桥接组合式内固定系统手术治疗复杂四肢骨折的效果观察

Effect of combined internal fixation system in the treatment of complicated limb fractures

目的:探讨用桥接组合式内固定系统(BCFS)手术治疗复杂四肢骨折的效果。方法:选择遂宁市第一人民医院骨科收治的80例复杂四肢骨折患者作为研究对象。随机将其分为观察组(n=40)与对照组(n=40)。用BCFS手术对观察组患者进行治疗,用锁定加压钢板(LCP)内固定术对对照组患者进行治疗,然后比较两组患者的疗效及各项临床指标。结果:与对照组患者相比,观察组患者术中的出血量更少,其术后骨折端愈合的时间更短,其术后并发症的发生率更低,差异有统计学意义(P<0.05)。在末次随访时,两组患者治疗的优良率相比,差异无统计学意义(P>0.05)。结论:用BCFS手术治疗复杂四肢骨折的效果显著,能减少患者术中的出血量,降低其术后并发症的发生率,缩短其术后骨折端愈合的时间。

Objective:To investigate the efficacy of combined bridged internal fixation system(BCFS)in the treatment of complex limb fractures.Methods:80 patients with complex limb fractures admitted to the Department of Orthopedics,Suining First People’s Hospital were selected as the research objects.They were randomly divided into observation group(n=40)and control group(n=40).Patients in the observation group were treated with BCFS surgery,and patients in the control group were treated with locking compression plate(LCP)internal fixation.Then the efficacy and clinical indicators of patients in the two groups were compared.Results:Compared with the control group,patients in the observation group had less intraoperative blood loss,shorter postoperative fracture healing time,and lower incidence of postoperative complications,with statistically significant differences(P<0.05).At the last follow-up,there was no statistically significant difference in the excellent and good rates of treatment between the two groups(P>0.05).Conclusion:BCFS has a significant effect in the treatment of complex limb fractures,which can reduce intraoperative blood loss,reduce the incidence of postoperative complications,and shorten the time of postoperative fracture healing.