摘要
目的探讨改良切口闭合复位交锁髓内钉治疗胫骨骨折的疗效。方法回顾分析本院1998年10月-2006年10月治疗的148例胫骨骨折临床资料,其中对照组（切口闭合复位交锁髓内钉组）67例,改良组（改良切口闭合复位交锁髓内钉组）81例。结果对所有患者随访6-12个月,对照组和改良组平均愈合时间分别为（98.8±54.3）d和（81.5±42.6）d,两组差异无统计学意义（P〉0.05）。两组骨折均全部愈合,对照组2例（3.0%）发生延迟愈合;改良组无1例延迟愈合,两组差异无统计学意义（P〉0.05）。对照组和改良组膝关节恢复优秀率分别为19（28.3%）和37（45.7%）,两组比较差异有统计学意义（P〈0.05）。结论改良切口闭合复位交锁髓内钉治疗胫骨骨折,固定稳当,手术创伤小,有利于骨折的愈合及关节功能的恢复,是一种理想的治疗方法。
Objective To investigate the therapeutic effect of interlocking intermeddler nail to flx intreatment of fracture of tibia. Methods 148 cases of patients of fracture of tibia were analyzed retrospectivrly, which were divided into 2groups ： controlgroup（ n = 67） was treated closed reduction with conventional incision and interlocking intermeddler nail to fix, and improvement group（n = 81 ） was treated closed reduction with improved incision and interlocking intermeddler nail to fix. Results All patients were followed up 6 - 12 months, and improvement of the control group average healing time of improvement group and control group were （98.8±54.3） days and （81.5±42.6） days, no significant difference between the two groups （P〉0.05）. All fractures in the two groups were healed,and there was 2 cases（3.0% ） delayed healing in control group and improvement was no case of delayed healing,the two groups ware no significant difference （P〉0.05）. The outstanding rates of the restoration of knee joint in the control group and improvement group were 19 （28.3%） and 37 （45.7%） and ther were statistically significant（P〈 0.05）. Conclusion Lmproved incision and interlocking intermeddler nail to fix in treatment of fracture of tibia is an ideal therapeutic way for its proper and secure fixtion,little surgical trauma and quick recovery.
出处
《四川医学》
CAS
2009年第10期1586-1587,共2页
Sichuan Medical Journal
关键词
交锁髓内钉
胫骨骨折
interlocking intermeddler nail to fix
fracture of tibia
