关键词: 肋骨骨折, 临床应用, 比较 , 内固定

Abstract:

Objective To compare the clinical application efficacy of four internal fixation materials （steel wire，absorbable intramedullary nail，memory embracing fixator，and steel plate）on rib fracture. Methods A total of 83 rib fracture patients were included in this study. Of them ，11 cases were performed internal fixed with steel wire material ，34 patients with absorbable intramedullary nail ，25 patients with memory alloy embracing fixator ，and 13 patients with steel plate. The cost，operation time，complications and pain were compared among the four groups. Results The patients in steel wire group was characterized of a simple operation ，lower cost，but poor broken end reduction and firmness， and a non?absorbable material. Absorbable intramedullary nail group showed a higher cost ，poor restoration of broken ends and fastness，but completely absorbable material. Memory embracing fixator group had vantage to better restoration of broken ends and fastness degree with complex operation and higher cost The last steel plate group was easy to use ，and had a good restoration of broken ends and fastness degree，but non?absorbable material and X?rays exposure. Conclusion Each own relative merits was found in four different internal fixation materials on rib fracture. We should select appropriate material according to material character，special situation of rib fracture，and hospitalization cost.

Key words: rib fracture, internal fixation, comparison, clinical application