Study on the clinical effects of interlocking intramedullary nailing in internal fixation of distal tibia fractures.

Objective To evaluate the clinical efficacy of tibial interlocking intramedullary nail and percutaneous plate fixation of distal tibial fractures. Methods A retrospective analysis of the hospital in January 2010 - September 2012 adopted by interlocking intramedullary nail or percutaneous plate solid 62 cases of surgical treatment of distal tibial fracture patients with clinical data, divided according to the surgical intramedullary nail group (n = 32) and the plate group (n = 30), general information and treatment of two groups were compared. Results All patients receive 12 months or more of follow-up, both groups surgery time, maximum ankle dorsiflexion degree perspective often no significant difference (P0.05). Intramedullary nail group blood loss was less in the plate group (P0.05). All patients were healing well, intramedullary nail group, the average healing time was 21.3 weeks, steel group was 19.1 weeks. Intramedullary nail group, two cases of angular deformity healing, steel group, 4 cases of soft tissue complications. Effective internal fixation Conclusion Interlocking intramedullary nail and percutaneous plate is distal tibial fractures, and interlocking intramedullary nail for local soft tissue injury associated with fracture more favorable.