| ObjectivesStudies to explain the trend of changing pattern of the practice of Inter-locking intramedullary nail(IIN) and dynamic compression plate(DCP) are not enough in primary hospitals in China, though the two kinds of devices are most frequently used for patients with tibial shaft fractures.Methods350 patients with tibial shaft fractures were registered in the retrospective study in 2004-2008 to explain the trend of the changeing pattern of practice of IIN and DCP. Efficiency of IIN and DCP for patients with closed fracture in 2008 was evaluated, which observed outcomes were operative duration, blood loss during the operation, postoperative infection, pain, articulatory ranges of knees and ankles, fracture concrescence, nerves and blood vessels injuries, limbs length discrepancy and angular deformity. All statistics were analyzed by SPSS 15.0 software. Quantitative data were tested by t test while qualitative data byχ2 test.ResultsThe augment of practice of IIN was observed with 18.33% in 2004 to 41.02% in 2008, while the device used in closed fracture was even more in patients with tibial shaft fracture, which was 51.11% in 2008. The complications of post-operation by IIN and DCP were reduced during the period. The comparision of efficiency with IIN and DCP to patients with closed tibial shaft fractures in 2008 showed that operative duration and blood loss in IIN group were significantly different from DCP group respectively. No significance was observed in infection, pain, articulatory ranges of knees and ankles, fracture concrescence, nerves and blood vessels injuries, limbs length discrepancy and angular deformity in the study.ConclusionsIIN might have been in popularity in primary hospitals in China. Efficacy might be no difference in DCP and IIN for patients with tibial shaft fracture, while patient can get more benefit in less operative exposure and blood loss. |
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