不同复位技术辅助股骨髓内钉治疗股骨干骨折的效果评价

Evaluation of the Effect of Different Reduction Techniques Assisted Femoral Intramedullary Nailing in the Treatment of Femoral Shaft Fractures

目的评价顺势牵引复位技术与牵引床复位技术在股骨髓内钉治疗股骨干骨折中的应用效果。方法选择湛江市第二中医医院2013年7月-2018年5月收治的股骨干骨折患者60例为本次研究对象,按照患者入院后病床尾号单双号不同分为对照组(单号30例)与观察组(双号30例)。对照组采用牵引床复位,观察组采用在院顺势双反牵引复位器进行牵引复位,对比两组患者临床疗效指标,并对患者进行跟踪随访12个月,评价患者膝关节功能恢复情况。结果观察组患者手术时间、骨折复位时间及术中透视时间短于对照组,术后牵引并发症发生率低于对照组,两组比较差异有统计学意义(P<0.05);两组患者术中出血量及一般并发症数据比较,差异无统计学意义(P>0.05);随访12月发现观察组HSS评分明显高于对照组,数据差异有统计学意义(P<0.05)。结论顺势牵引复位技术辅助股骨髓内钉治疗股骨干骨折,效果肯定,与牵引床复位技术比较可缩短手术时间、骨折复位时间与透视时间,降低术后牵引并发症发生率,促进患者膝关节功能恢复。

Objective To evaluate the effect of homeopathic traction reduction technique and traction bed reduction technique in the treatment of femoral shaft fractures with intramedullary nail. Methods 60 patients with femoral shaft fracture admitted to the hospital from July, 2013 to May, 2018 were selected as the research objects. Patients were divided into control group(30 patients with odd number) and observation group(30 patients with even number) according to different hospital bed tail numbers after admission. The control group were treated with traction bed reduction, and the observation group were treated with homeopathic dualreverse traction reductor for traction reduction. The clinical efficacy of the two groups was compared, the patients were followed up for 12 months to evaluate the recovery of knee function. Results The operation time, fracture reduction time and intraoperative fluoroscopy time of the observation group were shorter than the control group, and the incidence of postoperative traction complications was lower than the control group. There was no significant difference in intraoperative blood loss and general complications between the two groups(P>0.05). After 12 months of follow-up, HSS score in the observation group was significantly higher than that in the control group, with statistically significant difference(P<0.05). Conclusion Homeopathic traction reduction technique assisted femoral internal marrow nailing in the treatment of femoral shaft fractures has a positive effect. Compared with traction bed reduction technique, it can shorten the operation time, fracture reduction time and fluoroscopy time, reduce the incidence of postoperative traction complications, and promote the recovery of knee function.