逆行髓内钉与锁定加压钢板内固定治疗股骨髁上骨折的疗效比较

Clinical efficacy of retrograde intramedullary nailing vesus locking compression plate fixation for femoral supracondylar fracture

目的比较逆行髓内钉与锁定加压钢板内固定治疗股骨髁上骨折的疗效。方法 87例股骨髁上骨折患者分为A组(43例)和B组(44例),分别采用锁定加压钢板内固定和逆行髓内钉内固定治疗,比较两组手术时间、术中出血量、并发症、膝关节功能恢复等。结果 B组手术时间、术中出血量、术后引流量、患肢负重时间及骨折愈合时间明显少于A组(P<0.05),但两组术后并发症发生率、Bristol评分差异无统计学意义(P>0.05)。结论逆行髓内钉内固定治疗股骨髁上骨折疗效优于锁定加压钢板内固定。

Objective To compare the clinical efficacy of retrograde intramedullary nailing and locking compression plate fixation for femoral supracondylar fracture. Methods Eighty-seven patients with femoral supracondylar fracture were treated with locking compression plate fixation （Group A, n=43） or retrograde intramedullary nailing （Group B, n=44）. Operation time, intraoperative blood loss, postoperative complications and knee joint function were compared between 2 groups. Results Operation time, intraoperative blood loss, postoperative drainage, and weightbearing and fracture healing time of the affected limb were higher in Group B than in Group A （P〈0.05）. However, postoperative complications and Bristol scores showed no differences between 2 groups （P〉0.05）. Conclusion Retrograde intramedullary nailing is superior to locking compression plate fixation for femora/supracondylar fracture.