腓骨闭合复位弹性钉内固定在胫腓骨骨折治疗中的临床效果

Clinical effect of fibula closed reduction and internal fixation with elastic nail in the treatment of tibiofibula fractures

目的探讨腓骨闭合复位弹性钉内固定在胫腓骨骨折治疗中的临床效果。方法以我院2014年7月至2017年7月166例胫腓骨骨折患者作为研究对象,根据入院单双号将患者分为对照组和研究组,每组83例。对照组患者采用腓骨切开复位内固定治疗,研究组患者采用腓骨闭合复位弹性钉内固定治疗。比较两组患者的手术效果、手术情况及术后并发症发生率。结果研究组治疗总有效率为97.59%,显著高于对照组的87.95%(P<0.05);研究组术后并发症总发生率为7.23%,显著低于对照组的26.51%(P<0.05);研究组的手术时间、术中出血量、住院时间及骨折愈合时间均显著优于对照组(P<0.05)。结论腓骨闭合复位弹性钉内固定提高手术效果,减少术后并发症,在胫腓骨骨折的治疗中具有重要应用价值。

Objective To investigate the clinical effect of fibula closed reduction and internal fixation with elastic nail in the treatment of tibiofibula fracture.Methods From July 2014 to July 2017, 166 patients with tibiofibula fracture in our hospital were selected as the research objects. According to the admission number, the patients were divided into control group and research group, with 83 cases in each group. The control group was treated with fibula open reduction and internal fixation, and the research group was treated with fibula closed reduction and internal fixation with elastic nail. The surgery effects, operation situation and the incidences of postoperative complications of the two groups were compared.Results The total effective rate of the research group was 97.59%, which was significantly higher than 87.95% of the control group（P〈0.05）. The total incidence of postoperative complication in the research group were 7.23%, which was significantly lower than 26.51% in the control group（P〈0.05）. The operation time, intraoperative bleeding amount,hospitalization time and the healing time of fracture in the research group were significantly less than those of the control group（P〈0.05）.Conclusion The fibula closed reduction and internal fixation with elastic nail can improve the operation effect and reduce postoperative complications. It has a great value in the treatment of tibiofibula fracture.