Objective To analyze the clinical effect of interlocking intramedullary nail and minimally invasive locking plate fixation in the treatment of distal tibial fractures. Methods 90 cases of distal tibial fractures treated in our hospital from Jan 2011 to Jan 2015 were selected in this study. The subjects were divided into two groups: interlocking intramedullary nail fixation group (n=45) and minimally invasive locking plate fixation group (n=45). The Follow-up time of the patients was 12-24 months, average 18 months. The operative time, intraoperative blood loss, length of hospital stay, time of fracture healing, and postoperative complications were observed in the two groups. Results The average operation time of the interlocking intramedullary nail fixation group were (68.4±13.7) min. The average operation time of the plate fixation group were (77.7±15.6) min. The average amount of bleeding was (108.1±12.7) mL, (159.5±27.9) mL respectively. The time of hospital-stay were (22.9±7.4) days, (30.8±4.5) days respectively (P<0.05). The fracture healing time was (77.1±5.4) days, (91.6±7.1) days respectively. The incidence of postoperative complications was 6.7% (3/45), 26.7% (12/45) respectively (P<0.05). Conclusion Compared with the treatment of distal tibial fractures with interlocking intramedullary nail and steel plate, interlocking intramedullary nail has a significant advantage in the treatment of distal tibial fractures. |