新医学Issue(10)：691-694,4.DOI:10.3969/g.issn.0253-9802.2014.10.015
改良多功能外固定支架和交锁髓内钉治疗胫腓骨C型骨折的疗效对比研究
Comparative analysis of modified unilateral multifunctional external fixation brace and interlocking in-tramedullary nail in the treatment of type C tibiofibular fractures
马忠超 1王佰亮 2许艳旭 1王玮玮1
作者信息
- 1. 266003 济宁，山东济宁医学院附属金乡人民医院骨二科
- 2. 100029 北京，中日友好医院骨关节外科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of modified multifunctional external fixation brace and interlocking intramedullary nail in the treatment of type C tibiofibular fractures.Methods Eighty patients with type C fractures of tibia and fibula were enrolled in this study.Forty patients were treated with modified multifunctional external fixation brace,and the other 40 patients received interlocking intramedullary nail.Clinical efficacy,operative time,intraoperative blood loss,postoperative complications,time of leaving bed and time of bone union were statistically compared between two groups.Results No statistical significance was found between two groups in the excellent rate of therapy (P >0.05).Operation time,intraoperative blood loss and time of bone union in modified unilateral multifunctional external fixation brace group were significantly better than those in interlocking intramedullary nail group (all P <0.05).In modified unilateral multifunction-al external fixation brace group,one patient had infection and one had malunion,no patient was delayed union and nonunion.In interlocking intramedullary nail group,one presented with malunion and one had delayed union.No patient suffered from nonunion in both groups.Conclusion Compared with interlocking intramedul-lary nail,modified unilateral multifunctional external fixation brace requires shorter operative time,less intrao-perative blood loss and faster bone union in patients with type C tibiofibular fractures.关键词
胫腓骨骨折/多功能外固定支架/交锁髓内钉Key words
Tibiofibular fractures/Unilateral multifunctional external fixation brace/Interlocking intramedullary nail引用本文复制引用
马忠超,王佰亮,许艳旭,王玮玮..改良多功能外固定支架和交锁髓内钉治疗胫腓骨C型骨折的疗效对比研究[J].新医学,2014,(10):691-694,4.
