闭合复位内固定和传统切开复位内固定对胫骨骨折患者术后骨折愈合及膝关节功能的影响OA
Comparison of Closed Reduction and Internal Fixation Versus Traditional Open Reduction and Internal Fixation on Postoperative Fracture Healing and Knee Joint Function in Patients with Tibial Fracture
目的 研究闭合复位内固定和传统切开复位内固定对胫骨骨折患者术后骨折愈合及膝关节功能的影响.方法 研究对象为横峰县人民医院 2022 年 1 月-2024 年 12 月接收的胫骨骨折患者,共 60 例.按照随机数字表法将患者分为对照组(n=30)、研究组(n=30),分别实施传统切开复位内固定治疗、闭合复位内固定治疗.对两组治疗效果、临床指标(切口长度、术中出血量、住院天数、愈合时间)、膝关节功能(疼痛、活动、稳定性、行走能力、上下楼梯)、并发症(畸形愈合、切口感染、骨不连)发生率进行比较.结果 与对照组治疗总有效率的 73.33%比较,研究组更高,达 96.67%(P＜0.05);与对照组临床指标比较,研究组切口长度更短、术中出血量更少、住院天数及愈合时间更短(P＜0.05);两组术后膝关节功能评分(疼痛、活动、稳定性、行走能力、上下楼梯)均较术前提高(P＜0.05),且研究组术后各维度评分均高于对照组(P＜0.05);与对照组并发症发生率的 23.33%比较,研究组更低,仅为 3.33%(P＜0.05).结论 闭合复位内固定治疗胫骨骨折的临床疗效优于传统切开复位内固定,可有效提高骨折愈合率,减轻手术创伤,减少术中出血量,缩短住院天数及愈合时间,促进膝关节功能恢复,且具备良好的安全性.
Objective To investigate the effects of closed reduction and internal fixation versus traditional open reduction and internal fixation on postoperative fracture healing and knee joint function in patients with tibial fracture.Methods The study subjects comprised 60 patients with tibial fractures admitted to Hengfeng County People's Hospital from January 2022 to December 2024.The patients were allocated via a random number table method into a control group(n=30)and a study group(n=30),undergoing traditional open reduction and internal fixation and closed reduction and internal fixation,respectively.Comparisons were made between the two groups with respect to treatment efficacy,clinical parameters(incision length,intraoperative blood loss,hospital day,and healing time),knee joint function(pain,mobility,stability,walking ability,and stair-climbing),and the incidence of complications(malunion,incision infection,and nonunion).Results Compared with the control group,in which the total effective rate was 73.33%,the study group demonstrated a significantly higher total effective rate of 96.67%(P＜0.05).Compared with the control group in terms of clinical parameters,the study group exhibited shorter incision length,less intraoperative blood loss,and shorter hospital stay and healing time(P＜0.05).The knee function scores(pain,mobility,stability,walking ability,stair-climbing)of the two groups after operation were higher than those before operation(P＜0.05),and the study group showed significantly higher scores than the control group across all dimensions(P＜0.05).Compared with the control group,in which the incidence of complications was 23.33%,the study group had a significantly lower incidence of 3.33%(P＜0.05).Conclusion The clinical efficacy of closed reduction and internal fixation in the treatment of tibial fractures is better than that of traditional open reduction and internal fixation.It can effectively improve the fracture healing rate,reduce surgical trauma,reduce intraoperative blood loss,shorten hospitalization days and healing time,promote the recovery of knee joint function,and has good safety.
郑智宗;徐友谊;王芝龙
横峰县人民医院 重症医学科,江西 横峰 334300横峰县人民医院 骨科,江西 横峰 334300横峰县人民医院 骨科,江西 横峰 334300
医药卫生
切开复位内固定闭合复位内固定胫骨骨折膝关节功能
Open reduction and internal fixationClosed reduction and internal fixationTibial fractureKnee joint function
《医学信息》 2026 (8)
135-138,143,5
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