胫骨干闭合骨折行扩张自锁髓内钉与锁定钢板置入的疗效对比

Comparative the Efficacy of Expanding Self-locking Intramedullary Nail and Locking Plate Inserted in Patients with Closed tibial shaft fracture

目的：回顾性分析行扩张自锁髓内钉与锁定钢板置入治疗胫骨干闭合骨折患者的效果。方法选取2011年1月～2013年8月本院诊治的胫骨干闭合骨折患者96例，将行锁定钢板置入的46例患者分为对照组，行扩张自锁髓内钉术的50例患者分为研究组，比较两组患者围手术期与复诊时的相关数据。结果治疗后，研究组患者的围手术期手术时间、下地时间、术中出血量、膝关节屈曲度差与踝关节伸屈度差5项数值均明显低于对照组，比较差异均具有统计学意义（P＜0.05）。结论扩张自锁髓内钉术应用于治疗胫骨干闭合骨折，具有手术时间与卧床时间短、术中出血量少、术后骨折复位效果显著特点，值得临床应用。

Objective To retrospectively analyze the effect of lining the expanding self-locking in-tramedullary nail and locking plate inserted in the treatment of closed tibial shaft fracture. Meth-ods 96 patients with closed tibial shaft fracture from January 2011 to August 2013 in our hos-pital were selected. 46 patients treated with locking plate inserted were divided into control group, 50 patients treated with expanding self-locking intramedullary nail were divided into observation group. Then data in the period of perioperative and referral were compared. Results After treat-ment, 5 value of surgery time, ambulation time, blood loss, difference between poor knee flexion and ankle flexion in observation group were significantly lower than the control group, the differ-ence was statistically significant(P<0.05). Conclusion Expansion of self-locking intramedullary nail used in the treatment of closed tibial shaft fracture has characteristics of short operation time and bed time, less blood loss, remarkable effect of postoperative fracture reduction, worthy of clinical application.