Clinical effect of reamed interlocking intramedullary nail in the treatment of upper tibial fracture
10.3760/cma.j.issn.1008-6706.2018.02.012
- VernacularTitle:扩髓交锁髓内钉治疗胫骨上段骨折的疗效分析
- Author:
Haiping XUE
1
Author Information
1. 忻州市中心医院骨科
- Keywords:
Bone nails;
Tibial fractures;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(2):179-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of reamed interlocking intramedullary nail in the treatment of upper tibial fracture .Methods According to the random number table ,81 patients with tibial fracture were divided into observation group ( reaming intramedullary interlocking nails ) of 41 cases and control group (unreamed intramedullary nails) of 40 cases.The operation time,healing time,fracture of nail lock,fracture union and infection were observed and compared between the two groups .Results The operation time of the observation group [(55.3 ±19.2)min] was significantly longer than that of the control group [(44.7 ±12.4)min].The healing time of the observation group [(16.2 ±4.2) weeks] was significantly shorter than that of the control group [(24.1 ± 5.2)weeks],the differences were statistically significant (t=6.543,8.235,all P<0.05).The fracture of the nail, fracture healing were compared between the two groups,the differences were not statistically significant(χ2=0.086,0.753, 0.633,0.598,all P>0.05).Conclusion Reamed interlocking intramedullary nail in the treatment of upper tibial fracture has reliable curative effect .The internal fixation is more stable and the healing rate of the patients is faster .
