文献类型：期刊文献

英文题名：Comparison of mini-open reduction and autologous bone grafting with closed reduction and intramedullary device insertion for tibial shaft fractures: a retrospective study

作者：Xu, Danfeng[1,2];Xie, Jianxin[1];Wu, Bing[1];Zou, Yubin[1];He, Yong[1];Li, Zhaosheng[1]

机构：[1]Shaoxing Univ, Dept Spine Surg, Cent Hosp Affiliated, Hua-yu Rd 1, Keqiao, Shaoxing 312030, Peoples R China;[2]Shaoxing Univ, Cent Lab, Cent Hosp Affiliated, Shaoxing 312030, Peoples R China

年份：2023

卷号：18

期号：1

外文期刊名：JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH

收录：SCI-EXPANDED(收录号：WOS:001034465900002)、、Scopus(收录号：2-s2.0-85165365459)、WOS

基金：AcknowledgementsThis study was supported by Keqiao Clinical Funding (NO.2022KZ68, 2022KZ71, and 2022KZ80). We thank textcheck.com for its linguistic assistance during the preparation of this manuscript (http://www.textcheck.com/certificate/index/JxAspx).

语种：英文

外文关键词：Tibial shaft fractures; Intramedullary nailing; Open reduction; Closed reduction; Autologous bone grafting

外文摘要：BackgroundWe compared the clinical efficacy of mini-open reduction and autologous bone grafting (G(M)) and closed reduction (G(C)) using intramedullary nailing for the treatment of tibial shaft fractures.MethodsThis retrospective study included 70 tibial shaft fractures treated with G(M) or G(C) between January 2018 and December 2021. The demographic characteristics and clinical outcomes were compared between the two treatment methods.ResultsThis study included 70 patients who were followed-up for 12.4 months. In total, 31 and 39 patients were treated with G(M) and G(C), respectively. The operative duration was significantly shorter for G(M) (95.2 & PLUSMN; 19.3 min) than for G(C) (105.5 & PLUSMN; 22.2 min, p = 0.0454). The number of radiation times was significantly lower for G(M) (14.7 & PLUSMN; 6.3) than for G(C) (22.2 & PLUSMN; 9.2, p < 0.005). There were no statistically significant differences between the groups in terms of the wound complication or infection rates. The malunion and nonunion rates were high after G(C) than after G(M), but there are no significant differences between the groups.ConclusionsClosed reduction and intramedullary nailing remains the first choice for tibial shaft fractures. G(M) is a safe and effective treatment worth considering. Future prospective randomized controlled trials are warranted.