切开复位与闭合复位交锁髓内钉内固定治疗胫腓骨干骨折的疗效

目的：探讨切开复位与闭合复位交锁髓内钉内固定治疗胫腓骨干骨折的疗效差异。方法：回顾性分析我院近年来收治的137例胫腓骨干骨折患者的临床资料。结果：切口复位组69例患者，愈合时间与闭合复位组比较，明显延长；切口感染、骨不连、切口不愈合等并发症的发生几率明显增多；但是解剖复位却明显优于闭合复位组，经统计学比较分析，P〈0．05，有显著性差异，但两组患者的功能复位效果一致，P〉0．05。结论：切口复位交锁髓内钉内固定治疗胫腓骨干骨折的疗效更为确切，值得临床推广使用。

Open reduction and closed reduction and intramedullary nail fixation of tibia and fibula fracture of dry

Objective： To explore the open reduction and closed reduction and intramednllary nail fixation of tibia and fibula fracture between dry. Methods： A retrospective analysis of 137 cases admitted to hospital in recent years, shin and fibula fracture in patients with clinical data. Results： The incision reduction group 69 patients, healing time with closed reduction group, was significantly prolonged; wound infection, nonunion healing incision does not significantly increase risk of complications; but were significantly higher anatomic closed reduction group, The statistical comparative analysis, P〈0.05, significant difference, but the functions of the two groups were the same reduction effect, P〈0.05.Conclusion： The incision interlocking intramedullary nail fixation of tibia and fibula fracture of dry more precise, is worthy of clinical use.