髓内钉与传统钢板螺丝内固定治疗胫骨远端骨折疗效对比分析  

Comparative analysis on the efficacy of intramedullary nail and tradition-al steel plate screw internal fixation in treatment of distal tibial fracture

作　　者：沈建伟[1] 戚飞成 余华晨[2] 

机构地区：[1]浙江萧山医院骨科,浙江杭州311200 [2]温州医学院附属第二医院骨科,浙江温州325000

出　　处：《中国现代医生》2015年第4期42-44,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2013KYB175)

摘　　要：目的分析髓内钉与传统钢板螺丝内固定治疗胫骨远端骨折的疗效。方法选取2013年1~12月在我院接受治疗的86例胫骨远端骨折患者,随机分为髓内钉组和钢板组,分组治疗后对所有患者行放射学检查评估并对比评估结果。结果髓内钉组的手术时间、术中出血量、愈合时间、踝关节背屈以及胫骨对线明显优于钢板组且差异具有统计学意义（P〈0.05）;术后髓内钉组仅发生畸形愈合、成角的患者与钢板组比较差异有统计学意义（P〈0.05）。结论髓内钉治疗胫骨远端骨折对比于传统钢板螺丝内固定能够有效地降低并发症的发生率,且术后愈合时间更短,值得临床推广应用。Objective To analyze the efficacy of intramedullary nail and traditional steel plate screw internal fixation in treatment of distal tibial fracture. Methods A total of 86 patients with distal tibial fracture treated in our hospital from Jan to Dec 2013 were selected and randomly assigned to the intramedullary nail group and the steel plate group. All the patients received radiological examination after treatment and the results were compared and evaluated. Results The intramedullary nail group had significantly better results in operating time, intraoperative blood loss, healing time,ankle dorsiflexion and tibial rotational alignment than the steel plate group, with statistical significance（P〈0.05）. Only malunion and angulation in the intramedullary nail group had significantly worst results than the steel plate group,with statistical significance（P〈0.05）. Conclusion Compared with traditional steel plate screw internal fixation, in-tramedullary nail can effectively reduce the complication rate in treatment of distal tibial fracture with shorter postoperative healing time, which is worthy of clinical promotion.

关 键 词：髓内钉 传统钢板螺丝内固定 胫骨远端骨折 

分 类 号：R687.3[医药卫生—骨科学]