Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Apr 29:10:887123.
doi: 10.3389/fpubh.2022.887123. eCollection 2022.

Application of Smart Healthcare in Comparative Analysis of Effect of Early External Fixator and Plate Internal Fixation Treatment on Postoperative Complications and Lower Limb Function Recovery of Patients With Unstable Pelvic Fracture

Hongwei Zhang  1 , Fang Sun  2 , Yao Li  3
Affiliations

Application of Smart Healthcare in Comparative Analysis of Effect of Early External Fixator and Plate Internal Fixation Treatment on Postoperative Complications and Lower Limb Function Recovery of Patients With Unstable Pelvic Fracture

Hongwei Zhang et al. Front Public Health. .

Abstract

Objective: To comparatively analyze the effect of early external fixator and plate internal fixation treatment on postoperative complications and lower limb function recovery of patients with unstable pelvic fracture based on smart healthcare.

Methods: The clinical data of 98 patients with unstable pelvic fractures treated in our hospital from August 2018 to August 2021 were collected for retrospective analysis, and the patients were split into group A (plate internal fixation, n = 49) and group B (early external fixator treatment, n = 49) according to the surgical modalities. The time of operation, intraoperative blood loss, postoperative complications, etc. were compared between the two groups.

Results: Between the two groups, group B had significantly better clinical indicators (P < 0.001), a greatly higher good rate of fracture reduction and postoperative Harris score (P < 0.05), and obviously lower VAS score and total incidence rate of postoperative complications (P < 0.05).

Conclusion: Through the analysis based on smart healthcare, it is found that compared with plate internal fixation treatment, early external fixator treatment presents a better effect in treating patients with unstable pelvic fracture, because it is a reliable method to accelerate fracture healing, reduce postoperative complications, and improve lower limb function.

Keywords: early external fixator; lower limb function recovery; plate internal fixation; postoperative complications; smart healthcare; unstable pelvic fracture.

PubMed Disclaimer

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Technical rout.
Figure 2
Figure 2
Postoperative Harris scores [Mean ± SD]. The horizontal axis denoted groups A and B, and the vertical axis denoted the Harris score (points); After surgery, the Harris scores of groups A and B were respectively (66.37 ± 2.83) and (74.78 ± 3.28); and *indicated a significant between-group difference in postoperative Harris scores (t = 13.589, P < 0.001).
Figure 3
Figure 3
Postoperative VAS scores [Mean±SD]. The horizontal axis denoted groups A and B, and the vertical axis denoted the VAS score (points); After surgery, the VAS scores of groups A and B were respectively (5.71 ± 1.02) and (3.55 ± 1.16); and *indicated a significant between-group difference in postoperative VAS scores (t = 9.789, P < 0.001).
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Ueda Y, Inui T, Kurata Y, Tsuji H, Saito J, Shitan Y. Prolonged pain in patients with fragility fractures of the pelvis may be due to fracture progression. Eur J Trauma Emerg Surg. (2021) 47:507–13. 10.1007/s00068-019-01150-0 - DOI - PubMed
    1. Chen H, Jiang B, Zhang Q, Chang Z, Yang Z, Zhang J, et al. . Intelligent monitoring system assisted pelvic fracture closed reduction for treating one case with complex pelvic fracture. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. (2020) 34:874–7. 10.7507/1002-1892.202001035 - DOI - PMC - PubMed
    1. Guillaume JM, Pesenti S, Jouve JL, Launay F. Pelvic fractures in children (pelvic ring and acetabulum). Orthop Traumatol Surg Res. (2020) 106:S125–S33. 10.1016/j.otsr.2019.05.017 - DOI - PubMed
    1. Reinke C, Backer H, Lotzien S, Schildhauer TA, Seybold D, Gessmann J. Arthrodesis of the infected knee joint with the ilizarov external fixator: an analysis of 13 cases. Z Orthop Unfall. (2020) 158:58–74. 10.1055/a-0869-8190 - DOI - PubMed
    1. Yin XL, Tan YR, Liu Y, Sun WW, Zhang XY, Hu YJ, et al. . Clinical application of temporary external fixator for immediate mandibular reconstruction. J Craniofac Surg. (2019) 30:e337–e42. 10.1097/SCS.0000000000005303 - DOI - PubMed

Publication types