摘要
目的探讨胫骨干骨折行胫骨髓内钉内固定术治疗采取不同入路方式的效果.方法选择本院骨科2019年1月—2022年3月收治的胫骨干骨折患者80例为研究对象,根据随机数表法分为对照组与观察组,各40例.对照组行髌韧带入路胫骨髓内钉内固定术,观察组行髌上入路胫骨髓内钉内固定术,对比两组的围术期指标及患者恢复情况.结果观察组的术中透视次数少于对照组,术后骨折愈合时间短于对照组,组间差异有统计学意义(P<0.05).术后,观察组的疼痛评分低于对照组,生存质量评分高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症总发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05).术后1、3个月,观察组的膝关节功能评分均高于对照组,组间差异有统计学意义(P<0.05).结论临床采用胫骨髓内钉内固定术治疗胫骨干骨折时可优先选择髌上入路,能促进患者膝关节功能恢复,且术后疼痛轻微,并发症少,值得推广.
Objective To investigate the effect of different approaches of tibial shaft fracture treated by tibial intramedullary nail fixation.Methods 80 patients with tibial trunk fracture admitted to Orthopedics Department of the hospital from January 2019 to March 2022 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group received internal fixation of tibial intramedullary nail through the patellar ligament approach,and the observation group received internal fixation of tibial intramedullary nail through the supratellar approach.The perioperative indexes and patients'recovery were compared between the two groups.Results The number of intraoperative fluoroscopy in the observation group was less than that in the control group,and the healing time of postoperative fracture was shorter than that in the control group,the differences between the two groups were statistically significant(P<0.05).After surgery,the pain score of the observation group was lower than that of the control group,and the quality of life score was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The total incidence of complications in the observation group was 5.00%,lower than 22.50%in the control group,and the difference was statistically significant(P<0.05).1 and 3 months after surgery,the knee function scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The suprapatellar approach can be preferred in the clinical treatment of tibial shaft fracture with internal fixation of tibial intramedullary nail,which can promote the functional recovery of patients'knee joint,and has minor postoperative pain and few complications,so it is worthy of promotion.
作者
朱和平
ZHU Heping(Department of Orthopedics,Yixing City People's Hospital,Yixing Jiangsu,214200,China)
出处
《反射疗法与康复医学》
2022年第22期125-127,147,共4页
Reflexology And Rehabilitation Medicine
关键词
髌上入路
髌韧带入路
髓内钉
骨折内固定术
胫骨干骨折
Suprapatellar approach
Patellar ligament approach
Intramedullary nail
Fracture internal fixation
Tibial shaft fracture
