专家级髓内钉治疗胫骨远端骨折的疗效观察

目的观察专家级髓内钉治疗胫骨远端骨折的临床疗效。方法将2010年1月至2012年12月我院收治的74例胫骨远端骨折患者随机分为实验组与对照组,两组均37例。实验组接受专家级髓内钉内固定术,对照组接受解剖钢板内固定术,比较两组患者手术及术后恢复情况。结果实验组与对照组在手术时间、术中出血量、X线透视次数、术后住院时间、术后主要并发症发生率等方面无明显差异(P>0.05);实验组在待床时间、总住院时间、完全负重时间及骨性愈合时间等方面均明显优于对照组(P<0.05);实验组与对照组术后踝关节症状与功能评分及Johner&Wruhs评分优良率的差异比较无统计学意义(P>0.05)。结论胫骨专家级髓内钉治疗胫骨远端骨折疗效优良,有利于患者的早期恢复,值得推广。

Clinical Effects of Expert Tibial Nail in Treating Distal Tibial Fracture

Objective To investigate the clinical effects of expert tibial nail in treating distal tibia1 fracture. Methods From January 2010 to December 2012, 74 patients with distal tibial fracture were randomly divided into 2 groups, experimental group （n=37） and control group （n=37）. Patients in experimental group were treated with expert tibial nail fixation while patients in control group were treated with anatomical plate fixation. The surgical information and postoperative recovery of the two groups were compared. Results There was no significant differences of operative time, blood loss, times of X-ray exam, postoperative hospital stay and incidence of major complications between the two groups （P〉0.05）; Preoperative hospital time, total hospitalization time, full weight bearing time and bone healing time of experimental group were shorter than that of control group （P〈0.05）; There was no significant differences of post-operative rehabilitation and function score between the two groups according to Ankle Symptom and Function Score and Johner ＆ Wruhs Score （P〉0.05）. Conclusion Expert tibial nail is effective in treating tibial fracture, which is conducive to the patient＇s early recovery, and is worthy of promotion.