Closed reduction and interlcoking intramedullary needle fixation in the treatment of closed fractures in the middle and lower segment of tibia
LIU Dai-xiang
LIU Hua-xing
Abstract：Objective To compare the advantages and disadvantages of the closed reduction and interloc-king intramedullary needle with traditional open reduction and internal fixation in the treatment of closed tibial frac-tures in the middle and lower segment of tibia.Methods Totally 50 patients with fracture in the middle and lower segments of the tibia ( Type A42-3 and Type b42 1-3) from Jan.2009 to Dec.2012 were selected and randomly di-vided into two groups:the traditional group(25 cases) with open reduction( DCP or LCDCP) plate fixation method, and the comparison group(25 cases) with closed reduction and interlocking intramedullary needle fixation.The fol-low-up period was 16 months.The average hospitalization stay,average hospitalization expenses,postoperative pain, postoperative complications and fracture healing period were compared between the two groups.Results The com-parison group had significant advantages in the treatment cycle,postoperative pain index and treatment costs.As for treatment effect,in the traditional group, 2 cases occurred wound swelling,1 case improved after treatment,1 case of wound infection and bone exposure recovered after local flap repair in the later stage,1 case of delayed fracture heal-ing recovered after a second surgery and bone graft.Wound problem did not occur in the comparison group.Bad fixed position occurred in 1 case and recovered after surgical correction in the comparison group.Complications and fracture healing period in the comparison group were less than those in the traditional group and the results had sta-tistical significance( P<0.05) .Conclusion Closed reduction and intramedullary needle fixation in the treatment of closed fractures in the middle and lower segment of tibial has good clinical effect and relatively low costs.It is worthy for wide application in primary hospitals.
Keywords：tibial fractureintramedullary needlereduction
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 445-448 )