Clinical analysis of different internal fixation materials in the treatment of multiple rib fractures
Hu Rui1, Jiang Jie1,2, Wang Duanduan1, Wan Guobin1, Geng Guojun2, Xing Yutong1
1Department of Cardiothoracic Surgery, Xiamen Fifth Hospital, Xiamen 361101, China; 2Department of Thoracic Surgery, First Affilated Hospital of Xiamen University, Xiamen 361000, China
Abstract:Objective To investigate the clinical efficacy of an embracing device, locking plate, and the combination of both with internal fixation in the treatment of traumatic multiple rib fractures.Methods The clinical data of 67 males and 29 females, aged from 24-79(49.2±13.8) years and who underwent internal fixation of rib fracture from January 2018 to December 2020 at the Department of Cardiothoracic Surgery of Xiamen Fifth Hospital, were retrospectively analyzed. The cases were classified according to different groups of internal fixation materials include 37 cases with NiTi memory embracing device as the embracing device group, 38 cases with anatomical locking plates as the locking plate group, and 21 cases as the combined group. The operative time, intraoperative bleeding, drainage volume and drainage time, pain score, and postoperative complications were recorded.Results Rib fracture fixation was successfully performed in all patients. No significant differences occurred in terms of gender, age, number of fracture ends, fracture location and chest complications, among the three groups (all P values>0.05). The operative time for each fracture (embracing fixator [8.51±0.89] min vs. mix group [13.50±1.83] min and locking plate [15.27±1.42] min) significantly differed (all P values<0.01). Intraoperative bleeding for the various groups (embracing fixator [118.21±7.96] mL vs. mix group [103.74±7.38] mL and locking plate [96.34±6.59] mL) significantly differed (all P values<0.01). No significant difference was observed in the drainage volume, chest pain, atelectasis, and wound infection among the three groups (all P values>0.05).Conclusions The clinical application of an embracing device, locking plate, and the combination of both is safe and effective for the treatment of multiple rib fractures, with the embracing device achieving the shortest operation time. The least amount of intraoperative bleeding is observed for the locking plate group.
胡睿, 姜杰, 王端端, 万国斌, 耿国军, 邢宇彤. 不同材料内固定手术治疗多发肋骨骨折的临床效果分析[J]. 中华解剖与临床杂志, 2021, 26(6): 685-689.
Hu Rui, Jiang Jie, Wang Duanduan, Wan Guobin, Geng Guojun, Xing Yutong. Clinical analysis of different internal fixation materials in the treatment of multiple rib fractures. Chinese Journal of Anatomy and Clinics, 2021, 26(6): 685-689.
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