Intramedullary nail combined with blocking screws for treating distal tibial fractures
10.3969/j.issn.2095-4344.2016.31.008
- VernacularTitle:髓内钉结合阻挡螺钉修复胫骨远段骨折
- Author:
Jingzhao HOU
;
Qiulin ZHANG
;
Hongwei BAO
;
Jinchun WU
;
Hao TANG
;
Xuri TANG
- Publication Type:Journal Article
- Keywords:
Tibial Fractures;
Fracture Fixation;
Tissue Engineering
- From:
Chinese Journal of Tissue Engineering Research
2016;20(31):4616-4622
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:For the treatment of distal tibial fractures, open reduction and plate fixation, minimal y invasive percutaneous plate fixation and intramedul ary nail fixation are effective, but each has advantages and disadvantages. OBJECTIVE:To compare the effects of intramedul ary nail combined with blocking screws versus minimal y invasive percutaneous plate fixation in treating distal tibial fractures. METHODS:Fifty-one cases of distal tibial fractures were divided into two groups. The blocking screw group (23 cases) was treated with closed reduction and internal fixation with interlocking nail combined with blocking screws. The plate fixation group (28 cases) was treated with minimal y invasive percutaneous plate fixation. Fracture healing time, recovery of tibial function and complication occurrence were observed during fol ow-up. RESULTS AND CONCLUSION:Al patients were fol owed up for 8 to 32 months. (1) Except one patient in the plate fixation group, the other patients had bony union. The healing time was (4.6±1.7) months in the blocking screw group and (6.9±2.3) months in the plate fixation group. Significant differences in healing time were detected between the two groups (P<0.05). (2) The excel ent and good rate of tibial function recovery was significantly higher in the blocking screw group (100%) than in the plate fixation group (82%) (P<0.05). (3) No significant difference in the incidence of adverse events was determined between the blocking screw group (13%) and plate fixation group (18%) (P>0.05). (4) Results suggested that interlocking intramedul ary nail combined with blocking screw fixation in the treatment of distal tibial fractures can promote fracture healing and joint function recovery.
