弹性髓内钉微创治疗合并胫骨骨折的腓骨粉碎性骨折的临床效果

Clinical effect of elastic stable intramedullary nail as a minimal invasion of comminuted fracture of fibula complicated with tibia fracture

目的探讨弹性髓内钉微创治疗合并有胫骨骨折的腓骨粉碎性骨折的临床效果。方法选择2013年1月~2016年1月在我院接受腓骨粉碎性骨折合并有胫骨骨折的患者65例,根据患者的治疗方式不同分为对照组30例、观察组35例,对照组为钢板内固定治疗,观察组的治疗方式为弹性髓内钉微创治疗,对比两组的手术情况及治疗结果。结果观察组手术时间、切口长度明显短于对照组,术中出血量少于对照组,手术治疗费用显著低于对照组,差异有统计学意义(P<0.05);术后回访观察组恢复优良率、骨折愈合时间、并发症发生率均显著优于对照组,差异有统计学意义(P<0.05)。结论弹性髓内钉微创治疗腓骨粉碎性骨折合并胫骨骨折的效果好,且创伤小、并发症少、患者恢复快,还可节省手术费用。

Objective To investigate the clinical effect of elastic stable intramedullary nail （ESIN） as a micro-invasive therapy on treating comminuted fracture of fibula complicated with tibia fracture.Methods The clinical data from 65 patients suffering from comminuted fracture of fibula complicated with tibia fracture from January 2013 to January 2016 in our hospital were retrospectively analyzed.According to different therapeutic methods,they were divided into two groups.In control group （n=30）,plate internal fixation was used,while in observation group （n=35）,ESIN was adopted.The operation and therapeutic outcome were compared between the two groups.Results The operation time and incision length in the observation group were significantly shorter than those of the control group.The intraoperative amount of bleeding in the observation group was less than that of the control group.The surgical cost in the observation group was lower compared with that of the control group.The differences mentioned above were all displayed statistical signifi- cance （P〈0.05）.During follow up visits after surgery,the excellent and good recovery rate,healing time of bone fracture, and incidence of complications in the observation group were all superior to those in the control group with significant differences （P〈0.05）.Conclusion In the treatment of comminuted fracture of fibula complicated with tibia fracture,ESIN as a minimal invasion can obtain a favorable effect at advantages of small trauma,few complcations,quick revoery,and cost saving.