ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-031 临床药物与手术治疗 2026, 2(04): 121-124

带锁髓内钉内固定术治疗创伤性四肢长骨骨折的效果分析

六盘水水矿医院

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摘要

目的 分析创伤性四肢长骨骨折患者采用带锁髓内钉内固定术治疗的效果。方法 选取我院收治的90例创伤性四肢长骨骨折患者(入院起始时间为2024年1月至2025年1月)作为研究样本,采用随机数字表法将其分为两组,45例/组,对照组采用钢板内固定技术治疗,观察组则实施带锁髓内钉内固定技术治疗,对两组患者手术前及术后三个月时的骨折区域疼痛程度、关节活动度、术后并发症出现比例、住院时长及骨折愈合所需时间进行比较分析。结果 治疗三个月后,观察组患者骨折区域疼痛程度较对照组更轻,其关节活动度则优于对照组(P<0.05)。同时,观察组患者术后并发症出现比例更低,住院时长及骨折愈合所需时间更短(P<0.05)。结论 针对遭受创伤导致四肢长骨断裂的病患实施带锁髓内钉进行内部固定手术方案救治,不仅能有效缓解骨折部位疼痛和改善关节活动度,还可减少手术后不良反应出现的几率,并加快恢复进程。

Abstract

Objective To analyze the effect of locking intramedullary nail fixation in the treatment of traumatic long bone fractures in limbs. Methods 90 patients with traumatic long bone fractures of the limbs admitted to our hospital(admitted from January 2024 to January 2025) were selected as the research sample. They were randomly divided into two groups, 45 cases/group, using a random number table method. The control group was treated with steel plate internal fixation technology, while the observation group was treated with locking intramedullary nail internal fixation technology. The degree of pain in the fracture area, joint mobility, proportion of postoperative complications, length of hospital stay, and time required for fracture healing were compared and analyzed between the two groups before and three months after surgery. Results After three months of treatment, the pain level in the fracture area of the observation group was milder than that of the control group, and joint mobility was better than that of the control group(P<0.05). At the same time, the incidence of postoperative complications was lower in the observation group, and the length of hospital stay and the time required for fracture healing were shorter(P<0.05). Conclusion Implementing an internal fixation surgical plan with locking intramedullary nails for patients with long bone fractures caused by trauma can not only effectively alleviate pain at the fracture site and improve joint mobility, but also reduce the incidence of adverse reactions after surgery and accelerate the recovery process.

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[1]邓超.带锁髓内钉内固定术治疗创伤性四肢长骨骨折的效果分析[J].疾病预防与控制,2026,2(04):121-124.