Effect of Internal Fixation of Compression Plate and Bridge Combined Internal Fixation on Clinical Efficacy Fracture Healing and Complications of Patients with Fracture of Femoral Shaft
TANG Chengjie, LIU Jingjing
Sichuan Orthopedic Hospital, Sichuan Chengdu 610041, China
Abstract：Objective: To analyze the clinical value of internal fixation of compression plate and bridge combined internal fixation in the treatment of elderly patients with fracture of femoral shaft. Methods: 159 patients with fracture of femoral shaft treated in our hospital from January 2017 to January 2019 were made the research objects. According to the different surgical methods, 72 patients treated with traditional internal fixation of compression plate were included into the control group, and 87 patients treated with bridge combined internal fixation were included into the observation group. The clinical data of all patients were reviewed retrospectively, and the clinical efficacy, condition during operation and hospitalization were compared between the two groups, as well as fracture healing, hip function and complications. Results: There was no difference in the excellence and good rate of clinical treatment between the two groups (93.06% vs 95.40%) and no difference in length of surgical incision (P>0.05). The operation time, length of hospitalization stay and time of fracture healing in the observation group were shorter than those in the control group. The intraoperative blood loss and postoperative drainage volume were less than those in the control group, and the postoperative pain relief was more obvious than that in the control group. During follow-up, compared with those in the control group, mobility and function of hip joint were better, and the incidence of postoperative complications was lower. The differences were statistically significant (P<0.05). Conclusion: The internal fixation of compression plate and bridge combined internal fixation in the treatment of elderly patients with fracture of femoral shaft both have good clinical effect, but the intraoperative condition of bridge combined internal fixation is better and the recovery of hip joint function is better and the safety is higher. It is worthy of clinical promotion.
唐承杰, 刘晶晶. 加压钢板内固定和桥接组合式内固定系统治疗对老年股骨干骨折患者临床疗效骨折愈合和并发症的影响[J]. 河北医学, 2020, 26(10): 1655-1659.
TANG Chengjie, LIU Jingjing. Effect of Internal Fixation of Compression Plate and Bridge Combined Internal Fixation on Clinical Efficacy Fracture Healing and Complications of Patients with Fracture of Femoral Shaft. HeBei Med, 2020, 26(10): 1655-1659.
[1] Hong-Wei Chen,Jia-Liang Tian,Yong-Zhao Zhang.Therapeutic effect of resection,prosthetic replacement and open reduction and internal fixation for the treatment of mason type III radial head fracture[J].Journal of Investigative Surgery,2019,19(3):1~9. [2] 桂鹏,叶茂,邹毅,等.切开复位交锁髓内钉内固定与动力加压钢板固定治疗股骨干骨折后骨不连患者效果观察[J].包头医学院学报,2019,35(8):12~15. [3] 秦冠军.锁定加压钢板螺钉与交锁髓内钉内固定治疗股骨干骨折的效果观察[J].白求恩医学杂志,2019,17(3):218~219,291. [4] Richard Kuehl,Sarah Tschudin Sutter,Mario Morgenstern,et al.Time-dependent differences in management and microbiology of orthopaedic internal fixation-associated infections:an observational prospective study with 229 patie nts[J].Clinical Microbiology&Infection,2018,25(1):187~189. [5] J.Li,L.Zhang,P.Tang.Evolving concept in treatment of intertrochanteric fractures and development of internal fixation devices[J].Zhongguo xiu fu chong jian wai ke za zhi=Zhongguo xiufu chongjian waike zazhi=Chinese journal of reparative and reconstructive surgery,2019,33(1):1~7. [6] 赵忠胜,林斌,付长龙,等.下肢可调负重支具在股骨粗隆间骨折术后康复中的应用[J].中华中医药杂志,2019,20(5):234~235. [7] 王伟,张敏,刘建宁,等.特殊复位器复位重建钉治疗同侧股骨干及髋部骨折的临床研究[J].河北医学,2018,24(5):14~18. [8] Clay A.Spitler,Dirk W.Kiner,Elliot R.Row,et al.Tranexamic acid use in open reduction and internal fixation of fractures of the pelvis,acetabulum,and proximal femur:a randomized controlled Trial[J].Journal of Orthopaedic Trauma,2019,33(8):1. [9] 汪亮,于娇娜,黄朝朝,等.桥接系统混棒结构治疗股骨干长节段粉粹性骨折的生物力学研究[J].中华医学杂志,2019,99(34):2706~2710. [10] 何忠,李开静,王强,等.桥接组合式内固定系统治疗股骨干骨折术后钢板周围再骨折[J].中国骨与关节损伤杂志,2018,32(8):845~846. [11] 熊鹰,李群辉,柳百炼,等.桥接组合式内固定系统与锁定接骨板钉系统在股骨骨折应用中的有限元分析[J].中国组织工程研究,2018,16(30):5516~5519.
2020, Vol. 26 
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