Abstract
Objective To evaluate the efficacy and safety of reamed interlocking intramedullary nail in the treatment of upper tibial fracture. Methods According to the random number table, 81 patients with tibial fracture were divided into observation group(reaming intramedullary interlocking nails) of 41 cases and control group(unreamed intramedullary nails) of 40 cases.The operation time, healing time, fracture of nail lock, fracture union and infection were observed and compared between the two groups. Results The operation time of the observation group[(55.3±19.2)min] was significantly longer than that of the control group[(44.7±12.4)min]. The healing time of the observation group [(16.2±4.2)weeks]was significantly shorter than that of the control group[(24.1±5.2)weeks], the differences were statistically significant(t=6.543, 8.235, all P 0.05). Conclusion Reamed interlocking intramedullary nail in the treatment of upper tibial fracture has reliable curative effect. The internal fixation is more stable and the healing rate of the patients is faster. Key words: Bone nails; Tibial fractures; Comparative effectiveness research
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