摘要
目的比较锁定钢板(股骨)外固定与分阶段手术交锁髓内钉内固定治疗胫骨中下段开放性骨折的临床疗效。方法 60例胫骨中下段开放性骨折患者,按照随机数字表法分为观察组和对照组,每组30例。观察组患者行锁定钢板外固定治疗,对照组患者行分阶段手术交锁髓内钉内固定治疗,术后比较两组患者的临床治疗效果。结果观察组患者治疗总有效率为96.7%,明显高于对照组患者的76.7%(P<0.05)。观察组患者手术时间为(84.2±2.1)min,骨折愈合时间为(14.1±0.8)周,住院时间为(101.2±7.2)d,术后6个月膝、踝关节活动度评分为(44.1±5.3)分;对照组患者手术时间为(98.1±2.5)min,骨折愈合时间为(16.8±0.7)周,住院时间为(113.5±7.0)d,术后6个月膝、踝关节活动度评分为(42.0±5.5)分;观察组患者手术时间、骨折愈合时间、住院时间均短于对照组,术后6个月膝、踝关节活动度评分高于对照组(P<0.05)。观察组患者骨折延迟愈合发生率低于对照组,差异具有统计学意义(P<0.05)。结论锁定钢板外固定胫骨中下段开放性骨折固定可靠,手术时间短、安全性高、功能恢复快,能明显减少患者的疾病负担。
Objective To compare clinical effects by locking plate （femur） external fixation and staged operation interlocking intramedullary nail internal fixation in the treatment of open middle and distal tibial fracture. Methods A total of 60 patients with open middle and distal tibia1 fracture were divided by random number table into observation group and control group, with 30 cases in each group. The observation group received locking plate external fixation for treatment, and the control group received staged operation interlocking intramedullary nail internal fixation for treatment. Comparison was made on clinical curative effects between the two groups after operation. Results The observation group had obviously higher total effective rate in treatment as 96.7% than 76.7% in the control group （P〈0.05）. The observation group had operation time as （84.2 ± 2.1） min, fracture healing time as （14.1 ± 0.8） weeks, hospital stay time as （101.2 ± 7.2） d, and postoperative 6-month motion of knee and ankle joint as （44.1 ± 5.3） points. The control group had operation time as （98.1 ± 2.5） min, fracture healing time as （16.8 ± 0.7） weeks, hospital stay time as （113.5 ±7.0） d, and postoperative 6-month motion of knee and ankle joint as （42.0 ± 5.5） points. The observation group had all shorter operation time, fracture healing time, hospital stay time and higher postoperative 6-month motion of knee and ankle joint than the control group （P〈0.05）. The observation group had lower incidence of delayed union than the control group, and the difference had statistical significance （P〈0.05）. Conclusion Locking plate external fixation is creditable for open middle and distal tibial fracture, along with short operation time, high safety and quick function recovery. This method can remarkably reduce disease burden in patients.
出处
《中国实用医药》
2017年第4期56-58,共3页
China Practical Medicine
关键词
锁定钢板外固定
分阶段交锁髓内钉内固定
胫骨中下段开放性骨折
Locking plate external fixation
Staged interlocking intramedullary nail internal fixation
Open middle and distal tibial fracture
