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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial
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Intramedullary nailing versus proximal plating in the management of closed extra-articular proximal tibial fracture: a randomized controlled trial

机译：髓内钉与近端钢板治疗闭合性关节外胫骨近端骨折：一项随机对照试验

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class="Heading">Background class="Para">Extra-articular proximal tibial fractures account for 5–11?% of all tibial shaft fractures. In recent years, closed reduction and minimally invasive plating and multidirectional locked intramedullary nailing have both become widely used treatment modalities for proximal and distal tibial metaphyseal fractures. This study was performed to compare plating and nailing options in proximal tibia extra-articular fractures. class="Heading">Materials and methods class="Para">This randomized prospective clinical study was conducted on 58 skeletally mature patients with a closed extra-articular fracture of the proximal tibia treated with minimally invasive proximal tibial plating (PTP) or intramedullary nailing (IMN) by trained surgeons at a tertiary trauma center. class="Heading">Results class="Para">Postoperative hospital stay (p?=?0.035), time to full weight-bearing, and union time (p?=?0.004) were significantly less in the IMN group than in the PTP group, but there was no clear advantage of either technique in terms of operative time (p?=?0.082), infection rate (p?=?0.738), range of motion of the knee (p?=?0.462), or degrees of malunion and nonunion. class="Heading">Conclusion class="Para">Both implants have shown promising results in extra-articular proximal tibial fractures, and provide rigid fixation that prevents secondary fracture collapse. class="Heading">Level of evidence class="Para">Level 2, randomized controlled trial.
机译：class =“ Heading”>背景 class =“ Para”>胫骨关节外近端骨折占所有胫骨干骨折的5-11％。近年来，闭合复位和微创钢板以及多方向锁定髓内钉均已成为近端和远端胫骨干phy端骨折的广泛使用的治疗方式。这项研究的目的是比较胫骨近端关节外骨折的固定和钉扎选择。 class =“ Heading”>材料和方法 class =“ Para”>这项随机前瞻性临床研究由三级创伤中心的受过训练的外科医师对58具骨骼成熟的胫骨近端闭合关节外骨折进行了微创近端胫骨平台（PTP）或髓内钉（IMN）治疗。 类=“ Heading”>结果 class =“ Para”>术后住院（ p ？=？0.035），完全负重的时间和合并IMN组的时间（ p ？=？0.004）明显少于PTP组，但是这两种技术在手术时间方面均无明显优势（ p ？=？0.082），感染率（ p ？=？0.738），膝盖的运动范围（ p ？=？0.462）或畸形和不愈合程度。 class =” Heading“>结论 class =” Para“>两种植入物均已显示有希望的结果是胫骨近端关节外骨折，并提供了防止继发性骨折塌陷的刚性固定。 class =“ Heading”>证据水平 class =“ Para”> 2级，随机对照试验。

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