Comparison of Efficacy and Safety between Open and Closed Reduction and Intramedullary Nailing for Femoral Shaft Fractures
GUAN Xue1,WU Long-yan2
1.Department of Orthopedics,Suzhou Kowloon Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Suzhou215021,Jiangsu,China; 2Department of Anesthesiology,Suzhou Kowloon Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Suzhou215021,Jiangsu,China)
Abstract: ObjectiveTo compare the efficacy and safety of open and closed reduction and intramedullary nailing in the treatment of femoral shaft fractures.Methods130 cases of femoral shaft fractures treated in our hospital from March 2015 to March 2016 were selected as the study subjects. The patients were divided into the observation group and the control group according to the simple digital random table method, with 65 cases for each. The control group was treated with closed reduction and intramedullary nailing, and the observation group was treated with open reduction with small incision and intramedullary nailing. The patients were followed up for 6 months, therapeutic indices were compared between the two groups, including intraoperative radiation dose, blood biochemical indices (hemoglobin and hematocrit)before and after treatment and complications.ResultsOperation time and blood loss of the observation group, as well as the length of hospital stay and fracture healing time were not statistically significant combined with the control group (P>0.05). The radiation doses of the chest, abdomen, thyroid gland and gonad of the observation group were significantly lower than the control group (P<0.05). The 7-day postoperative Hb levels of the two groups were significantly lower than the preoperative one (P<0.05), but there was no significant difference between the two groups (P>0.05). And there was no difference of the Hct levels (P>0.05). The complication rate of the observation group was 6.16%, which was not significantly lower than the control group (P>0.05), although that was 13.85%.ConclusionThe open reduction with a small incision should be taken into consideration for femoral shaft fractures, not only for its equivalent effect of the closed reduction, but also for its low radiation dose. It is worthy of promotion.
关雪1，吴隆延2. 开放与闭合复位髓内钉内固定对股骨干骨折的疗效及安全性比较[J]. 中国现代手术学杂志, 2017, 21(6): 436-439.
GUAN Xue. Comparison of Efficacy and Safety between Open and Closed Reduction and Intramedullary Nailing for Femoral Shaft Fractures. Chinese Journal of Modern Operative Surgery, 2017, 21(6): 436-439.
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2017, Vol. 21 
