CAJ | 학술논문

目的比较交锁髓内钉与单臂外固定支架治疗胫腓骨骨折的临床疗效.方法将58例胫腓骨骨折患者分为具有可比性的两组,分别采用交锁髓内钉与单臂外固定支架进行固定治疗.结果骨折愈合时间比较方面,交锁髓内钉组平均骨折愈合时间较单臂外固定支架组愈合时间短,疗效评分平均分高但是两组差异无统计学意义(P＞0.05).并发症比较方面,交锁髓内钉组无感染病例,单臂外固定支架组有4例钉道感染病例,两组差异具有统计学意义(P＜0.05).结论交锁髓内钉内固定和单臂外固定支架固定均是治疗胫腓骨骨折的有效方法,但在并发症方面,单臂外固定支架的感染率相对较高.
목적 비교교쇄수내정여단비외고정지가치료경비골골절적림상료효.방법 장58례경비골골절환자분위구유가비성적량조,분별채용교쇄수내정여단비외고정지가진행고정치료.결과 골절유합시간비교방면,교쇄수내정조평균골절유합시간교단비외고정지가조유합시간단,료효평분평균분고단시량조차이무통계학의의(P＞0.05).병발증비교방면,교쇄수내정조무감염병례,단비외고정지가조유4례정도감염병례,량조차이구유통계학의의(P＜0.05).결론 교쇄수내정내고정화단비외고정지가고정균시치료경비골골절적유효방법,단재병발증방면,단비외고정지가적감염솔상대교고.
Objective To compare the treatment result of interlocking intramedullary nail and external fixation in tibia and fibula fractures retrospectively. Methods Take the fifty-eight cases into two groups. One group is treated with interlocking intramedullary nail, and the other group is treated with external fixation. Results The interlocking intramedullary nailed group have advantage of lower rate of infection over the external fixed group. But they do not have significant difference on the part of healing and curative effection. Conclusion Interlocking intramedullary nail and external fixtion are both the efficient methods for the fracture of tibia and fibula. On the part of the complicating disease, the interlocking intramedullary nailedgroup have advantage of lower rate of infection over the external fixed group.