胫中髓内钉与锁定加压钢板在分期治疗胫骨开放性骨折中的效果

Efficacies of Tibial Intramedullary Nail and Locking Compression Plate in Staged Treatment of Open Tibial Fractures

目的对比胫中髓内钉与锁定加压钢板在分期治疗胫骨开放性骨折中的疗效。方法回顾性分析100例胫骨开放性骨折患者的临床资料,依据二期手术方式的不同,将其分为胫中髓内钉组(A组,n=57)和锁定加压钢板组(B组,n=43)。对比2组骨折愈合所用的时间、术后并发症及疗效等。结果 2组骨折愈合时间比较差异无统计学意义[(25.2±5.3)周比(26.5±7.2)周,P>0.05];2组疗效优良率比较差异无统计学意义[89.47%(51/57)比83.72%(36/43),P>0.05];2组并发症发生率比较差异无统计学意义(P>0.05)。结论分期治疗胫骨骨折,胫中髓内钉与锁定加压钢板均可达到预期疗效,且疗效相近,可为患者功能的恢复创造有利的条件。

Objective To compare the efficacies of tibial intramedullary nail and locking compression plate in staged treatment of open tibial fractures.Methods Clinical data of 100 patients with open tibial fractures were analyzed retrospectively.According to the different second-stage operation procedures,theses patients were divided into two groups：tibial intramedullary nail group（group A,n=57）and locking compression plate group（group B,n=43）.Fracture healing time,postoperative complications and efficacies were compared between the two groups.ResultsThe fracture healing time was（25.2±5.3）weeks in group A,and（26.5±7.2）weeks in group B.The excellent efficacy rate was 89.47%（51/57）in group A,and 83.72%（36/43）in group B.There were no significant differences in fracture healing time,excellent efficacy rate and incidence of complications between the two groups（P〈0.05）.Conclusion Tibial intramedullary nail and locking compression plate can achieve desired outcome and produce similar efficacy in staged treatment of open tibial fractures.Therefore,both tibial intramedullary nail and locking compression plate create favorable conditions for functional restoration in patients with open tibial fractures.