Effect of Internal Fixation Therapy after External Fixation Stenting in Patients with Open Fracture of Tibia and Fibula Shaft
Objective:To investigate the clinical effect of further internal fixation therapy after initial fixation therapy with external fixation stent in patients with open tibia-fibula shaft fracture,in order to deeply analyze the influence of this combination therapy on fracture healing dynamics and functional recovery of patients. Method:By retrospective study,142 cases of open fractures of tibia and fibula shaft admitted to the Second Hospital of Longyan from October 2018 to May 2022 were included in the study,and they were divided into sequential internal and external fixation group (71 cases) and single external fixation group (71 cases) according to different treatment regimens. The sequential internal and external fixation group was treated with external fixation after trauma and internal fixation at second stage. The single external fixation group received the second stage of internal fixation after the trauma debridement. The time required for callus maturation to healing,functional recovery of knee joint and ankle joint,inflammatory factor index and occurrence of complications were compared between the two groups. Result:The duration of hospital stay and callus maturation to healing in the sequential internal and external fixation group were shorter than those in the single external fixation group,and the time of pain relief was earlier than that in the single external fixation group (P<0.05). 7 days after discharge,the knee joint and ankle joint function scores in the sequential internal and external fixation group were higher than those in the single external fixation group (P<0.05). 7 days after discharge,the levels of procalcitonin (PCT),interleukin-6 (IL-6),intercellular adhesion molecule-1 (ICAM-1),transforming growth factor-β1 (TGF-β1) and C reactive protein (CRP) in the sequential internal and external fixation group were lower than those in the single external fixation group (P<0.05). The incidence of complications in the sequential internal and external fixation group was 1.41％ (1/71),lower than 11.27％ (8/71) in the single external fixation group (x2=5.813,P<0.05). Conclusion:After the open fracture of tibia and fibula shaft,external fixation stenting followed by internal fixation therapy can promote the healing of fracture site,shorten the rehabilitation period,strengthen the stability of fracture,fully restore the joint function,control the inflammatory reaction,and have good safety.
Open fracture of tibia and fibula shaftExternal fixation stentingInternal fixation therapyFracture healingComplication
万方数据
维普
