锁定钢板和交锁髓内钉治疗胫腓骨骨折疗效比较.docVIP

精品论文 参考文献 锁定钢板和交锁髓内钉治疗胫腓骨骨折疗效比较 李鹏飞 王铁男 （辽宁省大连市大连大学附属中山医院 116001） 　　【摘要】目的 探讨锁定钢板和交锁髓内钉治疗胫腓骨骨折的临床疗效情况。方法　选取我院2011 年6 月～ 2013 年4 月我院骨外科收治的胫腓骨骨折病人78 例，分为观察组和对照组两个组别，每组39 例患者。观察组患者采取交锁髓内钉治疗，对照组患者则采取锁定钢板固定治疗，比较两组患者临床疗效情况。结果　所有患者均得到临床随访，观察组患者优良率为100%，骨痂出现时间37.4plusmn;4.5d，愈合时间143.6plusmn;18.2d，解剖复位率97.44%；观察组患者优良率为87.18%，骨痂出现时间40.2plusmn;4.2d，愈合时间16.9plusmn;19.0d，解剖复位率79.49%；所有比较结果均有统计学意义（P 均＜ 0.05）。结论　交锁髓内钉对于胫腓骨骨折处血液供应和生物力学的环境干扰相对较小，利于骨折端的愈合，预后良好。 　　【关键词】 锁定钢板 交锁髓内钉 胫腓骨骨折 疗效对比分析 　　【中图分类号】R683 【文献标识码】A 【文章编号】1672-5085（2013）32-0142-02 　　Locking plate and intramedullary nail in the treatment of tibia and fibula fractures compared 　　【Abstract】Objective : To investigate the locking plate and intramedulla rynail in the treatment of fracture of tibia and fibula clin icalsituation. METHODS: From June 2011 to Apr il 2013,79 patients with tibiofibula fracture were collected, whi chwere divided into two groups,39 patients in each group.Thepat ients were taken intramedullary nailing in the observati on group, the control group patients were taking locking plate fixation. Clinical efficacy were compared between the two groups.Results: All the patients were clinically followed up ,t he observation group was 100% in patients with good bone callus appeared time 37.4 plusmn; 4.5d, healing time of 143.6 plusmn; 18.2d, anatom icreduction rate of 97.44%;observation grou p were excellent rate of 87.18% , callus occurrence 40.2 plusmn; 4.2d,hea ling time 16.9 plusmn; 19.0d, anatomic reduction rate 79.49% ; allthe results of the comparison were statisticall y significant(P＜0.05).Conclusion: Intramedullary nailing for tibial fracture blood supply and biomechanical environmental interference is relatively small,which will help the healing of the fractu re, the prognosis is also good. 　　【Key words】 locking plate intramedullary nail tibia and fibula fracture comparative analysis of efficacy 　　胫腓骨解剖位置特殊，骨折发生后如若处理不当，极易发生骨折端不愈合、关节功能障碍等严重并发症[1]。外科手术仍是主要的治疗方法， 交锁髓内钉、锁定钢板内固定、外固定架固定均是临床上常用治疗方式， 临床疗