切开复位内固定术应用于胫腓骨下段粉碎性骨折的效果探析

The Effect of Open Reduction and Internal Fixation for the Comminuted Fracture of the Lower Tibia and Fibula

目的分析切开复位内固定术应用于胫腓骨下段粉碎性骨折的效果。方法对照组实施交锁髓内钉内固定术。观察组实施锁定钢板内固定术。对比两组手术指标,疗效及并发症。结果观察组手术时间及并发症发生率优于对照组,两组术中出血量、正常负重时间、骨折愈合时间、总有效率均差异无统计学意义。结论切开复位锁定钢板内固定术操作便捷,并发症少。

Objective To analyze the effect of open reduction and internal fixation for the comminuted fracture of the lower tibia and fibula. Methods Interlocking intramedullary nail fixation was performed in the control group. The locking plate internal fixation was performed in the observation group. The surgical indexes, curative effect and complications of two groups were compared. Results The operative time and complication rate in the observation group were significantly better than those in the control group. There was no significant difference between the two groups in intraoperative blood loss, normal weight bearing time, fracture healing time and total effective rate. Conclusion Open reduction and locking plate internal fixation is more effective than interlocking intramedullary nail internal fixation, but the former has shorter operative time and less complications.