| 朱伯然,田立国,郭艳鸽,芦九阳,王帅.闭合复位交锁髓内钉内固定治疗车祸致老年胫腓骨骨折的效果[J].中国临床保健杂志,2023,26(1):109-113. |
| 闭合复位交锁髓内钉内固定治疗车祸致老年胫腓骨骨折的效果 |
| Observation on clinical effects of closed reduction and interlocking intramedullary nail fixation on elderly tibiofibular fractures caused by traffic accident |
| 投稿时间：2022-08-10 |
| DOI：10.3969/J.issn.1672-6790.2023.01.024 |
| 中文关键词: 骨折 骨折固定术,髓内 骨折闭合复位 老年人 |
| 英文关键词: Fractures,bone Fracture fixation,intramedullary Closed fracture reduction Aged 〖FL |
| 基金项目: |
|
| 摘要点击次数: 1076 |
| 全文下载次数: 2132 |
| 中文摘要: |
| 目的 观察闭合复位交锁髓内钉内固定在车祸致老年胫腓骨骨折治疗中的临床效果。方法 选取2018年4月1日至2021年4月30日120例车祸致老年胫腓骨骨折患者,按手术方式分为观察组、对照组各60例。观察组行闭合复位交锁髓内钉内固定术,对照组采用锁定钢板内固定术,术后随访12个月。比较2组围术期指标(手术时长、术中失血量、下床活动时间、首次负重时间、骨折愈合时间)、术后不同时间点(1周、1个月、3个月、6个月、12个月)踝关节功能[美国足踝外科协会(AOFAS)踝-后足评分量表]、术后12个月手术疗效(Johner-Wruh胫骨骨折疗效标准)及术后并发症发生情况。结果 观察组术中失血量少于对照组(P<0.05),术后下床活动时间、首次负重时间、骨折愈合时间均早于对照组(P<0.05)；术后1个月、3个月、6个月,观察组AOFAS踝-后足评分均高于对照组(P<0.05)；术后12个月,观察组手术疗效优良率93.33%,高于对照组的80.00%(P<0.05)；观察组并发症总发生率5.00%,低于对照组的18.33%(P<0.05)。结论 相比传统锁定钢板内固定,采用闭合复位交锁髓内钉内固定治疗车祸致老年胫腓骨骨折手术创伤更小,可促进患者早期功能锻炼、骨折愈合及踝关节功能恢复,提高手术疗效,且有利于降低术后并发症风险。 |
| 英文摘要: |
| Objective To observe the clinical effects of closed reduction and interlocking intramedullary nailing in the treatment of elderly tibiofibular fractures caused by traffic accident.Methods One hundred and twenty elderly patients with tibiofibular fractures caused by traffic accident were selected between April 1,2018 and April 30,2021,according to the operation method,the subjects were divided into observation group and control group with 60 cases in each group.The observation group received closed reduction and interlocking intramedullary nail fixation,and the control group was treated with locking plate internal fixation,and they were followed up for 12 months after surgery.The perioperative indicators (surgical time,intraoperative blood loss,ambulation time,first weight-bearing time,fracture healing time),ankle function[American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score]at different postoperative time points (1 week,1 month,3 months,6 months,12 months),surgical efficacy (Johner-Wruh tibial fracture efficacy criteria) at 12 months after surgery and occurrence of postoperative complications were compared between the two groups.Results The intraoperative blood loss in the observation group was less than that in the control group (P<0.05),and the postoperative ambulation time,first weight-bearing time and fracture healing time were all shorter than those in the control group (P<0.05).The AOFAS scores at 1 month,3 months and 6 months after surgery in the observation group were higher than those in the control group (P<0.05).At 12 months after surgery,the excellent and good rate of surgical efficacy was 93.33% in the observation group,which was higher than that in the control group (80.00%),P<0.05.The total incidence rate of complications of 5.00% in the observation group was lower than that (18.33%) in the control group (P<0.05).Conclusions Compared with traditional locking plate internal fixation,closed reduction and interlocking intramedullary nail fixation has smaller surgical trauma in the treatment of elderly tibiofibular fractures caused by traffic accident,and the latter one can promote the early functional exercise,fracture healing and ankle function recovery,improve the surgical efficacy and help to reduce the risk of postoperative complications. |
|
查看全文
|
| 关闭 |
|
|
|