低能量胫骨干骨折的治疗：石膏固定与髓内钉固定的比较
Treatment of low-energy tibial shaft fractures: plaster cast compared with intramedullary nailing.
作者信息
Toivanen J A, Honkonen S E, Koivisto A M, Järvinen M J
机构信息
Department of Surgery, Tampere University Hospital, Finland.
出版信息
Int Orthop. 2001;25(2):110-3. doi: 10.1007/s002640000083.
We analyzed data from 87 patients who had displaced closed or open grade I simple or spiral wedge tibial shaft fractures caused by low-energy impact. Fifty-four patients were treated with plaster cast and 33 with intramedullary locking nail (IMLN). Delayed union only occurred in 8 patients after plaster cast treatment. Forty-two patients in the IMLN group and one in the plaster cast group suffered from anterior knee pain. Final treatment outcome, healing time, hospitalization time and duration of sick leave were assessed on the basis of 25 matched pairs of patients. Mean healing time, hospitalization time and sick leave in the plaster cast and IMLN groups were 19 (SD 6.7) and 12 (SD 4.4) weeks (P<0.001); 8 (SD 4.8) and 7 (SD 2.7) days (P=0.686); and 195 (SD 81) and 106 (SD 31) days (P=0.001), respectively. No difference was found between plaster cast and IMLN groups when the outcome was evaluated using the criteria of Johner and Wruhs.
我们分析了87例因低能量冲击导致的闭合性或开放性I级简单或螺旋楔形胫骨干骨折患者的数据。54例患者采用石膏固定治疗，33例采用带锁髓内钉（IMLN）治疗。石膏固定治疗后仅8例发生延迟愈合。IMLN组42例患者和石膏固定组1例患者出现前膝疼痛。基于25对匹配患者评估最终治疗结果、愈合时间、住院时间和病假时长。石膏固定组和IMLN组的平均愈合时间分别为19（标准差6.7）周和12（标准差4.4）周（P<0.001）；住院时间分别为8（标准差4.8）天和7（标准差2.7）天（P=0.686）；病假时长分别为195（标准差81）天和106（标准差31）天（P=0.001）。采用Johner和Wruhs标准评估结果时，石膏固定组和IMLN组之间未发现差异。
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