Analysis of the effect of plate screw internal fixation technique in the treatment of fracture of long tubular bone in extremities
钢板螺钉内固定技术在四肢长管骨创伤骨折治疗中的作用分析

摘要

目的 评估四肢长管骨创伤骨折患者实施钢板螺钉内固定术治疗的应用价值。方法 选取确诊为四肢长管骨创伤骨折患者，确诊患者数量为62例，患者的住院时间属于2021年8月至2022年8月，分组应用随机数字表法形式，2组均31例，髓内钉内固定术治疗纳入到对照组之中，钢板螺钉内固定术治疗的患者视为观察组，就组间治疗相关指标、手术前后相关指标、疼痛感评分、骨愈合效果及术后并发症情况予以比较。结果 （1）观察组的四肢长管骨创伤骨折切口长度、出血量较低、手术时间、住院时间、愈合时间较之于对照组得以缩短，能够明显发现组间具有显著的差异性水平，P＜0.05。（2）手术前相关指标未可见明显的组间差异性，期间差异性水平较低，P>0.05。观察组的四肢长管骨创伤骨折手术后疼痛感较低、肢体功能、生活质量、关节功能评分较之于对照组得以提升，能够明显发现组间具有显著的差异性水平，P＜0.05。（3）手术前疼痛感评分未可见明显的组间差异性，期间差异性水平较低，P>0.05。观察组的四肢长管骨创伤骨折手术后疼痛感评分较之于对照组得以下降，能够明显发现组间具有显著的差异性水平，P＜0.05。（4）较之于对照组（70.97%）四肢长管骨创伤骨折患者，其观察组（93.55%）的患者骨愈合优良率有所提高，期间差异性水平较高，P<0.05。（5）较之于对照组（35.48%）四肢长管骨创伤骨折患者，其观察组（9.68%）的患者术后肿胀、感染、愈合不良、骨不连等并发症发生率有所下降，期间差异性水平较高，P<0.05。结论 四肢长管骨股创伤骨折患者行钢板螺钉内固定术治疗效果确切，能够降低术中损伤，患者肢体功能、生活质量及关节功能得以保障，减轻患者的术后并发症及疼痛感。

Abstract

Objective To evaluate the application value of plate screw fixation in patients with traumatic fracture of long canal bone in extremities.
Methods A total of 62 patients were selected who were diagnosed with traumatic fractures of long tubular bones in the extremities, and their hospital stay was from August 2021 to August 2022. The randomized number table method was used to divide the patients into two groups, with 31 cases in both groups. The patients treated with intramedullary nscrew internal fixation were included in the control group, and the patients treated with plate screw internal fixation were regarded as the observation group. Treatment related indexes, indexes before and after surgery, pain scores, bone healing effects and postoperative complications were compared between groups.
Results (1) The length of incision, the amount of bleeding, the operation time, the hospital stay and the healing time in the observation group were shorter than those in the control group, and there was a significant difference between the groups, P < 0.05. (2) There was no significant difference between the groups before the operation, and the level of difference during the operation was low (P>0.05). In the observation group, the pain was lower, the limb function, quality of life and joint function scores were improved compared with the control group after the operation of long tube bone trauma fracture, and there was a significant level of difference between the groups, P < 0.05. (3) There was no significant difference between groups in pain perception score before surgery, and the difference level was low during surgery, P>0.05. In the observation group, the score of pain perception after traumatic fracture of limb long canal bone was decreased compared with that of the control group, and a significant level of difference was found between the groups, P < 0.05. (4) Compared with the control group (70.97%), the excellent and good rate of bone union in the observation group (93.55%) was improved, and the difference level was higher during the period, P<0.05. (5) Compared with the control group (35.48%), the incidence of postoperative complications such as swelling, infection, poor healing and bone nonunion decreased in the observation group (9.68%), with a higher level of difference during the period (P<0.05).
Conclusion   The effect of internal fixation with plate and screw in patients with traumatic fracture of bone and femoral limbs is accurate, which can reduce intraoperative injury, guarantee limb function, quality of life and joint function, and reduce postoperative complications and pain of patients.