Abstract

Objective To compare the clinical efficacy of intramedullary nail fixation and plate internal fixation on tibiofibular fractures. Methods Seventy-six patients with tibiofibular fractures diagnosed and treated in Department of Orthopedic of the Second People’s Hospital of Changzhi from March 2017 to June 2018 were selected as subjects, and they were divided into the observation group (37 cases) and the control group (39 cases) according to different treatment methods. The observation group was treated with intramedullary nail fixation and the control group was treated with plate internal fixation. Perioperative indicators, efficacy, and complications were observed and compared in the two groups. Six months after discharge, knee function scores, joint mobility, and quality of life were also observed. Results After treatment, compared with the control group, the time of osteotylus development and the time of fracture healing were lower in the observation group (P>0.05). There was no significant difference in excellent-effective rate between the two groups (P>0.05). After 6 months of discharge, compared with the control group, the knee joint function score and joint activity were higher in the observation group (P<0.05). The total incidence of postoperative complications in the observation group was 13.3% (6/45), which was significantly lower than (33.3% (10/30) in the control group, (P<0.05). Compared with the control group, the SF-36 score of the observation group was higher (P<0.05). Conclusions The short-term effect of intramedullary nailing fixation for tibiofibular fracture is similar to the plate internal fixation, whereas the healing time is shorter than the plate internal fixation with low postoperative complication rate, and the long-term prognosis of intramedullary nail fixation is better than that of the plate internal fixation. Key words: Tibiofibular fracture; Intramedullary nail fixation; Plate internal fixation

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