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| Effect of Interlocking Intramedullary Nail Fixation on Perioperative Indexes and Joint Function of Patients with Tibiofibular Fracture |
| KE Wenkun, LI Ming, GUI Ranran, WANG Pin, KONG Desheng |
| First-author's address: Third People's Hospital of Jiujiang City, Jiangxi Province, Jiujiang 332000, China |
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Abstract Objective: To investigate the effect of interlocking intramedullary nail fixation on the perioperative indexes and joint function of patients with tibiofibular fractures. Method: A total of 60 patients with tibiofibular fractures admitted to Third People's Hospital of Jiujiang City from June 2020 to June 2022 were randomly divided into the control group and the observation group with 30 cases each. The control group was treated with locking plate internal fixation, and the observation group was treated with interlocking intramedullary nail fixation. The follow-up was 6 months after operation. Perioperative indexes, joint function [Western Ontario and McMaster (WOMAC) universities osteoarthritis index], Oswestry dysfunction index (ODI) score, daily living ability [Barthel index (BI)], joint activity, balance function [Berg balance scale (BBS) and Fugl-Meyer balance scale (FM-B)], quality of life and complications were compared between the two groups. Result: The hospitalization time, callus occurrence time and fracture healing time [(11.32±1.42) days, (5.12±1.13) and (17.25±1.43) weeks] of the observation group were shorter than those of the control group [(14.28±1.54) days, (5.89±1.16) and (19.32±1.55) weeks], with statistical differences (P<0.05). The scores of daily life, pain, joint stiffness and total score in WOMAC were (17.49±1.48), (2.41±0.42), (0.68±0.13) and (20.58±3.19) points in the observation group 6 months after operation were lower than (22.15±2.32), (3.32±0.52), (0.92±0.15) and (26.39±3.28) points in the control group, with statistical differences (P<0.05). The ODI score of the observation group was (12.75±1.23) points 6 months after operation, lower than (13.94±1.39) points of the control group, BI was (87.96±6.35) points, higher than (80.47±6.24) points of the control group, with statistical differences (P<0.05). The knee joint straightening, flexion, BBS score and FM-B score [(6.78±0.65)?, (123.72±8.46)?, (40.79±4.09) points, (11.22±1.43) points] 6 months after operation in the observation group were significantly higher than those in the control group [(6.24±0.59) ?, (115.59±7.43)?, (35.62±3.52) points and (9.35±1.29) points], with statistical differences (P<0.05). The scores in the fields of physiology, psychology, society and environment were (87.06±6.25), (88.61±6.34), (90.29±4.22), (91.05±4.16) points in the observation group 6 months after operation were higher than (79.72±6.12), (81.42±6.29), (82.89±6.53) and (83.82±6.08) points in the control group, and the complications rate was lower than those in the control group (P<0.05). Conclusion: The effect of interlocking intramedullary nail fixation in the treatment of tibiofibular fracture is better, which can accelerate the recovery of joint function, improve the mobility of lower limbs, and has fewer complications, which is helpful to improve the quality of life after operation.
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Received: 06 April 2023
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