摘要
Abstract
Objective:To compare the effect of suprapatellar and infrapatellar approach intramedullary nail fixation on postoperative pain and knee joint mobility in patients with tibial shaft fracture.Method:A total of 86 patients with tibial shaft fracture who admitted to Baiyun Hospital Affiliated to Guizhou Medical University from December 2020 to December 2022 were selected as the research objects,the patients were divided into the control group and the observation group according to the random number table method,with 43 cases in each group.The control group was treated with infrapatellar approach intramedullary nail fixation,and the observation group was treated with suprapatellar approach intramedullary nail fixation,two groups were treated with anti-infection after operation and were followed up for 3 months.The operation related indexes,pain degree,knee joint flexion and extension activity,knee joint function,quality of life and complications were compared between two groups.Result:The intraoperative blood loss and fluoroscopy times in the observation group were less than those in the control group,the operation time was shorter than that in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(P＜0.05).Before operation,there were no significant differences in visual analogue scale(VAS)score,knee flexion and extension activity,Lysholm knee function score and the dimensions of generic quality of life inventory-74(GQOLI-74)(P＞0.05);at 3 months after surgery,the VAS score,knee flexion and extension range of motion,Lysholm knee function score and GQOLI-74 scores of each dimension in two groups were improved than those before operation,and the VAS score of the observation group was lower than that of the control group,the knee flexion and extension activity,Lysholm knee function score and GQOLI-74 scores of each dimension were higher than those of the control group,and the differences were statistically significant(P＜0.05).Conclusion:Compared with the infrapatellar approach,the suprapatellar approach intramedullary nail fixation in treating patients with tibial shaft fractures is more effective,it can reduce intraoperative blood loss and fluoroscopy times,shorten operation time,reduce postoperative pain,improve knee joint mobility,accelerate knee joint function recovery,improve quality of life,and have fewer complications.关键词
胫骨干骨折/髓内钉固定术/髌上入路/髌下入路/疼痛/膝关节活动度Key words
Tibial shaft fracture/Intramedullary nail fixation/Suprapatellar approach/Infrapatellar approach/Pain/Knee joint mobility
