Clinical Comparison Of Intramedullary Nail And Plate In Treatment Of Distal Fibula Fractures

【Background】Distal fibula fractures often involve intra-articular fracture, in the treatment of articular fractures often require anatomical reduction, reducing trauma and degenerative arthritis. Whether surgery can achieve anatomic reduction has become a key step in surgery. Open reduction and plate fixation of distal fibular fracture is a common clinical treatment, the operation of the technology do not ask physicians, although there will be some complications after surgery, but can be reset under direct vision, can fracture as to achieve the desired anatomical reduction, while the fibula is another stable intramedullary nail fixation methods, the skin incision is small, the probability of complications is also smaller, but higher operating technical requirements for physicians, but also to provide a good image learning outcomes and functional recovery.【Objective】Compare intramedullary nail and plate in the treatment of distal fibular fracture clinical differences【Methods】A retrospective analysis from June 2012 to 2014 July Yan’an University Affiliated Hospital of Orthopaedics 60 cases of distal fibula fractures were used to compare the treatment of intramedullary nails and plates. Which(A group) 34,(group B) 26 people, two groups of gender, age and type of fracture was no significant difference(P> 0.05). Comparison of the two groups of incision length, blood loss, operative time, healing time and ankle function score, and the results were analyzed statistically, all data were analyzed using SPSS17.0.【Result】All patients underwent clinical follow-up and for at least six months. Incision length of the intramedullary nail group, blood loss, operative time is less than steel group, and was statistically significant(P <0.05). Fracture healing time aspect, no nail plate group group significant difference(P> 0.05). 6 months after ankle function score, two score excellent rate was not statistically significant(P> 0.05).【Conclusion】For most distal fibula fractures, open reduction and plate fixation remains fixed conventional means, broad indications, make the distal fibular fracture anatomical reduction and reliable fixation to achieve good functional recovery, clinical operations are not complex. Nail closed reduction, higher technically demanding operation, and intraoperative fluoroscopy times more fracture reduction slightly worse than the plate. However, closed reduction and intramedullary nail group, the axis fixed, more in line with biomechanics, small skin incision, less soft tissue dissection natural, less blood loss, blood supply at the fracture site to be protected. But because of their soft tissue coverage less distal fibula, poor blood circulation, clinical final two fracture healing time and the long-term recovery of ankle function was no significant difference.