两种内固定置入治疗开放性胫腓骨骨折的临床疗效  

Clinical efficacy of locking plate fixation and interlocking intramedullary nail in the treatment of open tibiofibula fractures

作　　者：廖乙名[1] 徐跃[1] 

机构地区：[1]重庆三峡中心医院骨二科,重庆万州404000

出　　处：《检验医学与临床》2013年第23期3112-3113,3115,共3页Laboratory Medicine and Clinic

基　　金：重庆市医学科研计划项目(20122002)

摘　　要：目的分析开放性胫腓骨骨折的治疗方法,比较锁定钢板内固定和交锁髓内钉内固定治疗开放性胫腓骨骨折的临床疗效。方法纳入骨科接受治疗的开放性胫腓骨骨折患者65例为研究对象,均采用彻底清创后内固定治疗,波及关节面骨折的35例患者给予锁定钢板内固定治疗(锁定钢板组),胫腓骨骨干部位骨折的30例患者给予交锁髓内钉内固定(交锁髓内钉组)。术后随访1年,观察两组患者手术时间、骨折愈合时间、术后并发症,并采用Johner-Wruhs标准评价患肢功能恢复情况。结果锁定钢板组手术时间为(152.36±35.28)min,骨折愈合时间为(120.78±15.22)d;Johner-Wruhs评分为(80.68±5.12)分,有2例发生感染;交锁髓内钉组手术时间为(126.72±28.95)min,骨折愈合时间为(122.92±12.73)d,Johner-Wruhs评分为(81.05±4.96)分,有5例发生感染。两组手术时间和感染差异有统计学意义(P<0.05)。结论采用锁定钢板内固定和交锁髓内钉内固定治疗开放性胫腓骨骨折均可获得良好的疗效,可根据不同骨折类型选择不同的内固定方式进行治疗。Objective To evaluate and compare the effects of locking plate fixationopen and interlocking intr- amedullary nail for treatment in open tibiofibula fracture. Methods Collected open tibiofibula fracture patients 65 ca- ses as the research objects. 35 cases of intra--articular fracture were treated with internal locking plate fixation（loc- king plate group）,30 cases of tihiofibula fractures were treated with interlocking intramedullary nail（interlocking in- tramedullary nail group）. In the follow up of 1 year,observation of two groups of patients operation time,fracture u- nion time,postoperative complications,And used the Johner- Wruhs standard to evaluate the recovery of limb func- tion. Results Compared with Locking plate group, interlocking intramedullary nail group operation time was （126.72±28.95）rain,fracture union time was （122.92±12.73）d,Johner-Wruhs score was（81.05±4.96） ,and 5 cases were infected. Locking plate group each datas were （152.36±35.28）min,（120.78±15.22）d,（80.68±5.12）and 2 cases. There were significant statistical difference in operation time and infection rate（P〈0.05）. Conclusion This two operation methods colud achieve a good effect, Selection which one method can accord to different fracture types.

关 键 词：开放性胫腓骨骨折 锁定钢板 交锁髓内钉 

分 类 号：R683.42[医药卫生—骨科学]