Effect of minimally invasive percutaneous bridge internal fixation in the treatment of unstable pelvic fractures
LIU Guoqiang1 ZENG Lingguo1 XIE Long1 ZHONG Xueren1 ZHOU Longze1 ZHOU Bin1 SI Zebing1 PENG Xiaoming1,2
1.Department of Orthopaedic Trauma, Yuebei People’s Hospital Yuebei People’s Hospital Affiliated to Shantou University School of Medicine, Guangdong Province, Shaoguan 512000, China;
2.Experimental Center, Yuebei People’s Hospital, Yuebei People’s Hospital Affiliated to Shantou University School of Medicine, Guangdong Province, Shaoguan 512000, China
Abstract：Objective To investigate the clinical effect of minimally invasive percutaneous bridge internal fixation in the treatment of unstable pelvic fractures. Methods A total of 80 cases of unstable pelvic fracture in Yuebei People’s Hospital from January 2015 to January 2019 were collected as the research objects. According to the different surgical treatment methods, they were divided into observation group (43 cases) and control group (37 cases). The observation group was treated with minimally invasive percutaneous bridge internal fixation, and the control group was treated were traditional external fixation. The operation status, complication rate and operation effect of the two groups were statistically compared, and 12 months follow-up observation was conducted, the Harris hip joint score of the two groups was evaluated. Results The hospitalization time and fracture healing time of the observation group were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of complications rate in the observation group was lower than that in the control group , and the difference was statistically significant (P ＜ 0.05). The excellent and good rate of fracture reduction in the observation group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). There were highly statistically significant differences in the harris hip function score time between groups and interaction between the two groups (P ＜ 0.01). Further pair comparison and intra-group comparison: the Harris hip function score at 3, 6, 9 and 12 months after surgery in both groups were higher than those before surgery, and the differences at each time points after surgery were statistically significant (all P ＜ 0.05). Comparison between groups: the Harris hip function score in the observation group was higher than that in the control group at all time points, with all statistical significant differences (all P ＜ 0.05). Conclusion The clinical effect of minimally invasive percutaneous bridge internal fixation in the treatment of unstable pelvic fractures is significant, which can promote the fracture healing of patients, improve the reduction effect and postoperative hip joint activity function, and the incidence of complications is low, and the operation safety is better.
2021, Vol. 18 
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