Application security of TiNi encircling compressive connectorversus Kirschner wire in the internal fixation of multiple rib fractures
10.3969/j.issn.2095-4344.2015.21.026
- VernacularTitle:镍钛环抱式接骨器内固定修复多发性肋骨骨折:与克氏针应用安全性比较
- Author:
Binqiang WANG
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2015;19(21):3419-3423
- CountryChina
- Language:Chinese
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Abstract:
BACKGROUND:Traditional therapies for multiple rib fractures include extra-thoracic pressure dressing and rib fixation, but have no ideal outcomes because of a higher pain and complication incidence. OBJECTIVE:To discuss the clinical efficacy of internal fixation of TiNi encircling compressive connector on multiple rib fractures and to analyzes its security. METHODS: Ninety patients with multiple rib fractures were selected to be studied, and they were divided into treatment group (45 patients were subject to internal fixation of TiNi encircling compressive connector) and control group (45 patients were subject to internal fixation with Kirschner wire. Surgical time, mechanical ventilation time, length of stay, duration of analgesic drug, and complication incidence were compared between two groups. Visual analog scale scores were measured before and after internal fixation. RESULTS AND CONCLUSION: The visual analog scale scores were significantly decreased in the both two groups at 12, 24, 48 hours after internal fixation (P < 0.05), moreover, the treatment group had lower scores on the visual analog scale than the control group at 12, 24, 48 hours after internal fixation (P < 0.05). Compared with the control group, the surgical time, mechanical ventilation time, length of stay, duration of analgesic drug, and complication incidence were al lower in the treatment group (P < 0.05). These findings indicate that the internal fixation of TiNi encircling compressive connector is effective in the treatment of multiple rib fractures, which is characterized as simple operation, smal injury, high stability, low complication incidence and good histocompatibility.
