Comparison of the Effects of Locking Compression Plates and Interlocking Intramedullary Nails on Perioperative Indicators and Hip Joint Function in Patients with Femoral Shaft Fractures
Objective To compare the efficacy of locking compression plates(LCP)and interlocking intramedullary nails(IIN)in the treatment of femoral shaft fracture(FSF)patients.Methods A total of 60 patients with FSF admitted to Jinxiang County People's Hospital from June 2021 to June 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group received LCP internal fixation,and the observation group received IIN internal fixation.The perioperative indexes,pain degree,hip function,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(109.68±10.42)mL,which was less than(153.75±14.89)mL in the control group,while the operative time,hospital stay and fracture healing time were(76.31±6.59)min,(10.50±1.89)d and(19.75±2.01)weeks,respectively,which were shorter than(87.85±8.72)min,(14.32±2.57)d and(21.41±2.59)weeks of the control group,and the differences between the groups were statistically significant(P＜0.05).3 months after surgery,the pain Visual Analogue Scale score in the observation group was(1.36±0.21)points,which was lower than(2.57±0.35)points in the control group,while the Harris hip score was(78.96±6.21)points,higher than(69.84±4.69)points in the control group,the differences between the groups were statistically significant(P＜0.05);the scores of physical health,mental health,surrounding environment and social relations in the World Health Organization quality of life-BREF scale were(76.88±4.21)points,(80.35±4.03)points,(81.26±4.13)points and(82.57±3.97)points,respectively,which were higher than(69.84±3.60)points,(71.26±3.28)points,(73.39±3.40)points and(72.49±3.01)points of the control group,and the differences between the groups were statistically significant(P＜0.05).The incidence of complications in the observation group was 6.67%,which was lower than 26.67%in the control group,the difference was statistically significant(P＜0.05).Conclusion IIN internal fixation has less trauma and shorter operation time,which can better reduce the pain of FSF patients,accelerate the improvement of hip function,and ultimately improve the quality of life,without serious complications,and is worthy of clinical promotion.
Femoral shaft fractureQuality of lifeComplications
NETL
NSTL
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