交锁髓内钉早期动力化对胫骨骨折愈合的促进作用

Promoting Effect of Early Motorization of Interlocking Intramedullary Nails on Tibial Fracture Healing

目的分析交锁髓内钉早期动力化对胫骨骨折愈合的促进作用。方法选择2018年3月~2019年3月在我院治疗的90例胫骨骨折患者,采用随机数字表法分为对照组和观察组,各45例。对照组采用常规交锁髓内钉治疗,观察组采用交锁髓内钉早期动力化治疗,比较两组骨折愈合率、Rasmussen评分、骨折愈合时间、并发症发生情况。结果观察组骨折愈合率为95.56%,高于对照组的82.22%,差异有统计学意义(P<0.05);观察组Rasmussen评分高于对照组,骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为6.67%,低于对照组的15.56%,差异有统计学意义(P<0.05)。结论交锁髓内钉早期动力化对胫骨骨折愈合,缩短愈合时间,提高骨折愈合率,并且临床并发症少,利于患者的良好预后,值得临床应用。

Objective To analyze the effect of early motorization of interlocking intramedullary nails on the healing of tibial fractures.Methods 90 patients with tibial fractures treated in our hospital from March 2018 to March 2019 were selected and randomly divided into a control group and an observation group,with 45 cases in each group.The control group was treated with conventional interlocking intramedullary nails,and the observation group was treated with early motorized interlocking intramedullary nails.The two groups were compared for fracture healing rate,Rasmussen score,fracture healing time and complications.Results The fracture healing rate in the observation group was 95.56%,which was higher than 82.22%in the control group,the difference was statistically significant(P<0.05).The Rasmussen score in the observation group was higher than the control group,and the fracture healing time was shorter than that in the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group was 6.67%,which was lower than 15.56%in the control group,the difference was statistically significant(P<0.05).Conclusion The early motorization of interlocking intramedullary nails can heal tibial fractures,shorten the healing time,improve fracture healing rate,and have fewer clinical complications,which is beneficial to the good prognosis of patients and is worthy of clinical application.