桥接组合式内固定系统治疗股骨干粉碎性骨折在基层医院的应用

Treatment of comminuted femoral fractures bridging internal fixation system:the experience in basic hospital

目的探讨桥接组合式内固定系统治疗股骨干粉碎性在骨折基层医院中的应用效果。方法回顾性分析2015年1月至2017年1月在我院采用桥接组合式骨折内固定系统和锁定钢板治疗股骨干粉碎性骨折各20例患者的临床资料,比较两组患者的术前时间、术中出血量、手术时间、住院时间、并发症、骨折愈合情况和肢体功能评价。结果桥接组合式骨折内固定系统术前时间、术中出血量、手术时间、住院时间、并发症、骨折愈合情况和肢体功能评价均优于锁定钢板组(P<0.05),且无并发症出现。结论桥接组合式内固定系统操作简易、任意组合、应用广泛,适合基层医院的医疗水平以较好处理股骨干粉碎性骨折。

Objective To explore the clinical effect of bridge combined internal fixation system in the treatment of comminuted femoral fractures in basic hospital.Methods From January 2015 to January 2017,40 patients in our hospital with comminuted femoral fractures were treated by bridge combined fracture internal fixation system(bridge combined internal fixation group,n=20)and locking plate(locking plate group,n=20).The clinical data were compared between the two groups,including the time before operation,the amount of bleeding during operation,the time of operation,the length of stay,the complications,the union of the fracture and the evaluation of the limb function.Results The clinical outcomes of bridge combined internal fixation system were better than that of the locking plate group without complications.Conclusion Bridge combined internal fixation system is easy to operate,can be used in any combination and widely used in the basic hospital for comminuted femoral fractures.It has a good application prospect.