胫骨、股骨骨折经切开复位钛板内固定与交锁髓内钉内固定术的疗效对比  

Therapeutic effect comparison of open reduction and internal fixation with titanium plate and interlocking intramedullary nail for tibia and femur fractures

作　　者：刘文松 陈胜阳 袁平 彭明 LIU Wen-song;CHEN Sheng-yang;YUAN Ping;PENG Ming(Department of Orthopedics,Guangzhou Baiyunshan Hospital,Guangzhou Province,Guangzhou510515,China)

机构地区：[1]广州白云山医院骨科,广东广州510515

出　　处：《中国当代医药》2020年第26期71-73,共3页China Modern Medicine

摘　　要：目的探讨胫骨、股骨骨折经切开复位钛板内固定与交锁髓内钉内固定术的疗效。方法选取2017年6月~2019年6月我院收治的60例胫骨、股骨骨折患者,按照随机抽签方式将患者分为两组,对照组30例采取切开复位钛板内固定术进行治疗,观察组30例采取交锁髓内钉内固定术进行治疗。观察比较两组愈合时间、膝关节活动度、开始负重时间、踝关节活动度、肿胀、疼痛、功能障碍症状积分及并发症发生情况。结果观察组愈合时间和开始负重时间短于对照组,膝关节活动度和踝关节活动度低于对照组,差异均有统计学意义(P<0.05)。治疗前两组患者肿胀、疼痛、功能障碍症状积分比较,差异无统计学意义(P>0.05);治疗后观察组肿胀、疼痛、功能障碍症状积分低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率为10.00%,低于对照组(30.00%),差异有统计学意义(P<0.05)。结论采取交锁髓内钉内固定术治疗胫骨、股骨骨折可有效改善患者临床症状,促进骨折端愈合,并发症较少,值得在临床治疗中推广应用。Objective To explore the therapeutic effect of tibia and femur fractures through open reduction and titanium plate internal fixation and interlocking intramedullary nail internal fixation.Methods A total of 60 cases of tibia and femur fracture from June 2017 to June 2019 in our hospital were randomly divided into two groups according to random draw.All 30 patients in the control group were treated with open reduction and internal fixation with titanium plate,and 30 patients in the observation group were treated with internal fixation with interlocking intramedullary nail.The healing time,knee motion,weight-bearing time,ankle motion,swelling,pain,symptom score of dysfunction and complications were observed and compared in the two groups.Results Compared with the control group,the healing time and weight-bearing time of the observation group were shorter,the knee joint motion and ankle joint motion were lower,the differences showed statistical significance(P<0.05).There were no statistical significances in the scores of swelling,pain and dysfunction between the two groups before treatment(P>0.05);after treatment,the scores of swelling,pain and dysfunction in the observation group were lower than those in the control group,the differences showed statistical significance(P<0.05).The total incidence of complications in the observation group was 10.00%,lower than that in the control group(30.00%),the difference showed statistical significance(P<0.05).Conclusion The treatment of tibia and femur fractures with interlocking intramedullary nail can effectively improve the clinical symptoms of patients,promote the healing of fracture ends,and have fewer complications,which is worth popularizing in clinical treatment.

关 键 词：胫骨、股骨骨折 切开复位钛板内固定术 交锁髓内钉内固定术 临床效果 

分 类 号：R683[医药卫生—骨科学]