CAJ | 학술논문

目的：比较闭合复位与切开复位交锁髓内钉内固定治疗胫骨干骨折的临床效果。方法将96例胫骨干骨折患者随机分为闭合复位组（48例）和切开复位组（48例），术后比较分析骨折愈合时间及并发症发生情况等。结果96例均随访，时间10～18个月。骨折愈合时间：闭合复位组（5．2±2．2）个月，切开复位组（8．5±2．4）个月，两组比较差异有统计学意义（P ＜0．05）。闭合复位组：优40例，良7例，可1例，优良率达97．92％，无感染、骨折延迟愈合、骨不连。切开复位组：优25例，良13例，可7例，差 3例，优良率79．17％，骨折延迟愈合 5例，经动力化后6个月骨折愈合，深部感染2例。两组优良率和并发症总发生率比较差异有统计学意义（P ＜0．05）。结论闭合复位交锁髓内钉内固定治疗胫骨干骨折优于切开复位。
목적：비교폐합복위여절개복위교쇄수내정내고정치료경골간골절적림상효과。방법장96례경골간골절환자수궤분위폐합복위조（48례）화절개복위조（48례），술후비교분석골절유합시간급병발증발생정황등。결과96례균수방，시간10～18개월。골절유합시간：폐합복위조（5．2±2．2）개월，절개복위조（8．5±2．4）개월，량조비교차이유통계학의의（P ＜0．05）。폐합복위조：우40례，량7례，가1례，우량솔체97．92％，무감염、골절연지유합、골불련。절개복위조：우25례，량13례，가7례，차 3례，우량솔79．17％，골절연지유합 5례，경동력화후6개월골절유합，심부감염2례。량조우량솔화병발증총발생솔비교차이유통계학의의（P ＜0．05）。결론폐합복위교쇄수내정내고정치료경골간골절우우절개복위。
Objective To compare the clinical outcomes of close reduction with open reduction interloc-king intramedullary nail fixation for tibial shaft fracture. Methods Ninety- six patients with tibial shaft fracture were randomly assigned to a close reduction group (n =48)and an open reduction group (n =48). Compared and analyzed the two groups in postoperative fracture healing time and complications. Results Ninety-six cases were all followed up for 10~18 months.The union period of close reduction group and open reduction group were (5.2 ± 2.2)months and (8.5 ± 2.4)months,respectively,the comparison of the two groups yielded statistically difference (P <0.05).Function assessment showed that the results of 40 cases in close reduction group achieved excellent function and 7 good,1 fair.The excellent and good rate was 97.92 !, no infection and delayed union or nonunion was found.For the open reduction group,the results of 25 cases a-chieved excellent function,13 good,7 fair and 3 poor,the excellent and good rate was 79.17%,5 cases got de-layed union,and became union 6 months after dynamic locking.Deep-infection occurred in 2 cases.Group-paired comparison of excellent/good rate and complications yielded statistically significant differences (P <0.05). Conclusion Close reduction for tibial shalt fracture with interlocking intramedullary nail internal fixa-tion is better than open reduction.