for Tibia and Fibula Fractures

目的：观察腓骨闭合复位弹性钉内固定联合胫骨其它固定方式治疗胫腓骨骨折的临床效果。方法：回顾性分析医院2013年3月至2015年3月接诊的胫腓骨骨折患者99例,其中男53例,女46例,年龄25~60岁。随机分为研究组与对照组,研究组患者51例,采用腓骨闭合复位弹性钉内固定联合胫骨其它固定方式治疗胫腓骨骨折,对照组患者48例采用腓骨切开复位内固定联合胫骨其它固定方式治疗胫腓骨骨折,对比两组患者的治疗有效率、术后并发症。结果：所有患者经手术治疗后,均得到了一定的临床效果,研究组患者的有效率为98.04%（50/51）,术后并发症的发生率为9.80%（5/51）;对照组患者的治疗有效率为87.50%（42/48）,术后并发症的发生率为31.25%（15/48）,研究组患者的临床效果明显优于对照组患者（P〈0.05）。结论：腓骨闭合复位弹性钉内固定联合胫骨其它固定方式治疗胫腓骨骨折可以取得较好的临床效果,对患者的创伤小,固定牢靠,并发症少。

Objective:To observe the clinical effects of the treatment of tibia and fibula fractures with fibula closed reduction and internal fixation by elastic nails combined with other tibia fixation methods.Methods:99cases of tibia and fibula fractures in the People's Hospital of Xingguo County from March 2013 to March 2015 had been analyzed retrospectively,53 cases of male patients,46 female,aged from 25 to 60years old.All the cases had been randomly divided into the study group and the control group:fibula closed reduction and internal fixation by elastic nails combined with other tibia fixation methods for 51 cases in the study group,and fibula open reduction and internal fixation combined with other tibia fixation methods for 48 cases in the control group.Therapeutic efficiency and postoperative complications had been compared.Results:After surgical treatment curative effects for all the patients were good.The efficiency in the study group was 98.03%(50/51),the occurrencerate of postoperative complications 9.80%(5/51);the efficiency in the control group was 87.50%(42/48),the occurrence rate 31.25%(15/48).The clinical effects of the study group was significantly better than those of the control group,the difference between the two groups being statistically significant(P<0.05).Conclusion:Fibula closed reduction and internal fixation by elastic nails combined with other tibia fixation methods in the treatment of tibia and fibula fractures can achieve good clinical results with smaller wounds,reliable fixation and less complications.