Application of locking intramedullary nail and locking plate in traumatic extraarticular proximal tibial fractures
10.3760/cma.j.issn.1008-6706.2018.07.016
- VernacularTitle:带锁髓内钉与钢板置入内固定治疗胫骨骨折的效果比较
- Author:
Hongpeng DONG
1
Author Information
1. 枣庄市薛城区人民医院骨三科
- Keywords:
Tibial fractures;
Fracture fixation,internal;
Bone nails
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(7):874-878
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of locking intramedullary nail and locking plate in traumatic extraarticular proximal tibial fractures.Methods 150 patients with traumatic extraarticular proximal tibial fractures were chosen in the research.According to the internal fixation program,the patients were divided into observation group and control group,with 75 cases in each group.The observation group was treated with multifunctional locking intramedullary nail,the control group was treated with locking plate.After treatment for 3 months,the fracture repairing effects,blood loss,operation time,bleeding duration and adverse reaction between the two groups were compared.Results The patients were followed up after operation,the average fracture healing time of the observation group was (9.17 ± 2.84) months,which of the control group was (9.25 ± 2.65) months,there was no statistically significant difference between the two groups(t =0.252,P ＞0.05).The repairing effect of the observation group was better than that of the control group,the difference was statistically significant(u =4.341,P ＜ 0.05).The operation time[(99.73 ±26.31) min vs.(83.18 ± 13.94) min] of the observation group was longer than that of the control group,blood loss [(101.15 ± 21.26) mL vs.(253.57 ± 23.14) mL] and bleeding duration [(44.25 ± 15.63) min vs.(63.47 ± 16.09) min] of the observation group were lower than those of the control group,the differences were statistically significant (t =4.814,42.006,7.420,all P ＜ O.05).The incidence rates of nerve and vascular injuries,valgus and varus of the observation group were lower than those of the control group,the differences were statistically significant (x2 =3.857,5.042,4.807,all P ＜ 0.05).The incidence rates of unhealing and infection in the observation group were lower than those in the control group,but the differences were not statistically significant (x2 =1.027,1.714,all P ＞ 0.05).Conclusion Multifunctional locking intramedullary nail can reduce the incidence rate of adverse reaction and blood loss in traumatic extraarticular proximal tibial fractures,the fracture repairing effect is better than locking plate internal fixation.
