髓内钉内固定术对胫骨干创伤性骨折应用效果及安全性研究
Study on the application effect and safety of intramedullary nail fixation for traumatic tibial shaft fracture
何营 1张刚建1
作者信息
摘要
目的 分析髓内钉内固定术对胫骨干创伤性骨折患者的应用效果及安全性.方法 选取 110例胫骨干创伤性骨折患者,按照随机数字表法分为观察组和对照组,每组55 例.对照组采用常规内固定术治疗,观察组将采用髓内钉内固定术治疗.比较两组手术情况、术后并发症发生情况.随访6 个月,比较两组随访期间的骨关节功能、结构恢复情况.结果 观察组的手术时间、术中出血量、术后骨折线消失时间、术后并发症发生率均低于对照组,差异有统计学意义(P<0.05).随访期间,观察组的胫骨角、胫骨内侧平台后倾角、外侧平台后倾角均大于对照组.术后 1 个月、6 个月,观察组的膝关节Lysholm评分、HSS评分均高于对照组(P<0.05).结论 采用髓内钉内固定术治疗胫骨干创伤性骨折,可增强治疗效果,手术安全性较好,对促进患者骨关节结构、功能恢复均有积极意义.
Abstract
Objective To analyze the application effect and safety of intramedullary nail fixation in patients with traumatic tibial shaft fracture.Methods 110 patients with traumatic tibial shaft fracture were selected and divided into the control group and observation group by random number table method,with 55 cases in each group.The control group were treated with conventional internal fixation,while the observation group were treated with intramedullary nail fixation.The surgical conditions and postoperative complications of two groups of patients were compared.Followed up for 6 months,and the recovery of bone and joint function and structure were compared between the two groups during the follow-up period.Results The surgical time,intraoperative bleeding volume,disappearance time of postoperative fracture line,and incidence of postoperative complications in the observation group were lower than that in the control group,with a statistically significant difference(P<0.05).During the follow-up period,the tibial angle,the caster angle of the medial tibial platform and the caster angle of the lateral tibial platform in the observation group were greater than those in the control group.The Lysholm score and HSS score of the knee joint in the observation group were higher than those in the control group at 1 and 6 months after surgery(P<0.05).Conclusion The use of intramedullary nail fixation for the treatment of traumatic tibial shaft fracture can enhance the surgical efficacy and safety of patients,and has positive significance in promoting the recovery of bone and joint structure and function.
关键词
胫骨干创伤性骨折/髓内钉/内固定术/应用效果Key words
traumatic tibial shaft fracture/intramedullary nail/internal fixation/application effect引用本文复制引用
基金项目
河南省医学科技攻关计划(LHGJ202200124)
出版年
2024
NETL
NSTL
万方数据