Clinical Observations For Femoral Shaft Fracture Treated With Bridge Combined Fixation System

Objective: To investigate the clinical effect of femoral shaft fracture treated withBridge Combined Fixation System through observing the standards on bleeding duringoperation, operation time, fracture reduction, fracture healing and functional recovery etc.This study is based on the modern department of Internal fixation ideas on Bridging andCombined Fixation and accorded to the anatomical characteristics of the long bones oflimbs in China to provide new evidence for internal fracture fixation and new way tothink about the individualized treatment of long bone fractures.Methods: The20cases of femoral shaft fracture patients in the study from theDepartment of orthopedics Affiliated Hospital of Shandong University of TraditionalChinese Medicine from2011December to2012December, treated by operation withBridge Combined Fixation System, conform to the inclusion criteria and all werecompletely followed up. Among them there were11males,9females, aged biggest66years old, the smallest17years old, the average age was51.59years old,8cases of the left,right in12cases. The fractures in the upper femoral shaft were7cases,8cases of middle,lower section in5cases,3cases with multiple fractures. All of the cases were freshfracture, and not associated with important neurovascular injury. Operation begin timewas2h-7d after injury. According to the typing of fracture of femoral shaft by AO, thesubjects were divided into three groups,9cases of simple fracture group,6cases of wedgefracture group and5cases of complex fracture group. Assessing Clinical diagnosis andimaging before the operation, to determine the operation time. Protecting the soft tissueand vessels and nerves carefully, observing the operation time and the amount ofhemorrhage during the operation. Guiding the patients to make early comprehensivefunctional exercise and preventing the appearance of complication after the operation.Proceeding out patient service review and taking X-ray after1month,3months,6months, 12months respectively after operation to observe and understand fixation in fractureand healing. Checking the limb function recovery and to compare. Evaluating the functionof the patients in each group by the grade of Johner-Wruh to compare their operation time,the amount of hemorrhage during the operation and the rate of fracture nonunion observethe outcomes.Results: According to the grade of Johner-Wruh, In the20patients,12cases wereexcellent, good in7, fair in1, poor in0, the excellent and good rate was95%.The curative effect is all remarkable with this way to treat femoral shaft fractures.Operation time, fracture healing rate and the complications in surgery of simple groupwere all better to others, but there was no significant difference (P>0.05). The hemorrhageamount during the operation of complex fracture group was different from the one ofsimple group, and it was significant(P<0.05), but the other comparisons were notsignifican（tP>0.05）. The excellent and good rate of simple fracture group was100.0%, thewedge fracture group was100%, and the complex fracture group was80%, and werenot obvious different and not significant (P>0.05).Conclusion: The Bridge combined fixation system is very effective in treatingfemoral shaft fractures. Its characteristics and advantages earned breakthrough clinicalmanifestations in protecting the blood supply of fracture ends, possible operation, Stablefractures and fracture healing. Preparing actively before the operation, keeping improvingrelevant inspection, operating carefully and making comprehensive functional exerciseafter operation are particularly important in the functional recovery of limb. This therapy isworthy of further research and clinical application.