交锁髓内钉与钢板内固定治疗胫骨、股骨骨折的疗效对比分析

目的：比较胫骨、股骨骨折应用交锁髓内钉与钢板内固定2种治疗方案的优越性。方法：对159例胫骨、股骨骨折患者采用交锁髓内钉治疗，选同期行钢板内固定治疗患者74例，进行疗效观察。结果：两组愈合时间、负重时间、膝关节动度以及踝关节动度比较差异有统计学意义（P〈0．05）；观察组术后并发症有感染3例，膝关节疼痛2例，骨折延迟愈合3例；对照组内固定松动4例，感染4例，断钉2例，膝关节疼痛4例，骨折延迟愈合3例，两组比较差异有统计学意义（P〈0．05）。结论：胫骨、股骨骨折交锁髓内钉治疗较钢板内固定有较多的优越性。

Curative effect analysis of interlocking nail and plate internal fixation for tibial,femoral fracture

Objective： To compare the tibia and femur fractures with interlocking nail fixation of the superiority of the two treatment. Methods： 159 patients with tibial and femoral fractures were treated with interlocking intramedullary nail treatment, selection line and plate fixation over the same period 74 patients were patients. Results： The two group＇s healing time, loading time, the knee and ankle mobility mobility difference was significant difference （P〈0.05）; observed postoperative complications in 3 cases of infection, knee pain was 2 cases, delayed healing in 3 cases; the control group g cases of loosening, infection in 4 cases, 2 cases of breakage, knee pain in 4 cases, 3 cases of delayed union of fractures, the difference was statistically significant （P〈0.05）. Conclusion： The tibia, femur fractures treated with interlocking intramedullary nail plate more than the advantages.