胫骨专家型髓内钉固定与微创锁定加压钢板固定对胫骨远端骨折愈合临床疗效的对比分析  

To compare the clinical effect of interlocking intramedullary nail fixation and minimally invasive locking plate fixation in the treatment of fracture healing

作　　者：闵晓晖[1] 茅凌洲[2] 周家钤[1] 毕刚[1] Min Xiaohui;Mao Lingzhou;Zhou Jiaqian;Bi Gang(Orthopedics Shanghai Tongji Hospital,Shanghai 200065;Orthopedics Shanghai Tenth People's Hospital,Shanghai 200072,China)

机构地区：[1]上海市同济医院骨科,上海200065 [2]上海市第十人民医院骨科,上海200072

出　　处：《生物骨科材料与临床研究》2017年第6期45-47,51,共4页Orthopaedic Biomechanics Materials and Clinical Study

摘　　要：目的对比探究胫骨专家型髓内钉固定和微创锁定加压钢板固定治疗胫骨远端骨折后愈合的情况。方法选取2011年1月~2015年1月在我院治疗的胫骨远端骨折患者90例,分为胫骨专家型髓内钉固定组(n=45)与微创锁定加压钢板固定组(n=45),术后随访时间为12~24个月,平均18个月。观察两组患者手术时间,术中出血量,手术前后住院天数、骨折愈合时间、术后并发症发生率。结果胫骨专家型髓内钉固定组与微创锁定加压钢板固定组的平均手术时间分别为(68.41±13.74)min、(86.79±15.56)min,术中平均出血量分别为(108.1±12.7)mL,(159.5±27.9)mL;住院时间分别为(18.14±2.57)天、(22.28±2.35)天(P<0.05);骨折愈合时间为(20.15±2.47)周、(24.02±3.31)周,术后并发症发生率分别为6.7%(3/45),26.7%(12/45)(P<0.05)。结论胫骨专家型髓内钉与微创锁定加压钢板治疗胫骨远端骨折相比,胫骨专家型髓内钉在治疗胫骨远端骨折方面具有显著优势。Objective To analyze the clinical effect of interlocking intramedullary nail and minimally invasive locking plate fixation in the treatment of distal tibial fractures.Methods90cases of distal tibial fractures treated in our hospital from Jan2011to Jan2015were selected in this study.The subjects were divided into two groups:interlocking intramedullary nail fixation group(n=45)and minimally invasive locking plate fixation group(n=45).The Follow-up time of the patients was12-24months,average18months.The operative time,intraoperative blood loss,length ofhospital stay,time of fracture healing,and postoperative complications were observed in the two groups.Results The average operation time ofthe interlocking intramedullary nail fixation group were(68.4士13.7)min.The average operation time oftheplatefixationgroupwere(77.7士15.6)min.Theaverageamountofbleedingwas(108.1士12.7)mL,(159.5士27.9)mL respectively.The time of hospital-stay were(22.9±7.4)days,(30.8±4.5)days respectively(P<0.05).The fracturehealingtimewas(77.1士5.4)days,(91.6士7.1)daysrespectively.Theincidenceofpostoperativecomplications was6.7%(3/45),26.7%(12/45)respectively(P<0.05).Conclusion Compared with the treatment of distal tibialfractures with interlocking intramedullary nail and steel plate,interlocking intramedullary nail has a significant advantage in the treatment of distal tibial fractures.

关 键 词：胫骨远端骨折 钢板内固定 胫骨专家型髓内钉 临床疗效 

分 类 号：R687.3[医药卫生—骨科学]