Effect of Internal Fixation after External Fixation Bracing Treatment on Fracture Healing and Function in Patients with Open Fractures of the Tib-iofibular Diaphysis
Objective To investigate the effects of internal fixation after external fixation bracing treatment on fracture healing and function in patients with open fractures of the tibiofibular diaphysis.Methods From October 2020 to May 2022,it is conveniently to selected 142 patients with open fracture of tibia and fibula treated in the Department of Or-thopaedics,Putian 95 Hospital of China Rongtong Medical and Healthcare Group as the research objects.According to the random envelope method,they were divided into control group and observation group,71 cases in each group.The control group mainly received the treatment of direct internal fixation after trauma debridement.The observation group mainly received external fixation combined with internal fixation after trauma debridement.The fracture heal-ing time,functional recovery,complication rate and inflammatory factor levels were compared between the two groups.Results The callus formation time,pain disappearance time,hospitalization time and fracture healing time in the observation group were shorter than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the scores of knee joint and ankle joint function in the observation group were(89.33±3.18)points and(87.99±5.14)points,respectively,which were higher than those in the control group,and the differences were statistically significant(t=13.308,7.432,both P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The levels of procalcitonin,interleukin-6,tumor necrosis factor-α,transforming growth factor-β and C-reactive protein in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Af-ter the open fracture of the tibiofibular symphysis,the implementation of external fixation bracing,followed by internal fixation treatment,can help the rapid healing of the fracture site,so that the joint function can be effectively restored,improve the indicators of inflammatory factors,and reduce the incidence of complications,and the combined applica-tion of the two is of great clinical significance.
Open fracture of tibiofibular symphysisExternal fixation bracingInternal fixation treatmentFracture healingComplications
万方数据
维普
