摘要
Abstract
Objective To investigate the effects of closed reduction and internal fixation versus traditional open reduction and internal fixation on postoperative fracture healing and knee joint function in patients with tibial fracture.Methods The study subjects comprised 60 patients with tibial fractures admitted to Hengfeng County People's Hospital from January 2022 to December 2024.The patients were allocated via a random number table method into a control group(n=30)and a study group(n=30),undergoing traditional open reduction and internal fixation and closed reduction and internal fixation,respectively.Comparisons were made between the two groups with respect to treatment efficacy,clinical parameters(incision length,intraoperative blood loss,hospital day,and healing time),knee joint function(pain,mobility,stability,walking ability,and stair-climbing),and the incidence of complications(malunion,incision infection,and nonunion).Results Compared with the control group,in which the total effective rate was 73.33%,the study group demonstrated a significantly higher total effective rate of 96.67%(P＜0.05).Compared with the control group in terms of clinical parameters,the study group exhibited shorter incision length,less intraoperative blood loss,and shorter hospital stay and healing time(P＜0.05).The knee function scores(pain,mobility,stability,walking ability,stair-climbing)of the two groups after operation were higher than those before operation(P＜0.05),and the study group showed significantly higher scores than the control group across all dimensions(P＜0.05).Compared with the control group,in which the incidence of complications was 23.33%,the study group had a significantly lower incidence of 3.33%(P＜0.05).Conclusion The clinical efficacy of closed reduction and internal fixation in the treatment of tibial fractures is better than that of traditional open reduction and internal fixation.It can effectively improve the fracture healing rate,reduce surgical trauma,reduce intraoperative blood loss,shorten hospitalization days and healing time,promote the recovery of knee joint function,and has good safety.关键词
切开复位内固定/闭合复位内固定/胫骨骨折/膝关节功能Key words
Open reduction and internal fixation/Closed reduction and internal fixation/Tibial fracture/Knee joint function分类
医药卫生
