胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的临床观察clinical.pdfVIP

胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的临床观察 王　勇，李海 ，陈运庆，伍　星 四川省双流县第一人民医院，四川成都，610200 第一作者简介王　勇，男，1978 年2 月，汉族，四川双流，主治医师，研究方向：运动医学， 创伤骨科。 【摘要】目的：探讨胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的发生情况及影响因素。 方法：统计分析我院骨外科2009 年1 月至2012 年9 月收治的128 例胫骨干骨折患者的临 床资料。结果：128 例患者中，所有患者均没有发生髌韧带断裂、髓内钉断裂、骨折不愈 合等情况。84 例患者发生了膝关节前侧疼痛，发生率为65.6%；近端十字锁钉方式、有扩 髓情况的胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的发生率均显著高于平行锁钉方式、 无扩髓情况的患者（P0.05 ），但不同性别、年龄、骨折类型、髓内钉直径患者膝关节前 侧疼痛的发生率之间的差异均不显著（P0.05）。结论：胫骨干骨折髓内钉固定后病人膝 关节前侧疼痛的发生率较高，主要影响因素为近端锁钉方式、扩髓情况。 【关键词】胫骨干骨折；髓内钉固定；膝关节前侧疼痛；临床观察 Clinical observation of front side after intramedullary nailing of knee pain of tibial shaft fracture patients Wang Yong Li Hai-bo Chen Yun-qing Wu Xing The first peoples Hospital of Shuangliu County，sichuan chengdu，610200 [Abstract] Objective To investigate the incidence and influencing factors of front side after intramedullary nailing of knee pain of tibial shaft fracture patients. Methods The clinical data of 128 cases of tibial shaft fracture patients who were treated in orthopedic surgery of our hospital from January 2009 to September 2012 were statistically analyzed. Results Among the 128 cases of patients, all patients did not happen patellar tendon rupture, nail breakage, nonunion and so on. 84 cases of patients had knee pain in the front side, the rate was 65.6%; The incidence of proximal front side after intramedullary nailing of knee pain of tibial shaft fracture patients with cross nail way, having reamed case were significantly higher than patient with parallel lock nail mode, having no reamed situation (P 0.05), but the differences of the incidence of front side of knee pain between paitents in different gender, age, fracture type, intramedullary nail diameter were not significant (P 0.05). Conclusion The incidence of front side after intramedullary nailing of knee pain of tibial shaft fracture patients is high, the main facto