交锁髓内钉内固定治疗胫骨干骨折的疗效分析

摘要

Objective To discuss the clinical effect of interlocking intramedullary nail fixation for tibia shaft fractures. Methods 94 cases of tibia shaft fracture from July 2012 to December 2014 in our hospital were chosen, according to ran-domly digits table, all patients were divided into observation group and control group, 47 cases in each group, control group was given traditional plate and screw fixation to treat, observation group was used interlocking intramedullary nail fixation. Results All patients completed the surgery; the operative time, blood loss, postoperative weight-bearing time and fracture healing time of the observation group were significantly less than control group (P<0.05). 3 months after surgery, the excel-lent rate of knee function in the observation group was 95.7%, which was significantly higher than that of control group (78.7%), the difference was statistically significant (P<0.05). Conclusion Interlocking intramedullary nail fixation of tibia shaft fractures is better minimally invasive, and it has a very good value.%目的：探讨交锁髓内钉内固定治疗胫骨干骨折的疗效。方法2012年7月—2014年12月选择在该院诊治的胫骨干骨折患者94例，根据随机数字表法分为观察组与对照组各47例，对照组采用传统钢板螺钉内固定治疗，观察组采用交锁髓内钉内固定治疗。结果所有患者都完成手术，观察组的手术时间、术中出血量、术后负重时间与骨折愈合时间都明显少于对照组(P<0.05)。术后3个月观察组的膝关节功能优良率为95.7%，明显高于对照组的78.7%，差异有统计学意义(P<0.05)。结论交锁髓内钉内固定治疗胫骨干骨折具有更好的微创性，有很好的应用价值。