摘要
目的比较采用髓内钉技术和锁定钢板技术治疗胫骨AO 42-C型骨折的疗效差异。方法将55例胫骨骨折患者分为髓内钉组(29例)及锁定钢板组(26例),术中分别采用髓内钉及锁定钢板作为内固定物,比较2组手术及并发症情况,使用Johner-Wruhs评分评价手术疗效。结果所有患者手术过程顺利。髓内钉组浅表感染、下肢疼痛发生率均低于锁定钢板组(P均<0.05)。髓内钉组畸形发生率高于锁定钢板组(P<0.05)。髓内钉组Johner-Wruhs评分优于锁定钢板组(P<0.05)。2组骨折愈合时间、剧烈活动受限及发生步态改变的情况比较差异均无统计学意义(P均>0.05)。结论采用髓内钉技术治疗胫骨AO 42-C型骨折在降低术后浅表感染、下肢疼痛发生率及提高Johner-Wruhs评分等方面优于锁定钢板技术。
Objective To compare the clinical efficacy of intramedullary nail(IMN) and locking compression plate(LCP) fixation in the treatment of AO 42-C tibial fracture. Methods Fifty-five patients with complex tibial fractures were enrolled and allocated into the IMN(n=29) and LCP groups(n=26). Intraoperatively, IMN and LCP were utilized for internal fixation. Surgical conditions and postoperative complications were statistically compared between two groups. Surgical efficacy was assessed by Johner-Wruhs evaluation criteria. Results All patients successfully completed the surgery. In the IMN group, the incidence rate of superficial infection and lower limb pain was significantly lower, the incidence rate of deformation was remarkably higher, and the Johner-Wruhs evaluation score was considerably higher compared with those in the ICP group(all P<0.05). The fracture healing time, severe activity limitation and gait changes did not significantly differ between two groups(all P>0.05). Conclusion IMN is superior to LCP fixation with a lower incidence of superficial infection and lower limb pain, and higher Johner-Wruhs evaluation score in the treatment of AO 42-C fracture.
作者
焦玉爽
杜红杰
张宗召
Jiao Yushuang;Du Hongjie;Zhang Zongzhao(The Second Department of Orthopedics Surgery,the Center Hospital of Qinghe,Xingtai 054800,China)
出处
《新医学》
2020年第1期17-21,共5页
Journal of New Medicine
基金
国家自然科学基金（81401789）
关键词
胫骨
骨折
髓内钉
锁定钢板
Tibia
Fracture
Intramedullary nailing
Locking compression plate
