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| 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 |
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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.
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2020, Vol. 26 
