钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床研究

Clinical Study of Internal Fixation with Plate and Screws for Treatment of Traumatic Fractures of Long Tubular Bones of Extremities

目的探究钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床疗效。方法方便选取2018年10月—2019年9月期间在该院行钢板螺钉内固定治疗的52例四肢长管状骨创伤骨折患者作为钢板螺钉组,另选择同期在该院行单侧外固定支架固定法治疗的40例同类骨折患者作为对照组。对照组行单侧外固定支架固定治疗,钢板螺钉组行钢板螺钉内固定治疗,对比两组手术时间、术后疼痛及康复相关指标。结果钢板螺钉组术后总有效率96.15%(50/52)显著高于对照组80.00%(32/40),差异有统计学意义(χ^2=5.036,P<0.05)。钢板螺钉组术后并发症发生率3.85%(2/52)显著低于对照组22.50%(9/40),差异有统计学意义(χ^2=5.806,P<0.05)。结论采用钢板螺钉内固定方式,手术操作时间时间较短、术后疼痛轻、固定稳妥、骨折愈合速度快、并发症风险低,预后更佳,可作为首选内固定方式。

Objective To explore the clinical effect of internal fixation with steel plates and screws in the treatment of traumatic fractures of long tubular bones of extremities. Methods From October 2018 to September 2019, 52 patients with long tubular bone trauma fractures of extremities who underwent plate screw internal fixation in the hospital were convenient selected as the plate screw group, and unilateral external fixation was performed in the hospital during the same period. 40 patients with similar fractures were treated as a control group. The control group was treated with unilateral external fixation, and the plate screw group was treated with plate screw internal fixation. The operation time, postoperative pain and rehabilitation related indexes of the two groups were compared. Results The total effective rate of the plate screw group was96.15%(50/52) was significantly higher than that of the control group 80.00%(32/40), the difference was statistically significant(χ^2=5.036, P <0.05). The postoperative complication rate of the plate screw group was 3.85%(2/52) was significantly lower than the control group 22.50%(9/40), the difference was statistically significant(χ^2=5.806,P <0.05).Conclusion The internal fixation with steel plate and screws can be used as the preferred method of internal fixation, which has shorter operation time, light postoperative pain, stable fixation, fast fracture healing, low risk of complications, and better prognosis.