预成型肋骨锁定钛板内固定与胸部护板外固定对创伤性多发肋骨骨折的应用效果对比

doi:10.3969/j.issn.2095-378X.2024.01.004

Abstract

Abstract: Objective To compare the effects of preformed rib locking titanium plate internal fixation and chest guard plate external fixation on traumatic multiple rib fractures. Methods A total of 76 patients with traumatic multiple rib fractures from July 2020 to January 2023 were selected as study subjects and divided into two groups, 38 cases in each group. The control group was treated with external fixation with chest guard plate, and the observation group was treated with internal fixation with preformed rib locking titanium plate. The clinical efficacy, the first out-of-bed time, visual analogue scale （VAS） score at 7 d postoperatively, mechanical ventilation time, hospitalization time, and fracture healing time were compared between the two groups. The forced expiratory volume in the first second （FEV₁）, forced vital capacity （FVC）, and ratio of forced expiratory volume in the first second to forced vital capacity （FEV₁/FVC） were detected with a pulmonary function measuring device at 7 d and 3 months after operation, respectively. The incidence of postoperative complications was also compared. Results Compared to the control group, the excellent and good rate of the observation group was significantly higher （P<0.05）; the first out-of-bed time, VAS score at 7 d postoperatively, mechanical ventilation time, hospitalization time, and fracture healing time in the observation group were significantly shorter （P<0.05）. There was no significant difference in FEV₁, FVC, and FEV₁/FVC between the two groups 7 d after operation （P>0.05）. FEV₁, FVC, and FEV₁/FVC in the two groups increased 3 months after operation, and the observation group showed higher levels than the control group （P<0.05）. The incidence of postoperative complications in the observation group was significantly lower than that in the control group （P<0.05）. Conclusion For patients with traumatic multiple rib fractures, the effect of internal fixation with preformed rib locking titanium plate is better than that of external fixation with chest guard plate, which can promote the early recovery of patients, improve long-term lung function, and reduce the incidence of postoperative complications.

Key words: Preformed rib locking titanium plate, Chest guard, Internal fixation, External fixation, Traumatic multiple rib fracture, Pulmonary function, Complication

CLC Number:

R687.3

CHEN Zhenggang, TANG Weibing, LU Wenqiang, MAO Yiming. Comparison of effects of preformed rib locking titanium plate internal fixation and chest guard plate external fixation on traumatic multiple rib fractures[J]. Surgical Research and New Technique, 2024, 13(1): 18-22.

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Comparison of effects of preformed rib locking titanium plate internal fixation and chest guard plate external fixation on traumatic multiple rib fractures

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