钢板螺钉内固定技术对四肢长管骨创伤骨折的治疗价值分析
|
摘要
目的探讨钢板螺钉内固定技术对四肢长管骨创伤骨折的治疗价值。方法方便选取2015年1月—2018年1月90例四肢长管骨创伤骨折患者根据手术分组。对照组开展闭合复位交锁髓内钉内固定手术,观察组开展钢板螺钉内固定技术。分析效果;四肢长管骨创伤骨折愈合的总时间、患者术后下床的时间、开始进行功能锻炼的时间;施术前后患者肢体功能评分结果、疼痛程度评分结果;骨折愈合延迟、骨不连等的发生率。结果观察组效果45例(100.00%)相对对照组30例(66.67%)更高,差异有统计学意义(χ~2=7.922,P<0.05)。施术后观察组肢体功能评分结果、疼痛程度评分结果(90.24±8.11)分、(2.01±0.12)分优于对照组(80.14±6.22)分、(3.07±0.78)分,差异有统计学意义(t=7.932、7.031,P<0.05)。观察组四肢长管骨创伤骨折愈合的总时间、患者术后下床的时间、开始进行功能锻炼的时间(3.02±0.02)个月、(2.01±1.02)d、(4.21±1.21)d优于对照组(4.14±0.13)个月、(5.15±2.01)d、(10.62±2.59)d,差异有统计学意义(t=4.211、4.377、5.713,P<0.05)。观察组骨折愈合延迟、骨不连等的发生率3例(6.67%)低于对照组10例(22.22%),差异有统计学意义(χ~2=4.939,P<0.05)。结论四肢长管骨创伤骨折患者行钢板螺钉内固定技术效果确切。
Objective To evaluate the therapeutic value of plate screw internal fixation for the treatment of long bone fractures of extremities. Methods Convenient select ninety patients with long bone fractures of the extremities from January2015 to January 2018 were enrolled according to surgery. The control group underwent closed reduction and interlocking intramedullary nail internal fixation, and the observation group carried out the technique of plate screw internal fixation. Analyze the effect, total time of healing of long bone fracture of limbs, time of patient getting out of bed, time of functional exercise; score of limb function score before and after operation, score of pain degree; the incidence of delayed fracture healing, nonunion, etc. Results The effect of the observation group was 45 cases(100.00%) higher than that of the control group30 cases(66.67%),the difference was statistically significant(χ~2=7.922, P<0.05). The results of limb function score and pain degree score of postoperative observation group were(90.24±8.11)points,(2.01±0.12)points, which was better than(80.14±6.22)points and(3.07±0.78)points, respectively,the difference was statistically significant(t=7.932,7.031, P<0.05). The total time of healing of the long bone fracture of the extremities in the observation group, the time of the patient getting out of bed, and the time of starting functional exercise were(3.02±0.02)months,(2.01±1.02)d,(4.21±1.21)d, which was better than the control group(4.14±0.13)months,(5.15±2.01)d,(10.62±2.59)d,the difference was statistically significant(t=4.211, 4.377,5.713,P<0.05). The incidence of delayed fracture healing and nonunion in the observation group was 3 cases(6.67%) lower than that in the control group 10 cases(22.22%),the difference was statistically significant,the difference was statistically significant(χ~2=4.939, P<0.05). Conclusion The technique of plate screw internal fixation for patients with long bone fractures of the extremities is effective.
Objective To evaluate the therapeutic value of plate screw internal fixation for the treatment of long bone fractures of extremities. Methods Convenient select ninety patients with long bone fractures of the extremities from January2015 to January 2018 were enrolled according to surgery. The control group underwent closed reduction and interlocking intramedullary nail internal fixation, and the observation group carried out the technique of plate screw internal fixation. Analyze the effect, total time of healing of long bone fracture of limbs, time of patient getting out of bed, time of functional exercise; score of limb function score before and after operation, score of pain degree; the incidence of delayed fracture healing, nonunion, etc. Results The effect of the observation group was 45 cases(100.00%) higher than that of the control group30 cases(66.67%),the difference was statistically significant(χ~2=7.922, P<0.05). The results of limb function score and pain degree score of postoperative observation group were(90.24±8.11)points,(2.01±0.12)points, which was better than(80.14±6.22)points and(3.07±0.78)points, respectively,the difference was statistically significant(t=7.932,7.031, P<0.05). The total time of healing of the long bone fracture of the extremities in the observation group, the time of the patient getting out of bed, and the time of starting functional exercise were(3.02±0.02)months,(2.01±1.02)d,(4.21±1.21)d, which was better than the control group(4.14±0.13)months,(5.15±2.01)d,(10.62±2.59)d,the difference was statistically significant(t=4.211, 4.377,5.713,P<0.05). The incidence of delayed fracture healing and nonunion in the observation group was 3 cases(6.67%) lower than that in the control group 10 cases(22.22%),the difference was statistically significant,the difference was statistically significant(χ~2=4.939, P<0.05). Conclusion The technique of plate screw internal fixation for patients with long bone fractures of the extremities is effective.
