胫骨、股骨骨折采用带锁髓内钉内固定的临床观察

Femur fracture fixation of tibial interlocking intramedullary nail clinical observation

目的:观察胫骨、股骨骨折采用带锁髓内钉实施内固定治疗的效果。方法:收治胫骨、股骨骨折患者66例,依照固定方式的不同随机给予33例患者带锁髓内钉内固定(观察组),另33例患者给予加压钢板内固定(对照组),对两组患者临床治疗效果进行观察与对比。结果:在手术和住院时间以及手术当中的出血量上,分析组均明显低于比较组(P<0.05);在骨折愈合上,观察组有30例愈合,3例延迟愈合,无不愈合情况,愈合率100%。对照组有20例愈合,8例延迟愈合,5例不愈合,愈合率84.8%,对比两组差异有统计学意义(P<0.05)。结论:临床医师采用带锁髓内钉为胫骨、股骨骨折的患者实施内固定,稳固性高、愈合率高、并发症少、创伤小,整体疗效较高。

Objective:To observe the tibia femur fractures using interlocking intramedullary nail fixation of implementation effect.Methods:January 2011~March 2012 tibial femoral fracture treated 66 patients,according to different random fixation of 33patients given the interlocking nail fixation(Analysis Group),and the other 33 cases were treated with compression plate fixation(comparison group),clinical treatment and comparison groups were observed.Results:In the surgery and hospitalization time and the amount of bleeding during the operation,and analysis group were significantly lower than the comparison group(P<0.05);in fracture healing,the healing of the analysis group,30 cases,3 cases of delayed union,all healing,healing rate of 100%.Comparison group had 20 cases of healing,eight cases of delayed union,nonunion five cases,the healing rate of 84.8%,compared with significant difference(P<0.05).Conclusion:Clinicians using interlocking intramedullary nail fixation of femoral fracture patients implementation of the tibia,high stability,high union rate,fewer complications,trauma,higher overall efficacy,should be of clinical application.