CAJ | 학술논문

目的：探讨不同内固定方法治疗胫腓骨骨折的疗效。方法选取在我院住院治疗的胫腓骨骨折患者60例作为研究对象,根据内固定方法不同分为三组院外固定支架固定10例设立为A组；加压钢板固定20例设立为B组；交锁髓内钉固定30例设立为C组,比较三组患者术后的优良率、并发症及术后负重时间及骨折愈合时间。结果 C组的优良率达93.3%,明显优于A、B组(P<0.05)。 C组并发症发生率仅6.7%,明显低于A、B组(P<0.05)。 C组行交锁髓内钉内固定治疗患者术后负重时间(29.1±2.7)d,明显短于A、B组(P<0.01)。 C组术后骨折愈合时间(3.5±0.1)个月,明显短于A组(P<0.05),但C组术后骨折愈合时间与B组比较差异无统计学意义(P>0.05)。结论交锁髓内钉内固定治疗胫腓骨骨折的疗效明显优于其他两种内固定方法,并发症少,骨折愈合快,值得推广和应用。
목적：탐토불동내고정방법치료경비골골절적료효。방법선취재아원주원치료적경비골골절환자60례작위연구대상,근거내고정방법불동분위삼조원외고정지가고정10례설립위A조；가압강판고정20례설립위B조；교쇄수내정고정30례설립위C조,비교삼조환자술후적우량솔、병발증급술후부중시간급골절유합시간。결과 C조적우량솔체93.3%,명현우우A、B조(P<0.05)。 C조병발증발생솔부6.7%,명현저우A、B조(P<0.05)。 C조행교쇄수내정내고정치료환자술후부중시간(29.1±2.7)d,명현단우A、B조(P<0.01)。 C조술후골절유합시간(3.5±0.1)개월,명현단우A조(P<0.05),단C조술후골절유합시간여B조비교차이무통계학의의(P>0.05)。결론교쇄수내정내고정치료경비골골절적료효명현우우기타량충내고정방법,병발증소,골절유합쾌,치득추엄화응용。
Objective To investigate the effect of different fixation methods in treatment of tibia and fibula fractures. Methods A total of 83 patients with fractures of the tibia and fibula as research subjects, according to the different fixation methods into three groups, external fixation in 10 cases,the establishment of group A; compression plate 20 cases,the establishment of group B;Intramedullary nailing 30 cases,the establishment of the C group. Results Group C’s excellent rate of 93.3%, was significantly better than group A,B (P<0.05). The complication rate of group C was 6.7%,significantly lower than group A,B(P<0.05).Group C’s interlocking intramedullary nail fixation of postoperative weight-bearing time(29.1±2.7)d,significantly shorter than group A,B (P<0.01). Group C’s fracture healing time was(3.5±0.1)months,significantly shorter than group A(P<0.05),but compared with group B,the difference was not sta-tistically significant(P>0.05). Conclusion Intramedullary nail fixation of tibia and fibula fracture fixation is significant-ly better than the other two methods,fewer complications,faster healing,should be popularized and applied.