桥接组合式内固定系统对股骨近端复杂骨折的作用

Effects of the treatment on proximal femur complex fracture by bridging combined internal fixation system

目的探讨桥接组合式内固定系统及锁定钢板治疗股骨近端复杂骨折的临床疗效。方法57例股骨近端复杂骨折患者,其中31例采用桥接组合式内固定系统治疗(桥接组),26例采用锁定钢板治疗(钢板组)。比较两组临床综合指标、术后疗效评分、生活综合评分及并发症发生情况。结果与钢板组相比,桥接组手术时间短、术后引流量少、住院时间短、骨折愈合快,差异有统计学意义(P<0.05)。术后1个月及术后3个月,桥接组疼痛视觉模拟评分(VAS)、Harris髋关节评分(HHS)、生活质量综合评定问卷-74(GQOLI-74)及自我效能感评分(GSES)等指标优于钢板组(P<0.05)。两组并发症发生率的差异无统计学意义(P>0.05)。结论与锁定钢板治疗相比,桥接组合式内固定系统治疗股骨近端复杂骨折具有创伤小、固定牢靠、骨折愈合快和功能恢复更佳等优势。

Objective To evaluate the clinical efficacy of the bridging combination internal fixation system and the locking steel plate in the patients with complex proximal femoral fractures.Methods 57 patients with complex proximal femoral fractures were randomly divided into the bridging combination internal fixation system group(n=31)and the locking steel plate group(n=26).The patients in the bridging combination internal fixation system group were received treatment with bridging systems,and the patients in the locking steel plate group were received treatment with locking plates.The clinical comprehensive indicators,postoperative efficacy scores,life comprehensive scores,and incidence of complications were compared between the two groups of patients.Results Comparison with the steel plate group,the bridging group exhibited shorter surgical time,reduced postoperative drainage,fewer hospital days,and faster fracture healing,with a statistically significant difference(P<0.05).At 1 month and 3 months after surgery,the bridge group had better pain visual analogue scale(VAS),Harris hip joint score(HHS),comprehensive quality of life assessment questionnaire 74(GQOLI-74),and self-efficacy score(GSES)than the steel plate group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Compared with locking plate treatment,the bridge combination internal fixation system has advantages in treating complex proximal femoral fractures,such as less trauma,reliable fixation,faster fracture healing,and better functional recovery.