不同内固定方法治疗胫骨中下段骨折老年患者的效果分析

Different Internal Fixation Methods for the Treatment of Elderly Patients With Tibial Middle Period of Fractures

目的分析锁定加压接骨板结合微创经皮钢板内固定技术与交锁髓内钉治疗胫骨中下段骨折老年患者的效果。方法选取我院2016年1月—2018年2月收治的胫骨中下段骨折老年患者60例,随机分为两组,各30例。观察组采用锁定加压接骨板结合微创经皮钢板内固定技术,对照组采用交锁髓内钉治疗。比较两组临床效果。结果观察组手术、下地活动、骨折愈合等时间较对照组短,差异有统计学意义(P<0.05)。观察组治疗优良率(93.33%)较对照组(76.67%)略高,差异无统计学意义(P> 0.05)。结论针对胫骨中下段骨折老年患者采用锁定加压接骨板结合微创经皮钢板内固定技术治疗的效果显著,可改善各种症状,加速骨折愈合,恢复膝、踝关节功能。

Objective To analyze the effect of locking compression plate combined with technology of minimally invasive percutaneous plate fixation with interlocking intramedullary nail for the treatment of tibial middle period of fractures in elderly patients.Methods A total of 60 patients with middle and lower tibia fractures treated in our hospital from January 2016 to February 2018 were selected and randomly divided into two groups,30 cases in each group.The observation group was treated with locking compression plate combined with minimally invasive percutaneous plate fixation.The control group was treated with interlocking intramedullary nails.The clinical effects of the two groups were compared.Results The operation time,the off bed activity time,and fracture healing time in the observation group were shorter than those of the control group(P<0.05).The rate of excellent treatment in the observation group was 93.33%,compared with 76.67%in the control group slightly tall,there was no statistically significant difference(P>0.05).Conclusion The application of locking compression plate combined with minimally invasive percutaneous plate fixation for the treatment of patients with fractures of the middle and lower tibia is obviously effective,it can improve various symptoms of patients,accelerate the healing of fractures,and effectively restore the functions of knee and ankle joints.