青岛大学学报（医学版）2024，Vol.60Issue(1)：120-123,4.DOI:10.11712/jms.2096-5532.2024.60.008
侧卧位髌下内侧入路髓内钉治疗胫骨骨折效果
Clinical effect of intramedullary nail via the infrapatellar approachin the lateral position in treatment of tibial fracture
摘要
Abstract
Objective To investigate the technical advantage and clinical effect of closed reduction with intramedullary nail via the infrapatellar approach in the lateral position inthe treatment of tibial fracture.Methods A total of 92 patients who under-went surgery for tibial fracture were enrolledand divided into lateral position group and supine position group,with 46 patients in each group.The two groups were compared in terms of time of operation,intraoperative blood loss,times of intraoperative fluoros-copy,reduction outcome,postoperative infection,fracture healing,and internal fixation failure.Results Compared with the su-pine position group,the lateral position group had a significantly shorter time of operation and significantly lower intraoperative blood loss and times of intraoperative fluoroscopy(t=3.24-3.86,P＜0.05),as well as a significantly smaller displacement dis-tance onlateral X-ray of the fracture(t=3.53,P＜0.05),but there was no significant difference in the displacement distance on an-teroposterior X-ray between the two groups(P＞0.05).There were no significant differences between the two groups in time to fracture healing,fracture healing rate,infection rate,and internal fixation failure rate(P＞0.05).Conclusion Compared with surgery in the supine position,intramedullary nail via the infrapatellar approach in the lateral position has the advantages of short time of operation,low intraoperative blood loss,a low number of times of fluoroscopy,manpower saving,and convenient operation in the treatment of tibial fracture.关键词
胫骨骨折/体位/骨折固定术,髓内/治疗结果Key words
tibial fractures/posture/fracture fixation,intramedullary/treatment outcome分类
医药卫生引用本文复制引用
李晓亮,陶春生,夏国峰,张玉和,孙培锋..侧卧位髌下内侧入路髓内钉治疗胫骨骨折效果[J].青岛大学学报（医学版）,2024,60(1):120-123,4.基金项目
青岛市卫健委医药科研指导计划项目(2020-WJ-ZD191) （2020-WJ-ZD191）
