2种不同微创内固定方式治疗胫腓骨远端双骨折临床疗效对比观察

Clinical curative effect on two different ways of minimally invasive internal fixation treatment of 80 cases of distal tibiofibula double fracture

目的：研究经皮锁定加压钢板＋弹性髓内钉（ P＋E）治疗与交锁髓内钉＋弹性髓内钉（ N＋E）治疗胫腓骨远端双骨折的临床效果。方法：选取2013年4月～2015年4月我院收治的40例胫腓骨远端双骨折患者为研究对象，按照手术方式的不同分为钢板组与髓内钉组，比较2组患者的治疗效果与并发症情况。结果：2组患者在术中出血量、骨折愈合时间、总优良率、成角畸形比较上P＜0．05，差异具有统计学意义。结论：从术中出血量、骨折愈合时间、术后关节功能与活动度、成角畸形等方面综合比较发现，经皮锁定加压钢板＋弹性髓内钉治疗胫腓骨远端双骨折具有一定的优越性，但交锁髓内钉＋弹性髓内钉在治疗软组织情况较差或是多段胫腓骨骨折上优势更明显。

Objective：To study the percutaneous locking compression plate （ P ＋E） ＋elastic intramedullary nail treatment with in-terlocking intramedullary nails ＋（ N＋E） elastic intramedullary nail treatment of the clinical effect of double fracture of the distal part of the tibiofibula.Methods：Selection in April 2013 ~April 2015 our hospital 40 cases of patients with fracture of distal tibiofibula double as the research object, according to the operation method of divided into steel plate and intramedullary nailing group, compared the thera-peutic effect of two groups of patients with complications.Results：Two groups of patients in the intraoperative blood loss, fracture healing time, total crop, angular deformity comparison on P〈0.05, the difference was statistically significant.Conclusion：From the intraoper-ative blood loss, fracture healing time, postoperative joint function and activity, angular deformity was found that comprehensive compari-son of percutaneous locking compression plate ＋elastic intramedullary nail in the treatment of tibiofibula distal double fracture has certain superiority, but should pay the interlocking intramedullary nail ＋elastic intramedullary nail in the treatment of soft tissue was less or more period of tibiofibula fracture on advantages might be more obvious.