切开复位交锁髓内钉内固定治疗创伤性下肢长管状骨骨折的价值分析  

Analysis of the value of open reduction and interlocking intramedullary nails internal fixation in the treatment of traumatic lower-extremity long tubular bone fractures

作　　者：石志鹏 SHI Zhi-peng(Department of Orthopedics,Duchang County People's Hospital,Jiujiang 332600,China)

机构地区：[1]江西省都昌县人民医院骨科,332600

出　　处：《中国实用医药》2023年第7期55-58,共4页China Practical Medicine

摘　　要：目的探讨切开复位交锁髓内钉内固定治疗创伤性下肢长管状骨骨折的价值。方法132例创伤性下肢长管状骨骨折患者,随机分为对照组和观察组,每组66例。对照组采用切开复位钢板内固定治疗,观察组采用切开复位交锁髓内钉内固定治疗。比较两组各项手术指标,不良事件发生情况,术后3个月美国特种外科医院(HSS)评分。结果观察组患者的手术时间(56.76±5.27)min、住院时间(14.12±2.06)d、骨折愈合时间(13.02±1.04)周均短于对照组的(74.38±6.52)min、(19.73±2.83)d、(16.87±1.57)周,术中出血量(88.34±7.61)ml少于对照组的(126.75±12.48)ml,术后视觉模拟评分法(VAS)评分(2.45±0.68)分低于对照组的(5.39±1.02)分,差异具有统计学意义(P<0.05)。观察组患者的不良事件发生率3.03%明显低于对照组的15.15%,差异具有统计学意义(P<0.05)。观察组患者术后3个月疼痛、活动范围、功能、肌力、稳定性、屈膝畸形评分分别为(26.59±2.42)、(16.30±1.04)、(20.27±1.85)、(8.82±0.66)、(8.97±0.41)、(8.53±0.62)分,均高于对照组的(21.63±2.09)、(12.29±0.51)、(15.18±1.26)、(5.78±0.42)、(5.33±0.25)、(5.45±0.37)分,差异具有统计学意义(P<0.05)。结论切开复位交锁髓内钉内固定治疗创伤性下肢长管状骨骨折的效果显著,创伤较小,术后骨折恢复快,愈合质量高,有助于减少不良事件发生,提高下肢功能恢复质量。Objective To discuss the value of open reduction and interlocking intramedullary nails internal fixation in the treatment of traumatic lower-extremity long tubular bone fractures.Methods A total of 132 patients with traumatic lower-extremity long tubular bone fracture were randomly divided into control group and observation group,with 66 cases in each group.The control group was treated with open reduction and steel plate internal fixation,and the observation group was treated with open reduction and interlocking intramedullary nails internal fixation.The surgical indicators,occurrence of adverse events,and Hospital for Special Surgery(HSS)score 3 months after surgery were compared between the two groups.Results The observation group had operative time of(56.76±5.27)min,hospital stay of(14.12±2.06)d,and fracture healing time of(13.02±1.04)weeks,which were shorter than those of(74.38±6.52)min,(19.73±2.83)d,and(16.87±1.57)weeks in the control group;the intraoperative blood loss in the observation group was(88.34±7.61)ml,which was less than that of(126.75±12.48)ml in the control group;the postoperative visual analogue scale(VAS)score in the observation group was(2.45±0.68)points,which was lower than that of(5.39±1.02)points in the control group;the differences were statistically significant(P<0.05).The incidence of adverse events of 3.03%in the observation group was significantly lower than that of 15.15%in the control group,and the difference was statistically significant(P<0.05).At 3 months after surgery,the pain,range of motion,function,muscle strength,stability,and flexion deformity scores in the observation group were(26.59±2.42),(16.30±1.04),(20.27±1.85),(8.82±0.66),(8.97±0.41),and(8.53±0.62)points,which were higher than those of(21.63±2.09),(12.29±0.51),(15.18±1.26),(5.78±0.42),(5.33±0.25),and(5.45±0.37)points in the control group,and the differences were statistically significant(P<0.05).Conclusion The effect of open reduction and interlocking intramedullary nails internal fixation in t

关 键 词：创伤性下肢长管状骨骨折 切开复位交锁髓内钉内固定 骨折愈合 

分 类 号：R687.3[医药卫生—骨科学]