髌上入路髓内钉固定治疗胫骨干骨折的效果

Abstract
Figure/Table
References (15)
Related Citation (10)

Download: PDF (0 KB) HTML (38 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the therapeutic effect of interlocking intramedullary nailing via suprapatellar approach in the treatment of tibial fracture.Methods 98 patients with tibial fracture who were treated in our hospital from December 2013 to June 2015 were chosen and randomly divided into control group and observation group.The control group was treated with traditional interlocking intramedullary nailing via subpatellar approach,the observation group was treated with interlocking intramedullary nailing via suprapatellar approach.Operation time,intraoperative blood loss,hospital stay,fracture healing time,therapeutic effect,HSS scores and Lysholm scores 9 months after operation were compared between two groups.Results There was no significant difference in operation time,intraoperative blood loss,hospital stay, fracture healing time between two groups（P>0.05).The excellent and good rate and degree of knee pain in the observation group was significantly better than that in the control group (P<0.05).The HSS scores and Lysholm scores 9 months after operation in the observation group was significantly better than that in the control group,and the difference was statistically significant (P<0.01).Conclusion Interlocking intramedullary nailing via suprapatellar approach is an effective treatment for tibial fracture,which has better therapeutic effect and less knee pain risks,joint function recover is well, which deserves a further application in clinical treatment.

Key words： Interlocking intramedullary nailing Tibial fracture HSS scores Lysholm scores

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	FU Sheng-pei

Cite this article:

FU Sheng-pei. The therapeutic effect of interlocking intramedullary nailing via suprapatellar approach in the treatment of tibial fracture[J]. 中国当代医药, 2017, 24(9): 56-58.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I9/56

[1]	赵海涛，陈伟，王娟，等.2010年至2011年东部沿海和西部内陆成人胫骨干骨折流行病学对比分析[J].中华创伤骨科杂志，2015，17（9）：805-808.
[2]	李廷栋，蒋赞利.交锁髓内钉治疗胫骨骨折的研究进展[J].重庆医学，2013，42（30）：3702-3703.
[3]	黄超，徐祝军，王强，等.髌上入路髓内钉术治疗胫骨干骨折近期临床疗效观察[J].华北理工大学学报（医学版），2016，18（4）：282-285.
[4]	Insall JN，Ranawat CS，Aglietti P，et al.A comparison of four models of total knee-replacement prostheses[J].J Bone Joint Surg Am，1976，58（6）：754-765.
[5]	Lysholm J，Gillquist J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J]. Am J Sports Med，1982，10（3）：150-154.
[6]	Gustilo RB，Merkow RL，Templeman D.The management of open fractures[J].JBJS，1990，72（2）：299-304.
[7]	葛波涌，王玉波，王明太，等.交锁髓内钉内固定治疗胫骨干骨折的临床研究[J].中医正骨，2015，27（10）：8-10.
[8]	刘旭良，王兵，刘贻运，等.微创固定系统与髓内钉内固定治疗胫骨干骨折的疗效比较[J].中国医学前沿杂志（电子版），2014，6（7）：86-89.
[9]	邱旭升，朱彦丞，郭遐，等.外置锁定钢板一期治疗胫骨干开放性骨折[J].实用骨科杂志，2016，22（5）：407-409.
[10]	李海峰，顾三军，殷渠东，等.外支架与微创内固定治疗胫骨干C3.3骨折的疗效比较[J].中国矫形外科杂志，2015，23（22）：2047-2051.
[11]	王谦，毕春，高伟，等.临床病例讨论——复杂胫骨近端、中段、远端三处骨折的治疗[J].中华创伤骨科杂志，2014，16（3）：274-276.
[12]	巩金鹏，聂小羊，蔡明.髌上入路髓内钉技术治疗胫骨干骨折的研究[J].同济大学学报（医学版），2016，37（3）：118-122.
[13]	李国强，李任增，张永飞，等.外侧髌旁切口膝关节半伸直位关节外髓内钉技术治疗胫骨干骨折的临床疗效分析[J].创伤外科杂志，2016，18（2）：103-104.
[15]	冯铭生，余超群，黄国英，等.外固定支架固定后二期髓内固定治疗胫骨干开放性骨折[J].中华创伤骨科杂志，2016，18（7）：638-640.
[14]	Ryan SP，Steen B，Tornetta P 3rd.Semi-extended nailing of metaphyseal tibia fractures：alignment and incidence of postoperative knee pain[J].J Orthop Trauma，2014，28（5）：263-269.