桥接组合式内固定系统和锁定钢板系统治疗股骨干骨折的疗效比较  

Therapeutic Effects of Bridge-link Combined Fixation System and Locking Plate System for Femoral Shaft Fractures

作　　者：李栋[1] 周维波 朱春晖 吴昊[1] Li Dong;Zhou Weibo;Zhu Chunhui(Department of Trauma Center, Affiliated Changzhou No.2 People’s Hospital of Nanjing Medical University, Changzhou 213000, China)

机构地区：[1]南京医科大学附属常州市第二人民医院创伤中心,常州213000

出　　处：《中国微创外科杂志》2020年第9期807-811,共5页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的比较桥接组合式内固定系统和锁定钢板系统治疗股骨干骨折的疗效。方法回顾性分析2015年1月~2019年1月82例股骨干骨折,其中32例使用锁定钢板内固定(钢板组),50例使用桥接组合式内固定系统固定(桥接组),均获得至少12个月的随访。比较2组手术时间、术中出血量、住院时间、并发症、骨折愈合时间,以及术后1年Harris髋关节功能评分、美国特种外科医院(Hospital for Special Surgery,HSS)膝关节功能评分。结果与钢板组比较,桥接组手术时间短[(70.9±8.3)min vs.(75.3±7.1)min,t=-2.513,P=0.014],术中出血少[(265.4±95.1)ml vs.(396.6±99.3)ml,t=-5.990,P=0.000]。2组住院时间及并发症率差异无显著性(P>0.05)。桥接组骨折愈合时间[(4.9±1.1)月]短于钢板组[(5.8±1.5)月](t=-3.018,P=0.003)。术后1年桥接组Harris髋关节评分及HSS膝关节评分高于钢板组[(84.1±5.1)分vs.(81.4±5.1)分,t=2.370,P=0.020;(85.3±6.4)分vs.(81.8±6.0)分,t=2.512,P=0.014]。结论与锁定钢板相比,桥接组合式内固定系统治疗股骨干骨折创伤小,骨折愈合时间短,功能恢复佳。Objective To compare the therapeutic effects between the bridge-link combined fixation system and the locking plate system in the treatment of femoral shaft fractures.Methods A total of 82 cases of femoral shaft fractures treated between January 2015 and January 2019 were retrospectively analyzed,including 32 cases receiving the locking plate system(Group Plate)and 50 cases with bridge-link combined fixation(Group Bridge-link).All the cases were followed up for at least 12 months.The operation time,intraoperative bleeding,in-hospital stay,complications and fracture healing time as well as hip joint functions(Harris score)and knee joint functions(HSS score)at 1 year postoperatively were compared between the two groups.Results As compared to the Group Plate,the Group Bridge-link had significantly shorter operation time[(70.9±8.3)min vs.(75.3±7.1)min,t=-2.513,P=0.014],less intraoperative bleeding[(265.4±95.1)ml vs.(396.6±99.3)ml,t=-5.990,P=0.000],shorter fracture healing time[(4.9±1.1)months vs.(5.8±1.5)months,t=-3.018,P=0.003]and higher Harris scores and HSS scores[(84.1±5.1)points vs.(81.4±5.1)points,t=2.370,P=0.020;(85.3±6.4)points vs.(81.8±6.0)points,t=2.512,P=0.014].No significant difference between groups was found in in-hospital stay or complications(P>0.05).Conclusion The bridge-link combined fixation system can better treat femoral shaft fractures than the locking plate system owing to less trauma,shorter fracture healing time and better function recovery.

关 键 词：股骨干骨折 桥接组合式内固定系统 锁定钢板 

分 类 号：R68[医药卫生—骨科学]