Clinical Efficacy Of BCFS In Unstable Pelvic Fractures

Objective:There are many kinds of internal fixation methods for unstable pelvic fractures.This article compares the clinical efficacy of bridging combination internal fixation system(BCFS)and locking plate(LCP)in the treatment of unstable pelvic fractures,and evaluates the advantages and disadvantages of the two internal fixation methods.This provides a scientific basis for the selection of unstable pelvic fracture fixation methods.Methods:This project organizes 34 cases of unstable pelvic fractures that meet the standard in the Tai'an Central Hospital in the past 5 years.The experimental group(A group,BCFS fixation group)17 cases,control group(B group,locking plate fixation group)17cases,All patients were traumatic fresh closed fractures,no serious nerves,vascular injury and other complications.In the BCFS fixation group,there were 13 males and 4 females,4 females;22 to 59 years old,with an average of 37.8±8.417 years;Injury factors: traffic accidents,fall injuries,and bruises were 11 cases,4 cases and 2 cases respectively.According to Tile pelvic fracture classification: B1 type,B2 type,B3 type,C1 type,C2 type were 5 cases,6 cases,2 cases,3 cases,1 case.Locked plate fixation group: male and female patients were 11 cases,6 cases;22 to 54 years old,average 40.0 ± 11.360 years old;Injury factors: traffic accidents,fall injuries,and bruises were 10 cases,6 cases,and 1 case respectively.According to Tile pelvic fracture classification: B1,B2,B3,C1,C2 were 4 cases,7 cases,3 cases,2 cases,1 case.Both groups were treated 4-10 days after injury,with an average of 6.23 days.Record the length of the surgical incision,the amount of intraoperative blood loss,and the time of surgery for each patient.X-rays were performed regularly and Matta criteria was used to evaluate the fracture reduction and fixation of fractures.The fracture healing time was recorded and the recovery of limb function was assessed according to Majeed criteria.SPSS19.0 statistical software was used for statistical analysis of the data obtained.Compare the clinical effects of the two internal fixation methods.Results:1 Surgical time: The operative time of the BCFS fixation group was 103.5±61.087 minutes,and the operation time of the locking plate fixation group was 166.8±63.992 minutes.The t-test was performed on the operative time of the two groups.The results showed that the BCFS was used to treat unstable pelvic fractures.It takes significantly less time to lock the plate.2 Intraoperative blood loss: The intraoperative blood loss in the BCFS fixation group was 272.4±102.414 ml,and the intraoperative blood loss in the locked plate internal fixation group was 444.1±214.834 ml.The intraoperative blood loss of the two groups was performed.The test showed that the amount of blood loss during BCFS treatment of unstable pelvic fractures was significantly lower than that of locking plates.3 Length of surgical incision: The incision length of the BCFS fixation group was 17.1±3.771 cm,and the length of the surgical incision of the locking plate fixation group was 22.8±3.766 cm.The length of the surgical incision of the two groups of treatments was t-tested.The results showed that the surgical incision length of BCFS in the treatment of unstable pelvic fractures was significantly shorter than that of locking plates.4 Fracture healing time: The healing time of pelvic fractures in the BCFS fixation group was 9.4±1.574 weeks,and the healing time of the pelvic bone fractures in the locking plate fixation group was 11.1±1.893 weeks.The fracture healing time of the two groups of treatments was t-tested.The results showed that the fracture healing time of BCFS in the treatment of unstable pelvic fractures was significantly shorter than that of locking plates.5 Limb function recovery: According to the Majeed standard,the excellent performance rate of limb function in the BCFS fixation group was 88.24%,and the excellent rate of limb function in the locked steel plate fixation group was 76.47%.After passing the chi-square test,the result was P=0.56.There was no significant difference in recovery(P>0.05).6 According to Matta fracture reduction criteria,all patients in both groups were excellent.Conclusion:Bridge-type combined internal fixation system can reduce surgical trauma and promote fracture healing in the treatment of unstable pelvic fractures.It has clinical application value.