CAJ | 학술논문

目的：探讨带锁髓内钉内固定治疗GustioⅢ型胫腓骨骨折的效果。方法以我院2013－01～2014－01间收治的68例GustioⅢ型胫腓骨骨折患者为研究对象，随机分为观察组和对照组。观察组采用带锁髓内钉内固定方法治疗，对照组采用根骨牵引治疗，比较两组患者临床治疗效果和并发症的发生率。结果观察组患者骨折愈合时间、负重达标时间和膝关节活动度达90°时间皆少于对照组，并发症发生率低于对照组，其差异有统计学意义（ P＜0.05）。结论带锁髓内钉内固定可以有效治疗GustioⅢ型胫腓骨骨折，相比于传统骨牵引模式，其可帮助患者更快恢复，同时降低并发症的发生率。
목적：탐토대쇄수내정내고정치료GustioⅢ형경비골골절적효과。방법이아원2013－01～2014－01간수치적68례GustioⅢ형경비골골절환자위연구대상，수궤분위관찰조화대조조。관찰조채용대쇄수내정내고정방법치료，대조조채용근골견인치료，비교량조환자림상치료효과화병발증적발생솔。결과관찰조환자골절유합시간、부중체표시간화슬관절활동도체90°시간개소우대조조，병발증발생솔저우대조조，기차이유통계학의의（ P＜0.05）。결론대쇄수내정내고정가이유효치료GustioⅢ형경비골골절，상비우전통골견인모식，기가방조환자경쾌회복，동시강저병발증적발생솔。
Objective To analyze the clinical effect of intramedullary nail fixation system in the treatment of Gustio Ⅲ type tibia and fibula fractures .Methods There were 68 patients with GustioⅢtype tibia and fibula fractures in the hospital from January , 2013 to Janu-ary, 2014 .They were randomly divided into two groups at the beginning of the research .The bone traction was used in the control group . And intramedullary nail fixation system was used in the objective group .The difference of clinical effect was compared between the two groups .Results The clinical effect in the objective group was better than that in the control group .The incidence of complications was low-er in the objective group, with statistical significance (P<0.05).Conclusion It can get positive effect to use intramedullary nail fixation system in the treatment of GustioⅢ type tibia and fibula fractures .The method can make patients recovery time shorten , and reduce the complication rate .