临床骨科杂志2016，Vol.19Issue(5)：591-593,3.DOI:10.3969/j.issn.1008-0287.2016.05.032
交锁髓内钉与经皮锁定加压钢板内固定治疗胫骨远端骨折的疗效比较
Comparison efficacy of interlocking intramedullary nail and invasive percutaneous locking ;compression plate osteosynthesis for treatment of distal tibia fractures
摘要
Abstract
Abstact:Objective To compare the clinical efficacy between interlocking intramedullary nail ( IMN) and invasive percutaneous locking compression plate( LCP) osteosynthesis in the treatment of distal tibia fractures. Methods A retrospective analysis about 87 cases suffered distal tibia fractures,42 cases with tibial fractures were treated with in-vasive percutaneous LCP osteosynthesis and 45 cases were treated with IMN. Five factors including surgery times, in-teroperation bleeding, healing times, the last follow-up American Orthopedic Foot and Ankle Society ( AOFAS) score and complication incidence rate were studied. Results All patients were followed up for 12~45 months. There were no statistically significant in the factors including surgery times, intraoperation bleeding, healing times and the last follow-up AOFAS score(P>0. 05). The knee joint pain and the incidence rates of malformation were higher in the IMN group than those in the LCP group, and the difference was statistically significant (P<0. 05). In terms of post-operative infection, the incidence rate was higher in the LCP group than those in the IMN group and the difference was statistically significant (P<0. 05). Conclusions Both IMN and invasive percutaneous LCP are effective for the treatment of distal tibia fractures. The LCP group has the advantages of lower rate of malformation and knee joint pain, but the prevention of infection should be taken seriously.关键词
胫骨远端骨折/交锁髓内钉/经皮钢板内固定术/锁定加压钢板Key words
distal tibia fracture/interlocking intramedullary nail/percutaneous plate osteosynthesis/locking compres-sion plating分类
医药卫生引用本文复制引用
黄润华,尚希福,贺瑞,姚刚,葛畅..交锁髓内钉与经皮锁定加压钢板内固定治疗胫骨远端骨折的疗效比较[J].临床骨科杂志,2016,19(5):591-593,3.基金项目
安徽省2013年度重点科研项目(编号:KJ2013A160) （编号:KJ2013A160）
