加压钢板与带锁髓内钉治疗胫腓骨骨折的价值

The Value of Compression Plate and Interlocking Intramedullary Nail in the Treatment of Tibia and Fibula Fractures

目的探讨加压钢板与带锁髓内钉治疗胫腓骨骨折的价值。方法该研究纳入2019年1月—2020年1月期间于该院接受治疗的64例胫腓骨骨折患者,根据随机双盲法分为对照组、观察组,每组32例;对照组治疗方案为加压钢板,观察组治疗方案为带锁髓内钉;记录并对比两组患者的治疗总有效率、临床相关指标(骨痂出现时间、下地负重时间、愈合时间与关节功能评分)、不良事件发生率。结果观察组中有93.75%的治疗有效率高于对照组中的71.88%,差异有统计学意义(χ^(2)=5.379,P<0.05);观察组患者的骨痂出现时间、下地负重时间、愈合时间(2.40±0.20)、(2.52±0.19)、(8.41±1.56)月均早于对照组,且关节功能评分(90.56±3.72)分高于对照组,差异有统计学意义(t=9.585、9.801、3.860、20.323,P<0.05);观察组中9.38%的患者出现不良事件低于对照组中的31.25%,差异有统计学意义(χ^(2)=4.730,P<0.05)。结论相对比加压钢板内固定方案,对胫腓骨骨折患者行带锁髓内钉治疗,可以取得更好的临床效果,且患者康复周期较短,关节功能恢复更显著,出现不良事件的风险性更低。

Objective To explore the value of compression plate and interlocking intramedullary nail in the treatment of tibia and fibula fractures.Methods This study included 64 patients with tibia and fibula fractures who were treated in the hospital from January 2019 to January 2020.According to the random double-blind rule,the patients were divided into two groups:the control group and the observation group.A single group includes 32 patients;the treatment plan of the control group was compression steel plate,and the treatment plan of the observation group was interlocking intramedullary nail;the total effective rate of treatment and clinical related indexes(callus appearance time,weight-bearing time in the ground,healing time and joint function score),the incidence of adverse events.Results The effective rate of 93.75%in the observation group was higher than 71.88%in the control group,the difference was statistically significant(χ^(2)=5.379,P<0.05);the appearance time of callus,weight-bearing time and healing time in the observation group(2.40±0.20)months,(2.52±0.19)months,(8.41±1.56)months was earlier than the control group,and the joint function score(90.56±3.72)points was higher than the control group,the difference was statistically significant(t=9.585,9.801,3.860,20.323,P<0.05);9.38%of the patients in the observation group had adverse events lower than the 31.25%in the control group,the difference was statistically significant(χ^(2)=4.730,P<0.05).Conclusion Compared with the compression plate internal fixation,the treatment of tibia and fibula fractures with interlocking intramedullary nails can achieve better clinical results,and the patients have a shorter recovery period,joint function recovery is more significant,and the risk of adverse events is lower.