CAJ | 학술논문

目的：探讨胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的发生情况及影响因素。方法：统计分析我院骨外科2009年1月至2012年9月收治的128例胫骨干骨折患者的临床资料。结果：128例患者中，所有患者均没有发生髌韧带断裂、髓内钉断裂、骨折不愈合等情况。84例患者发生了膝关节前侧疼痛，发生率为65.6%；近端十字锁钉方式、有扩髓情况的胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的发生率均显著高于平行锁钉方式、无扩髓情况的患者，但不同性别、年龄、骨折类型、髓内钉直径患者膝关节前侧疼痛的发生率之间的差异均不显著。结论：胫骨干骨折髓内钉固定后病人膝关节前侧疼痛的发生率较高，主要影响因素为近端锁钉方式、扩髓情况。
목적：탐토경골간골절수내정고정후병인슬관절전측동통적발생정황급영향인소。방법：통계분석아원골외과2009년1월지2012년9월수치적128례경골간골절환자적림상자료。결과：128례환자중，소유환자균몰유발생빈인대단렬、수내정단렬、골절불유합등정황。84례환자발생료슬관절전측동통，발생솔위65.6%；근단십자쇄정방식、유확수정황적경골간골절수내정고정후병인슬관절전측동통적발생솔균현저고우평행쇄정방식、무확수정황적환자，단불동성별、년령、골절류형、수내정직경환자슬관절전측동통적발생솔지간적차이균불현저。결론：경골간골절수내정고정후병인슬관절전측동통적발생솔교고，주요영향인소위근단쇄정방식、확수정황。
Objective To investigate the incidence and influencing factors of front side after intramedullary nailing of knee pain of tibial shaft fracture patients. Methods The clinical data of 128 cases of tibial shaft fracture patients who were treated in orthopedic surgery of our hospital from January 2009 to September 2012 were statistically analyzed. Results Among the 128 cases of patients, all patients did not happen patellar tendon rupture, nail breakage, nonunion and so on. 84 cases of patients had knee pain in the front side, the rate was 65.6%; The incidence of proximal front side after intramedullary nailing of knee pain of tibial shaft fracture patients with cross nail way, having reamed case were significantly higher than patient with parallel lock nail mode, having no reamed situation, but the differences of the incidence of front side of knee pain between paitents in different gender, age, fracture type, intramedullary nail diameter were not significant. Conclusion The incidence of front side after intramedullary nailing of knee pain of tibial shaft fracture patients is high, the main factors are proximal nail fashion, reamed situation.