Efficacy and safety of two regimens of locking intramedullary nail fixation in treating closed fresh tibial fracture

JIANG Zhao-lin; ZHAO Wen

doi:10.3969/j.issn.1009-4237.2017.02.005

Abstract：Objective To discuss the differences in efficacy and safety of two fixation regimens of interlocking intramedullary nail (IIN) and rotary self-locking intramedullary nail (RSIN) in the treatment of closed fresh tibial frac-ture.Methods From Oct.2010 to Oct.2014, 78 patients with closed fresh tibial fracture admitted and treated in our hospital were selected as research objects and divided into Group A (n=38) and Group B (n=38) using a random num-ber table.Group A was given IIN and Group B was given RSIN for treatment .The perioperative clinical indexes including the rates of open reduction and second operation, postoperative function restoration effects of knee and ankle joints, and incidence rate of postoperative complications were compared between two groups .Results The perioperative clinical indexes in Group B were significantly better than those in Group A (P<0.05).For the rates of open reduction, the difference between two groups was not statistically significant (P>0.05).The rate of second operation in Group B was significantly lower than that in Group A (P<0.05).The postoperative function restoration effect in Group B was significantly better than that in Group A (P<0.05).The incidence rate of postoperative complications in Group B was significantly lower than that in Group A (P<0.05).Conclusion The RSIN fixation regimen in trea-ting closed fresh tibial fracture has the advantages of easy operation , low-dose radiation during the operation and quick recovery .It can improve the postoperative function of knee and ankle joints effectively , reduce the risk of sec-ond operation , and help to prevent postoperative complications .The efficacy and safety of RSIN were better than those of IIN.