半环外固定架在治疗胫骨开放性骨折中的应用

Application of Semi-circular External Fixator in the Treatment of Open Tibial Fracture

目的观察半环外固定架治疗胫骨开放性骨折的效果及安全性。方法依照随机数字表法对该院于2018年1月—2019年2月期间就诊的88例胫骨开放性骨折患者进行分组,分别为对照组和实验组,每组均分44例患者。对实验组患者行半环外固定架治疗,对照组行切开复位钢板内固定治疗,然后对所有患者近半年的随访,根据其骨折愈合率及并发症发生率进行对比,同时记录所有患者的手术指标,评价组间差异。结果实验组和对照组骨折愈合率分别为97.73%和81.82%,差异有统计学意义(P<0.05);实验组并发症发生率相比于对照组较低,两组差异有统计学意义(P<0.05)。相比于对照组,实验组各项手术指标较优、术中出血量较少、手术时间较短,经比较两组数据差异有统计学意义(P<0.05)。结论在对胫骨开放性骨折患者进行治疗时,采取半环外固定架治疗,有利于患者骨折愈合,使并发症发生率降低,使手术指标发生改善,临床采取有效、安全的手术方案,具有较高的应用价值。

Objective To observe the effect and safety of semi-ring external fixator in the treatment of open fracture of tibia.Methods According to the random number table method,88 patients with open fracture of tibia in our hospital from January 2018 to February 2019 were divided into control group and experimental group,with 44 patients in each group.Patients in the experimental group were treated with semi-ring external fixator,and patients in the control group were treated with open reduction plate internal fixation.Then,all patients were followed up for only half a year,and were compared according to the rate of fracture healing and the incidence of complications.Results The fracture healing rates of the experimental group and the control group were 97.73%and 81.82%,respectively,with significant difference between the groups(P<0.05).The complication rate of the experimental group was lower than that of the control group,and the difference between the two groups was significant(P<0.05).Compared with the control group,the experimental group had better surgical indexes,less intraoperative blood loss and shorter operative time,and there were significant differences between the two groups(P<0.05).Conclusion In the treatment of patients with open fractures of the tibia,the use of a semi-ring external fixator is beneficial to the healing of the fracture,reduce the incidence of complications,and improve the surgical indicators.