| 2种不同内固定治疗65例胫骨远端骨折的疗效分析 |
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| 引用本文： | 蒙家辉,黄家基. 2种不同内固定治疗65例胫骨远端骨折的疗效分析[J]. 中国微创外科杂志, 2010, 10(3): 266-268 |
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| 作者姓名： | 蒙家辉 黄家基 |
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| 作者单位： | 广西壮族自治区钦州市灵山人民医院骨科,灵山,535400 |
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| 摘 要： | 目的比较交锁髓内钉与经皮钢板固定治疗胫骨远端骨折的疗效。方法对2003年7月～2007年12月65例胫骨远端干骺端骨折的临床资料进行回顾性总结分析,其中34例采用髓内钉治疗,31例采用经皮钢板固定治疗,比较2组手术时间、术中出血量、骨折愈合时间及相关并发症。结果髓内钉组与钢板组的手术时间分别为(82.2±12.5)min、(89.2±14.1)min,差异性有统计学意义(t=-2.122,P=0.038);髓内钉组术中出血量(105.0±14.9)ml显著少于钢板组(164.6±30.9)ml(t=-10.044,P=0.000)。2组随访10～28个月(平均21.8月),所有骨折均获得愈合,骨折愈合时间髓内钉组为(18.6±3.8)周,钢板组为(20.0±4.0)周,2组比较无统计学差异(t=-1.447,P=0.153)。髓内钉组有5例发生畸形愈合,钢板组无畸形愈合,但2组无统计学意义(P=0.054);髓内钉组有4例发生局部软组织并发症,钢板组无此并发症发生,2组有统计学差异(P=0.046)。结论对于胫骨远端骨折,交锁髓内钉和经皮钢板固定都是有效的固定方法,经皮钢板提供更好的骨折端稳定性,而交锁髓内钉有利于治疗合并局部软组织损伤的骨折。
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| 关 键 词： | 胫骨远端骨折 交锁髓内钉 经皮钢板 骨折内固定术 |
Interlocking Intramedullary Nailing versus Percutaneous Plating in Osteosynthesis for Fractures of the Distal Tibia |
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| Meng Jiahui,Huang Jiaji. Interlocking Intramedullary Nailing versus Percutaneous Plating in Osteosynthesis for Fractures of the Distal Tibia[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(3): 266-268 |
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| Authors: | Meng Jiahui Huang Jiaji |
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| Affiliation: | Meng Jiahui,Huang Jiaji.Department of Orthopaedics,People's Hospital of Lingshan County,Lingshan 535400,China. |
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| Abstract: | Objective To compare the therapeutic effect of interlocking intramedullary nail and percutaneous plate in the treatment of distal tibial fractures.Methods A total of 65 patients suffered from distal tibial fractures were analyzed retrospectively.Among the patients,34 underwent fixation using interlocking intramedullary nails,and 31 cases were treated by percutaneous plate fixation.The operation time,intra-operative blood loss,bone union time and postoperative complications of the two groups were compared.Re... |
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| Keywords: | Fractures of distal tibial Interlocking nail Percutaneous plate Fracture fixation |
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