微创锁定钢板与交锁髓内钉治疗52例胫腓骨骨折的疗效比较

摘要

目的：探讨微创锁定钢板与交锁髓内钉治疗老年下肢胫腓骨骨折的临床疗效.方法：回顾性分析笔者所在医院骨科2011年3月-2012年3月收治52例下肢胫腓骨骨折患者的临床资料.结果：微创锁定钢板内固定组优良率为91.67%；交锁髓内钉内固定组优良率为89.29%；两组比较差异无统计学意义(P>0.05)；微创锁定钢板内固定组患者平均手术时间为(54.69±11.87)min,交锁髓内钉内固定组为(79.03±12.06)min ；两组相比差异有统计学意义(P<0.05)；微创锁定钢板内固定组患者平均出血量为(75.21±46.52)ml,交锁髓内钉内固定组为(106.01±42.35)ml ；两组相比差异有统计学意义(P<0.05).结论：微创锁定钢板内固定技术具有手术创伤小、有利于骨折复位及保护骨折断端血运等优点,可加速患者的康复进程,值得临床广泛推广和应用.%　　Objective :To investigate the minimally invasive treatment of clinical efficacy of the tibia and fibula fracture of aged patients with peripheral locking steel plates with interlocking intramedullary nail.Methods :A retrospective analysis of the clinical data of a total of 52 cases of lower limb tibia and fibula fracture patients admitted in our hospital orthopedic March 2011 to March 2012.Results :Minimally invasive locking plate fixation group good rate of 91.67% ;Interlocking intramedullary nailing group of excellent good rate was 89.29% ;Difference was not significant(P>0.05) ;Minimally invasive locking plate fixed group of patients,the mean operative time was (54.69 ± 11.87)min.Interlocking intramedullary nail fixation group (79.03±12.06)min ;Two groups were significantly different(P<0.05) ;invasive locking plate fixation group with an average amount of bleeding (75.21±46.52)ml,interlocking intramedullary nail fixation group(106.01±42.35)ml ;The two groups was significantly different(P<0.05).Conclusion :Minimally invasive iocking plate fixation technology to minimally invasive,conducive to fracture reduction and protecting the blood supply of fracture fragments,can accelerate the process of rehabilitation of patients,worthy of extensive promotion and application.