Grosse-Kempf带锁髓内钉和AO钢板治疗胫骨骨折的疗效分析

Analysis on effect of Grosse Kempf interlocking intramedullary nailing and AO plate in treating tibial fractures

目的 评价Grosse -Kempf带锁髓内钉和AO钢板对胫骨骨折的治疗效果。 方法回顾分析 1 994年以来应用AO钢板治疗胫骨骨折 40例、带锁髓内钉治疗胫骨骨折 5 5例患者的恢复情况。 结果 经过 1 0～ 2 6个月的随访 ,带锁髓内钉治疗组骨折愈合率为 98.2 % ( 5 4 /5 5 ) ,感染率为 1 .8% ( 1 /5 5 ) ,骨折平均愈合时间为 5 .6个月 ;AO钢板治疗组则分别为 90 % ( 36/40 )、1 2 .5 %( 5 /40 )和 7.5个月。 结论 带锁髓内钉治疗胫骨骨折因其生物力学好 ,操作简单 ,固定坚强 ,对骨折局部血供破坏小 ,其治疗效果优于AO钢板 。

Objective To evaluate the efficacy of Grosse Kempf interlocking intramedullary nailing (Grosse Kempf IIN) and AO plate in the treatment of tibial fractures. Methods A retrospective analysis was done on the recovery of 55 cases with tibial fractures treated with the Grosse Kempf IIN (Group A) and 40 treated with AO plate (Group B) from 1994. Results The 10 26 months follow up showed that the healing rate and the infection rate were 98.2% (54/55) and 1.8% (1/55) respectively in the Group A with a mean healing time for 5.6 months and 90.0% (36/40) and 12.5% (5/40) respectively in the Group B with a mean healing time for 7.5 months. Conclusions The Grosse Kempf IIN has obvious advantage of excellent biodynamics, reliable fixation, simple operation, less trauma on regional blood supply and is more effective in the treatment of tibial fractures than the AO plate. Nevertheless, I IN itself has limitation for further application.