髓内钉内固定技术在四肢长管骨创伤骨折治疗中的应用价值分析

Objective To take patients with long bone trauma fractures of the limbs as the observation subjects and intramedullary nail internal fixation as the treatment method, and to analyze and discuss the clinical effect of the above treatment method on the observation subjects. Methods Patients admitted to the hospital from January 2023 to June 2023 were assigned to the control group, with a total of 47 patients in this group. The treatment method for these patients was internal fixation with plates. Patients admitted to the hospital from July 2023 to December 2023 were assigned to the observation group, with a total of 47 patients in this group. The treatment method was internal fixation with intramedullary nails. Compared the surgical indicators, inflammatory responses before and after treatment, bone metabolism indicators, and the incidence of complications among the two groups. Results Compared with the control group, the intraoperative blood loss in the observation group was lower(P<0.05). Compared with the control group, the observation group had shorter durations in terms of operation time, time to get out of bed, and hospital stay(P<0.05). After treatment, compared with the control group, the levels of interleukin-6(IL-6), procalcitonin(PCT), and C-reactive protein(CRP) in the observation group were lower(P<0.05). After treatment, compared with the control group, the observation group had relatively lower levels of indicators such as β-collagen degradation product(β-CTX) and total type 1 collagen amino acid elongation peptide(t-PINP), and in the comparison of serum 25-hydroxyvitamin D(25-OH-VD), the observation group was relatively higher compared to the control group(P<0.05). When comparing the incidence of complications, it could be found that the values of the observation group showed a lower trend compared to the control group(P<0.05). Conclusion For patients with fractures of long bones in the limbs, the use of intramedullary nail internal fixation technology can achieve a relatively ideal therapeutic effect. It not only effectively reduces the intraoperative blood loss, shortens the operation time and postoperative recovery time, but also alleviates the inflammatory response, improves the bone metabolism level, and reduces the risk of complications.