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| Clinical effect of combined internal fixation system with bridge in the treatment of nonunion of 1/4 fracture of humerus |
| ZHOU Jingyuan Suo nan ang xiu |
| The Fourth Ward, Department of Orthopedics, Qinghai Provincial People′s Hospital, Qinghai Province, Xi′ning 810007, China |
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Abstract Objective To analyze and discuss the clinical effect of the application of the bridge combined internal fixation system in the treatment of 1/4 fracture nonunion in the lower shaft of humerus. Methods Retrospective analysis was performed on the clinical data of 112 cases of fracture nonunion of the lower 1/4 of humerus from January 2009 to January 2015 in the Fourth Ward of Department of Orthopedics, Qinghai Provincial People′s Hospital. They were divided into control group and observation group with 56 cases in each group. A totol of 56 patients in the control group were treated with traditional single locking compression plate, and 56 patients in the observation group were treated with the bridge combined internal fixation system. The quality of life scores, elbow function scores (Constant-Murley) and recent complications of the two groups were compared before and after treatment. Results The observation group had significantly higher scores of daily life, social activities, depression, irritability, total quality of life and constant-murley after treatment than the control group (P ＜ 0.05). Infection and vascular and nerve injury were effectively controlled in the two groups at 1, 3 and 6 months after surgery, and the incidence of recent complications was not statistically significant (P ＞ 0.05). Conclusion The application of the bridge combined internal fixation system in the treatment of the nonunion of 1/4 fracture of the lower shaft of the humerus can effectively improve the quality of life of the patients, the joint function rehabilitation is good, the incidence of postoperative complications such as infection, vascular and nerve injury is low, and the clinical effect is significant.
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