Application of external fixation in injury-controlled treatment of limb and pelvic trauma fractures
YANG Yonghua1 HU Bin1 YANG Minjie1 WAN Xianglian2 YANG Hailong1 GAO Zhanwang1
1. The Third Department of Orthopedics, the First People′s Hospital of Jiujiang City, Jiangxi Province, Jiujiang 332000, China;
2. Department of Nursing, the First People′s Hospital of Jiujiang City, Jiangxi Province, Jiujiang 332000, China
Abstract:Objective To explore the application of external fixation in injury-controlled treatment of limb and pelvic trauma fractures. Methods A total of 80 fracture patients admitted to the First People′s Hospital of Jiujiang City from January 2020 to January 2022 were selected as the study subjects, and they were divided into observation group and control group by random number table method, with 40 patients in each group. The control group received traditional plaster fixation, bed rest or bone traction first, and open reduction and internal fixation later. Observation group received external fixation stent fixation combined with injury control treatment, and later received open reduction and internal fixation treatment. The operative time, intraoperative blood loss, incision length, inflammatory factor expression level before and after surgery and the total incidence of postoperative complications were compared between the two groups. Results The amount of intraoperative blood loss in the observation group was less than that in the control group, the operation time and incision length were shorter than those in the control group, and the level of inflammatory factors 3 d after surgery was lower than that in the control group, the differences were statistically significant (P<0.05). The total incidence of complications in observation group was lower than that of the control group, the difference was statistically significant (P<0.05). Conclusion External fixation stent fixation and damage control treatment can shorten the operation time and length of surgical incision in patients with limb and pelvic fractures, reduce intraoperative blood loss, reduce postoperative inflammatory factor expression levels, and reduce the incidence of complications.
杨永华; 胡斌; 杨敏捷; 万香莲; 杨海龙; 高展望. 外固定支架固定行损伤控制性治疗在肢体、骨盆创伤骨折中的应用[J]. 中国当代医药, 2022, 29(21): 63-66.
YANG Yonghua; HU Bin; YANG Minjie; WAN Xianglian; YANG Hailong; GAO Zhanwang. Application of external fixation in injury-controlled treatment of limb and pelvic trauma fractures. 中国当代医药, 2022, 29(21): 63-66.