经皮微创钢板内固定和交锁髓内钉治疗胫骨骨折  

Comparison of Minimally Invasive Plate Osteosynthesis and Interlocking Intramedullary Nails in the Therapy of Tibial Fractures

作　　者：钱学峰[1] 

机构地区：[1]吴江市第一人民医院,江苏吴江215200

出　　处：《中外医学研究》2013年第4期120-121,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较探讨经皮微创钢板内固定术和交锁髓内钉内固定术治疗胫骨骨折的临床疗效和安全性。方法:笔者所在医院骨科将2011年8月-2012年8月收治的30例胫骨骨折患者,随机分为两组,各15例,分别施行经皮微创钢板内固定术(A组)和交锁髓内钉内固定术(B组)。术中记录出血量、手术时间,术后记录骨痂出现时间、骨折愈合时间及不良反应。结果:采用经皮微创钢板内固定术或交锁髓内钉内固定术治疗后,所有患者全部伤口一期愈合,术中和术后均无严重手术并发症发生。经皮微创钢板内固定术的手术时间为(95±14)min,骨痂出现时间为(7.8±1.6)周,骨折愈合时间为(6.7±2.5)个月;交锁髓内钉内固定术的手术时间为(75±15)min,骨痂出现时间为(8.2±1.4)周,骨折愈合时间为(7.3±1.7)个月。结论:与传统开放性手术相比,经皮微创钢板内固定术或交锁髓内钉内固定术治疗胫骨骨折,临床疗效相当且显著;经皮微创钢板内固定术和交锁髓内钉内固定术两相比较,经皮微创钢板内固定术治疗胫骨骨折具有更明显的临床疗效及更高的安全性。Objective： To investigate and compare with the clinical benefits and safety of utilizing minimally invasive plate osteosynthesis and interlocking intramedullary nails fixation for the therapy of tibial fractures.Methods： 30 patents with tibial fractures enrolled in orthopaedics of the first hospital of Wujiang from Aug 2011 to Aug 2012 were randomized into two groups, each group had 15 cases, and treated with minimally invasive plate osteosynthesis and interlocking intramedullary nails fixation, respectively.lntraoperative blood loss, time of ore.ration, time of hone callus forms, time of fracture healing, and severe adverse reactions were recorded.Results： After treatment of minimally invasive plate osteosynthesis and interlocking intramedullary nails fixation, all of the incision got the best cure, and no severe adverse reactions were observed during and post the surgical.For treatment of minimally invasive plate osteosynthesis, the surgical time was （95 ± 14）min, new bone callus appeared time was （7.8 ± 1.6）weeks, and fracture healing time was （6.7 ±2.5）months.For treatment of intramedullary nail fixation, the surgical time was （75 ± 15）min, new bone callus appeared time was （8.2 ± 1.4） weeks, and fracture healing time was （7.3 ± 1.7） months.Conclusion： Both the therapy methods of minimally invasive plate osteosynthesis and interlocking intramedullary nails fixation have equivalent but significant clinical benefits for tibial fractures when compared to the traditional open surgery.Overall the minimally invasive plate osteosynthesis method takes more advantage in clinical efficiency and safety for the treatment of tibial fractures than interlocking intramedullary nails fixation.

关 键 词：经皮微创钢板内固定术 交锁髓内钉内固定术 微创化手术 生物学固定 胫骨骨折 

分 类 号：R687.3[医药卫生—骨科学]