Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (21): 3419-3423.doi: 10.3969/j.issn.2095-4344.2015.21.026

Previous Articles     Next Articles

Application security of TiNi encircling compressive connector versus Kirschner wire in the internal fixation of multiple rib fractures 

Wang Bin-qiang   

  1. Department of Cardiothoracic Surgery, Second People’s Hospital of Nanning, Nanning 530000, Guangxi Zhuang Autonomous Region, China
  • Online:2015-05-21 Published:2015-05-21
  • About author:Wang Bin-qiang, Master, Department of Cardiothoracic Surgery, Second People’s Hospital of Nanning, Nanning 530000, Guangxi Zhuang Autonomous Region, China

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 all 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, small injury, high stability, low complication incidence and good histocompatibility.

中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程

 

Key words: Rib Fractures, Internal Fixators, Biocompatible Materials

CLC Number: