Ilizarov外固定与弹性髓内钉治疗儿童胫腓骨远端骨折的比较(1)
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[摘要] 目的：比较Ilizarov外固定器和弹性髓内钉治疗儿童胫腓骨远端骨折的疗效。方法：分析102例胫腓骨远端骨折患儿的临床资料，其中用Ilizarov外固定器治疗组26例，弹性髓内钉组 76例。结果：两组患儿平均住院时间、骨折分型比较，差异无统计学意义(P>0.05)；骨折平均愈合时间、下床活动、负重时间、断端切开复位例数以及关节功能障碍等并发症间比较，外固定组优于髓内钉组(P<0.05)；外固定组平均手术时间、术后钉道感染例数高于髓内钉组(P<0.05)。结论：Ilizarov外固定器治疗儿童胫腓骨远端骨折总体优于弹性髓内钉。
[关键词] Ilizarov外固定器；弹性髓内钉；胫腓骨；骨折
[中图分类号] R683.42[文献标识码]A [文章编号]1673-7210(2011)04(a)-043-03
Comparison of Ilizarov external fixator and elastic nails′s methods in the treatment of distal tibial and fibula fracture
DAI Guangxin, WANG Xiaodong
Department of Orthopendics, Soochow University Affiliated Children's Hospital, Suzhou 215003, China
[Abstract] Objective: To compare the therapeutic efficacy of Ilizarovs external fixator and elastic nails in the treatment ofdistal children's tibial and fibula fracture. Methods: The data of 102 children with distal tibial and fibula fracture was analyzed retrospectively, group Ilizarov was 26 cases with Ilizarov external fixator, group elastic nails was 76 cases. Results: The average hospitalized days, fracture type were not remarkable difference (P>0.05); fracture average cured time, activing on the ground and bearing a heavy time on fracture leg. The numbers of incised fracture position, the average operational time, after the operations, phenomenon of a nail infection and bad articular activity, elastic nails group surpasses Ilizarov group (all P<0.05) . Conclusion: Ilizarov external fixator and the elastic nails which treat children′s distal tibial are fibula fracture are two effective methods, but from the therapeutic efficacy, the author think effects of Ilizarov external fixator which treated children′s dital tibial and fibula fracture surpassed elastic nails.
[Key words] Ilizarov external fixator; Elastic nails; Tibial and fibula; Fracture
胫腓骨远端骨折是儿童常见骨折之一，治疗方法很多。对于稳定的、没有明显移位的骨折，可用管型石膏固定，多数可获得满意疗效。对于复杂的、有移位的不稳定的胫腓骨远端骨折， Ilizarov外固定器和弹性髓内钉均为有效治疗方法。近年来，我院运用以上两种方法法治疗胫腓骨远端骨折，取得良好疗效，现报道如下：
1 资料与方法
1.1 一般资料
筛选我院2006年1月~2009年12月收治的儿童不稳定的胫腓骨远端骨折102例，其中用Ilizarov外固定器治疗26例，另76例采用弹性髓内钉治疗。外固定组患儿年龄6～14岁，平均(7.2±0.8)岁；男17例，女9 例。髓内钉组年龄为4～13岁，平均(6.5±0 ......
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