引文
[1]余俊江.钢板螺钉内固定技术对四肢长管骨创伤骨折的治疗价值研究[J].中国卫生标准管理,2016,7(3):21-22.
[2]孙培强.钢板螺钉内固定技术治疗四肢长管骨创伤骨折患者的治疗价值[J].世界最新医学信息文摘,2018,18(74):91,93.
[3] Purnomo,Rudy Soenoko,Yudy Surya Irawan,et al.Fracture Behavior of Zeolite-filled High Density Polyethylene Based on Energy Partitioning Work of Fracture[J].International journal of materials science,2015,10(1):31-42.
[4]罗保星,周强.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].世界最新医学信息文摘,2018,18(23):32,34.
[5] Baba T,Hagino H,Nonomiya H,et al.Inadequate management for secondary fracture prevention in patients with distal radius fracture by trauma surgeons[J].Osteoporosis interna ional:a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA,2015,26(7):1959-1963.
[6]刘岩.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].深圳中西医结合杂志,2018,28(1):119-120.
[7] Amir Abdelmalek,Emily Harrison,Sharon Scott,et al.Closed fifth metacarpal neck fractures:Do they need to be seen in fracture clinic? An emergency department pathway for assessment, management and criteria for fracture clinic referral[J].Trauma,2015,17(Pt.1):47-51.
[8]崔树国.钢板螺钉内固定治疗四肢长管状骨创伤骨折应用探讨[J].临床医药文献电子杂志,2018,5(1):62-63.
[9]何勇强,周铨昆,董章庆,等.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国当代医药,2017, 24(31):95-97.
[10]李旺泉.钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床效果[J].现代医院,2017,17(9):1361-1362,1365.
[11]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[12] Lopez-Lopez Emilio,Moreno Rodrigo,Baudin Carmen,et al.Fracture strength and fracture toughness of zirconium titanate-zirconia bulk composite materials[J].Journal of the European Ceramic Society,2015,35(1):277-283.
[13]张颉锋,何翔,谭俊铭.钢板螺钉内固定治疗四肢长管骨创伤骨折的临床有效性[J].浙江创伤外科,2016,21(6):1173-1174.
[14]林崇杰,刘鸿麒,陈燕青.钢板螺钉内固定治疗四肢长管状骨创伤骨折应用研究[J].基层医学论坛,2016,20(30):4305-4306.
[15]焦自勤.钢板螺钉内固定治疗四肢长管状骨创伤骨折的疗效观察[J].中国卫生标准管理,2018,9(17):58.
[2]孙培强.钢板螺钉内固定技术治疗四肢长管骨创伤骨折患者的治疗价值[J].世界最新医学信息文摘,2018,18(74):91,93.
[3] Purnomo,Rudy Soenoko,Yudy Surya Irawan,et al.Fracture Behavior of Zeolite-filled High Density Polyethylene Based on Energy Partitioning Work of Fracture[J].International journal of materials science,2015,10(1):31-42.
[4]罗保星,周强.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].世界最新医学信息文摘,2018,18(23):32,34.
[5] Baba T,Hagino H,Nonomiya H,et al.Inadequate management for secondary fracture prevention in patients with distal radius fracture by trauma surgeons[J].Osteoporosis interna ional:a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA,2015,26(7):1959-1963.
[6]刘岩.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].深圳中西医结合杂志,2018,28(1):119-120.
[7] Amir Abdelmalek,Emily Harrison,Sharon Scott,et al.Closed fifth metacarpal neck fractures:Do they need to be seen in fracture clinic? An emergency department pathway for assessment, management and criteria for fracture clinic referral[J].Trauma,2015,17(Pt.1):47-51.
[8]崔树国.钢板螺钉内固定治疗四肢长管状骨创伤骨折应用探讨[J].临床医药文献电子杂志,2018,5(1):62-63.
[9]何勇强,周铨昆,董章庆,等.钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的应用[J].中国当代医药,2017, 24(31):95-97.
[10]李旺泉.钢板螺钉内固定治疗四肢长管状骨创伤骨折的临床效果[J].现代医院,2017,17(9):1361-1362,1365.
[11]程少斐.钢板螺钉内固定技术应用于四肢长管骨创伤骨折的效果观察[J].河南医学研究,2017,26(3):474-475.
[12] Lopez-Lopez Emilio,Moreno Rodrigo,Baudin Carmen,et al.Fracture strength and fracture toughness of zirconium titanate-zirconia bulk composite materials[J].Journal of the European Ceramic Society,2015,35(1):277-283.
[13]张颉锋,何翔,谭俊铭.钢板螺钉内固定治疗四肢长管骨创伤骨折的临床有效性[J].浙江创伤外科,2016,21(6):1173-1174.
[14]林崇杰,刘鸿麒,陈燕青.钢板螺钉内固定治疗四肢长管状骨创伤骨折应用研究[J].基层医学论坛,2016,20(30):4305-4306.
[15]焦自勤.钢板螺钉内固定治疗四肢长管状骨创伤骨折的疗效观察[J].中国卫生标准管理,2018,9(17):58.