摘要
目的 观察应用交锁髓内钉内固定治疗胫腓骨骨折的临床效果观察.方法 采用我院骨科收治胫腓骨骨折患者66例,随机分为两组.观察组行交锁髓内钉内固定法治疗;对照组行加压钢板内固定治疗.比较两种手术方法的总体疗效优良率,并对多类并发症、术后负重时间、平均愈合时间等方面进行统计分析.结果 随访3~12个月,观察组疗效优良率93.9%,对照组疗效优良率81.8%;观察组并发症发生率6.1%,对照组并发症发生率21.2%,两组比较均有统计学差异（P＜0.05）,在膝关节功能评分、平均愈合时间、骨痂出现时间、负重时间的比较也均有显著统计学差异（P＜0.05）.结论 应用交锁髓内钉内固定治疗胫腓骨骨折临床疗效满意.
Objective To explore the clinical efficacy of interlocking intramedullary nail on the treatment of tibia-fibula fracture. Methods Patients （n = 66 ） suffered from tibia-fibula fracture and got treated in our hospital were divided into observe group and control group randomly, patients in observe group received the treatment by using interlocking intramedullary nail and patients in control group received the treatment by using compression plate internal fixation. Analyze the excellent rate, occurrence of complications, weight-bear time and average coalescence time. Results All patients were followed-up for 3 ~ 12 months. Excellent rate of observe group （93.9%） was higher than that of control group （81.8%）, occurrence rate of complication of observe group （6.1%） was lower than that of control group （21.2%）, the differences between the two groups present statistically significant （P 〈 0. 05 ）, as well as the knee joint function scoring, healing time, callus occur time and weight-bear time （P 〈 0. 05 ）. Conclusions We satisfied with the clinical efficacy of interlocking intramedullary nail internal fixation on the treatment of tibia-fibula fracture.
出处
《齐齐哈尔医学院学报》
2013年第24期3666-3667,共2页
Journal of Qiqihar Medical University
关键词
胫腓骨骨折
交锁髓内钉
内固定术
Tibia-fibula fracture
Interlocking intramedullary nail
internal fixation
