ZHU Shida, CHEN Kai, LI Yuanxin, WANG Hongkai

( Department of Orthopaedics, the Second Affiliated Hospital of Guilin 

Medical University ,Guilin 541199,China)

Abstract Objective To evaluate the clinical efficacy of the bridging combination internal fixation system and thelocking steel plate in the patients with complex proximal femoral fractures. Methods 57 patients with complexproximal femoral fractures were randomly divided into the bridging combination internal fixation system group ( n=31 ) and the locking steel plate group ( n = 26 ). The patients in the bridging combination intermal fixation systemgroup were received treatment with bridging systems, and the patients in the locking steel plate group were receivedtreatment with locking plates. The clinical comprehensive indicators, postoperative eficacy seores, life comprehensive scores, and incidence of complications were compared between the two groups of patients. Results Comparison with the steel plate group, the bridging group exhibited shorter surgical time, reduced postoperativedrainage , fewer hospital days, and faster fracture healing, with a statistically significant difference( P<0.05 ). At 1 month and 3 months after surgery , the bridge group had better pain visual analogue scale( VAS) , Harris hip jointscore( HHS ), comprehensive quality of life assessment questionnaire 74 ( GQOLI-74 ), and self-efficacy score( GSES ) than the steel plate group ( P<0.05 ). There was no statistically significant difference in the ineidenee ofcomplications between the two groups( P>0.05 ). Conclusion Compared with locking plate treatment, the bridgecombination internal fixation system has advantages in treating complex proximal femoral fractures, such as lesstrauma, reliable fixation , faster fracture healing, and better functional recovery.

Keywords : proximal femur complex fracture : bridging combined internal fixation system: locking plate

DOI:10.19296/i.cnki.1008-2409.2024-04-025

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