摘要
Abstract
Objective To investigate the effect of three different methods in treatment of fracture of tibia and fibula. Methods A total of 84 cases of patients with fracture of tibia and fibula in our hospital from January 2013 to January 2015 hospitalized patients were selected, according to the different internal fixation methods were divided into group A (external fixation) 24 cases, group B (compression plate) 30 cases, group C (intramedullary nail) 30 cases, the blood loss, time of fracture healing and curative effect were compared. Results The amount of bleeding in group C was the largest, which was significantly more than that of the group A, group B. There were significant differences of amount of bleed-ing in three groups (F=11.237, P<0.01). The fracture healing time in group C was the fastest, which was faster than group A, group B. There were significant differences of fracture healing time in three groups (F=23.865, P<0.01). Fol-low up of patients: The excellent and good rate of group C was highest, was significantly higher than group A, group B. There were significant differences of excellent and good rate in three groups (χ2=6.138, P<0.05). Group A of 3 cases of soft tissue infection, 3 cases of osteomyelitis, nonunion in 1 cases, no skin necrosis, malunion, joint stiffness. Group B had no soft tissue infection, 2 cases of osteomyelitis, nonunion in 3 cases, skin necrosis in 1 cases, joint stiffness in 2 cases, 3 cases of malunion. In group C, no case of osteomyelitis, soft tissue infection, skin necrosis, joint stiffness, and only 1 cases of nonunion, malunion occurred in 1 cases. Conclusion External fixation, compression plate, in-tramedullary nail for treatment are effective methods in the treatment of fracture of tibia and fibula with interlocking intramedullary nail, but compare with other methods of internal fixation has more advantages.关键词
胫腓骨骨折/外固定支架/加压钢板/交锁髓内钉Key words
Tibial and fibular fracture/External fixation/Compression plate/Intramedullary nail分类
医药卫生
