Effects of the treatment on proximal femur complex fracture by bridging combined internal fixation system
Objective To evaluate the clinical efficacy of the bridging combination internal fixation system and the locking steel plate in the patients with complex proximal femoral fractures.Methods 57 patients with complex proximal femoral fractures were randomly divided into the bridging combination internal fixation system group(n=31)and the locking steel plate group(n=26).The patients in the bridging combination internal fixation system group were received treatment with bridging systems,and the patients in the locking steel plate group were received treatment with locking plates.The clinical comprehensive indicators,postoperative efficacy scores,life comprehensive scores,and incidence of complications were compared between the two groups of patients.Results Comparison with the steel plate group,the bridging group exhibited shorter surgical time,reduced postoperative drainage,fewer hospital days,and faster fracture healing,with a statistically significant difference(P<0.05).At 1 month and 3 months after surgery,the bridge group had better pain visual analogue scale(VAS),Harris hip joint score(HHS),comprehensive quality of life assessment questionnaire 74(GQOLI-74),and self-efficacy score(GSES)than the steel plate group(P<0.05).There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Compared with locking plate treatment,the bridge combination internal fixation system has advantages in treating complex proximal femoral fractures,such as less trauma,reliable fixation,faster fracture healing,and better functional recovery.
万方数据
维普
