[1]何 晖,张奇侠,黎旭军,等.桥接内固定系统双棒垂直固定治疗肱骨干下段粉碎性骨折疗效[J].医学信息,2021,34(03):120-123.[doi:10.3969/j.issn.1006-1959.2021.03.033]
　HE Hui,ZHANG Qi-xia,LI Xu-jun,et al.Curative Effect of Double Rod Vertical Fixation with Bridging Internal Fixation System in Treatment of Comminuted Fracture of Lower Humeral Shaft[J].Medical Information,2021,34(03):120-123.[doi:10.3969/j.issn.1006-1959.2021.03.033]
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桥接内固定系统双棒垂直固定治疗肱骨干下段粉碎性骨折疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年03期
页码:
120-123
栏目:
临床研究
出版日期:
2021-02-01

文章信息/Info

Title:
Curative Effect of Double Rod Vertical Fixation with Bridging Internal Fixation System in Treatment of Comminuted Fracture of Lower Humeral Shaft
文章编号:
1006-1959（2021）03-0120-04
作者:
何 晖; 张奇侠; 黎旭军; 等
（梧州市中医医院上肢骨关节科，广西 梧州 543004）
Author(s):
HE Hui; ZHANG Qi-xia; LI Xu-jun; et al.
(Department of Upper Limb Bone and Joint,Wuzhou Traditional Chinese Medicine Hospital,Wuzhou 543004,Guangxi,China)
关键词:
肱骨干骨折; 桥接内固定; 垂直固定; 平行固定
Keywords:
Humeral shaft fracture; Bridging internal fixation; Vertical fixation; Parallel fixation
分类号:
R683.4
DOI:
10.3969/j.issn.1006-1959.2021.03.033
文献标志码:
A
摘要:
目的 探讨应用组合式桥接内固定系统（BCFS）双棒垂直内固定治疗肱骨干下段粉碎性骨折的临床疗效。方法 选取2017年1月~2020年4月在梧州市中医医院应用BCFS双棒内固定手术治疗的32例肱骨下段粉碎性骨折患者，随机分为两组，治疗组17例应用BCFS双棒垂直内固定，对照组15例应用BCFS双棒平行固定，比较两组患者愈合情况、手术一般情况（手术时间、术中出血量、住院时间、骨折线消失时间）、并发症发生率、肩关节功能评分及肘关节功能评分。结果 两组患者术后切口均Ⅰ期愈合，无神经损伤，无感染、渗液等，所有患者骨折均愈合，无畸形愈合及延迟愈合情况发生；两组患者手术时间、术中出血量、住院时间、骨折线消失时间比较，差异无统计学意义（P＞0.05）；两组术后均无神经损伤、骨折不愈合现象，但对照组出现1例固定棒滑动，滑动5 mm，组合平行结构未致改变，骨折仍正常愈合，两组比较，差异无统计学意义（P＞0.05）；肩关节功能评分优良率比较，差异无统计学意义（P＞0.05)；治疗组肘关节功能评分优良率高于对照组，差异有统计学意义（P＜0.05）。结论 组合式桥接内固定系统（BCFS）双棒垂直内固定治疗肱骨干下段粉碎性骨折固定牢靠，较BCFS双棒平行内固定更有优势，更利于患者的早期康复。
Abstract:
Objective To explore the clinical effect of bridge combined fixation system(BCFS) double-rod vertical internal fixation for the treatment of comminuted fractures of the lower humeral shaft.Methods A total of 32 patients with comminuted fractures of the lower humerus who were treated with BCFS double rod internal fixation in Wuzhou Traditional Chinese Medicine Hospital from January 2017 to April 2020 were randomly divided into two groups.17 cases in the treatment group were fixed with BCFS double rod vertical internal fixation, and 15 cases in the control group were fixed with BCFS double rod parallel fixation.The two groups of patients were compared with the healing status, the general status of the operation (operating time, intraoperative blood loss, hospitalization time, time of fracture line disappearance), complication rate, shoulder function score and elbow joint function score.Results The incisions of the two groups of patients healed by first intention without nerve injury, infection, exudation, etc. All patients had fractures healed, and there was no malunion or delayed union. The operation time, intraoperative blood loss, and hospitalization of the two groups,there was no statistically significant difference in time and fracture line disappearance time (P>0.05);There was no nerve injury or fracture nonunion in the two groups after operation, but the control group had 1 case of fixed rod sliding, sliding 5 mm, the combined parallel structure did not change, and the fracture still healed normally,there was no statistically significant difference between the two groups (P＞0.05);There was no statistically significant difference in the excellent and good rate of shoulder joint function scores (P＞0.05);The excellent and good rate of elbow joint function scores in the treatment group was higher than that in the control group,the difference was statistically significant (P＜0.05).Conclusion The bridge combined fixation system(BCFS) double-rod vertical internal fixation for the treatment of comminuted fractures of the lower humeral shaft is more reliable than BCFS double-rod parallel internal fixation and is more conducive to the early recovery of patients.

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更新日期/Last Update: 1900-01-01