摘要
目的 :比较加压钢板与带锁髓内钉在胫骨干骨折骨不连患者中的临床治疗效果。方法 :将84例胫骨干骨折骨不连患者随机分为对照组(n=42,加压钢板治疗)和观察组(n=42,带锁髓内钉治疗)。比较两组围术期指标、治疗效果、肢体运动能力、术后并发症。结果 :观察组手术时间长于对照组,术中出血量、术后引流量、切口长度、住院时间均少于对照组,治疗有效率高于对照组(95.24%vs 76.19%),下肢FMA评分改善优于对照组,术后并发症发生率低于对照组(均P <0.05)。结论:在胫骨干骨折骨不连患者的临床治疗中,带锁髓内钉的整体治疗效果优于加压钢板。
Objective:To compare the clinical effects of compression plate and locked intramedullary nail in patients with nonunion of tibial stem fractures.Methods:Eighty-four patients with nonunion of tibial stem fractures were randomly divided into a control group(n=42,treated with compression plate) and an observation group(n=42,treated with locked intramedullary nail).The perioperative indexes,treatment effect,limb movement ability and postoperative complications were compared between the two groups.Results:The operative time was longer,the intraoperative bleeding,postoperative drainage,incision length and hospital stay were less,the treatment effect was higher(95.24% vs 76.19%),the limb FMA score was better and the incidence of postoperative complication was lower in the observation group than the control group(all P<0.05).Conclusion:The overall treatment effect of the locked intramedullary nail for the treatment of patients with nonunion of tibia shift fractures is much better than that of compression plate.
作者
李景伟
王文志
LI Jingwei;WANG Wenzhi(Department of Orthopaedics,the People’s Hospital of Baodi District,Tianjin 301800,China)
出处
《上海医药》
CAS
2023年第1期33-35,39,共4页
Shanghai Medical & Pharmaceutical Journal
关键词
胫骨干骨折
骨不连
加压钢板
带锁髓内钉
围术期指标
肢体运动能力
术后并发症
tibia shift fracture
nonunion
compression plates
locked intramedullary nailing
perioperative indexes
limb movement ability
postoperative complication
