Effect of Intramedullary Nail Internal Fixation with Suprapatellar Approach and Subpatellar Approach in the Treatment of Tibial Fracture
Objective:To explore the effect of intramedullary nail internal fixation with suprapatellar approach and subpatellar approach in the treatment of tibial fracture.Method:Sixty patients with tibial fracture admitted to Jingjiang People's Hospital from January 2019 to October 2023 were selected as the study objects.According to random drawing,they were divided into control group and observation group,with 30 cases in each group.The control group was given intramedullary nail internal fixation by subpatellar approach,and the observation group was given intramedullary nail internal fixation by suprapatellar approach.Perioperative indexes,preoperative and postoperative knee joint function and complications were compared between the two groups.Result:The surgery time,postoperative detumescence time,hospital stay time and fracture healing time in the observation group were shorter than those in the control group,and the intraoperative blood loss volume was less than that in the control group,the differences were statistically significant(P<0.05).At 3 months after surgery,the function,activity level,muscle strength and flexion deformity scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Intramedullary nailing fixation surgery method can be used to treat tibial fractures.The suprapatellar approach is more effective than the subpatellar approach,which can promote the recovery of knee joint function and reduce complications.
Intramedullary nail internal fixationTibial fractureSuprapatellar approachSubpatellar approachKnee joint function
万方数据
维普
