膨胀髓内钉与交锁髓内钉治疗胫骨干骨折的疗效比较

[目的]比较研究膨胀髓内钉与交锁髓内钉治疗胫骨干骨折的疗效. [方法]40例胫骨干骨折患者,19例采用膨胀髓内钉、21例采用传统交锁髓内钉内固定.分析比较其手术难易程度、治疗效果以及并发症.[结果]术中膨胀髓内钉组手术难度明显降低;术后平均随访18个月,膨胀髓内钉组平均骨折愈合时间为14周,并发症发生率为0.0%,交锁髓髓内钉组平均骨折愈合时间为19周,并发症发生率为38.1%.[结论]膨胀髓内钉治疗胫骨干骨折具有创伤小、操作简单、并发症少等优点,是一种优于交锁髓内钉的新方法,值得推广.

Comparison Between the Effect of Expandable Intramedullary Nail and Interlocking Intramedullary Nail Fixation in the Treatment of the Tibial Shaft Fractures

[Objective] To comparatively analyze the effect of expandable intramedullary nail and interlocking intramedullary nail fixation in the treatment of the tibial shaft fractures.[Methods]Totally 40 cases of the tibial shaft fractures underwent surgical treatment with different fixation including expandable intramedullary nails in 19 cases and interlocking intramedullary nails in 21 cases.The operative difficulties,outcomes and complications were analyzed and compared retrospectively.[Results]The operation with expandable intramedullary nails was much easier than interlocking intramedullary nails.According to average 18 months postoperative follow-up,the average duration of bone union was 14 weeks and the complication rate was 0 in the cases fixed with expandable intramedullary nails,19 weeks and 38.1% in the cases fixed with interlocking intramedullary nails respectively.[Conclusion]The application of expandable intramedullary nails in the treatment of tibial shaft fractures has advantages of less trauma,more simple operation,and less complications.It's a new method of the treatment of the tibial shaft fractures better than interlocking intramedullary nails,and It's worthy of recommending.