A Comparative Study on the Clinical Efficacy of External Fixation and Internal Fixation in the Treatment of Traumatic Pelvic Fractures
Objective To compare the clinical effects of external fixation and internal fixation treatments for patients with traumatic pelvic fractures.Methods This study employed a retrospective research design and selected 102 patients with unstable pelvic fractures who were treated at the Hospital for the First Mobile Corps of PAP from January 2019 to February 2024.Among them,54 patients underwent internal fixation surgery ( internal fixation group ),and 48 patients were treated with external fixation ( external fixation group ) .The surgical duration,intraoperative fluoroscopy frequency,fracture healing time,fracture reduction quality,callus formation,and limb function recovery were compared between the two groups.Results Compared to the external fixation group,the internal fixation group had longer surgical duration and fracture healing time,but fewer intraoperative fluoroscopy exposures,with statistically significant differences ( P<0.05 ) .The excellent and good rate according to the Matta standard was 83.33％ in the internal fixation group and 79.17％ in the external fixation group.The internal fixation group demonstrated better surgical reduction outcomes,with statistically significant differences ( P<0.05 ) .At 8 weeks and 12 weeks postoperatively,the callus formation score in the internal fixation group was higher than in the external fixation group,with statistically significant differences ( P<0.05 ) .The excellent rate of limb function recovery was 57.41％ in the internal fixation group,compared to 43.75％ in the external fixation group,with statistically significant differences ( P<0.05 ) .Conclusion Ex ternal fixation is a simple and rapid treatment option for traumatic pelvic fractures,but it is less effective than internal fixation in terms of fracture reduction quality,callus formation,and postoperative functional recovery.
TraumaPelvic FracturesInternal Fracture FixationExternal FixatorComparative Study on Therapeutic Efficacy
万方数据
维普
