摘要
目的:分析两种不同固定方法治疗胫腓骨骨折的临床效果。方法:158例胫腓骨骨折患者,随机分为外固定支架组和交锁髓内钉内固定组,比较两组骨折愈合率、骨折并发症、畸形、骨折感染率和软组织感染率。结果:外固定组的骨感染、愈合延迟和并发症发生率低于髓内钉组;但软组织感染、畸形的发生率高,差异有统计学意义(P<0.05)。结论:两种治疗方法各有利弊,应针对不同病情进行选择。
Objective： To observe the clinical effects of two different fixation methods in treating tibio- fibular fracture. Methods： 158 cases with the fracture of tibia and fibula were randomly divided into external fixation group and interlocking intramedullary nail fixation group. Then, the healing rate, fracture complications and deformity were compared between the two groups, along with the infec- tion rate in fractures and soft tissues. Results： Compared with intramedullary nail group, the ex- ternal fixation group showed lower fractures infection rate, less delayed healing and decreased corn-plications. However, the incidence of soft tissue infection and deformity significantly increased in the external fixator group （P〈0.05）. Conclusion： Each method has its own advantages and disad- vantages, and should be chosen according to different clinical settings.
出处
《华夏医学》
CAS
2013年第4期680-682,共3页
Acta Medicinae Sinica
关键词
胫腓骨
骨折
外固定
内固定
tibiofibular fracture
fracture
external fixation
internal fixation
