Study on the application effect and safety of intramedullary nail fixation for traumatic tibial shaft fracture
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.
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