{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:55:27Z","timestamp":1783702527724,"version":"3.55.0"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T00:00:00Z","timestamp":1651190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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, <jats:italic>n<\/jats:italic> = 49) and group B (early external fixator treatment, <jats:italic>n<\/jats:italic> = 49) according to the surgical modalities. The time of operation, intraoperative blood loss, postoperative complications, etc. were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between the two groups, group B had significantly better clinical indicators (<jats:italic>P<\/jats:italic> &amp;lt; 0.001), a greatly higher good rate of fracture reduction and postoperative Harris score (<jats:italic>P<\/jats:italic> &amp;lt; 0.05), and obviously lower VAS score and total incidence rate of postoperative complications (<jats:italic>P<\/jats:italic> &amp;lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2022.887123","type":"journal-article","created":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T05:44:54Z","timestamp":1651211094000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["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"],"prefix":"10.3389","volume":"10","author":[{"given":"Hongwei","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1007\/s00068-019-01150-0","article-title":"Prolonged pain in patients with fragility fractures of the pelvis may be due to fracture progression","volume":"47","author":"Ueda","year":"2021","journal-title":"Eur J Trauma Emerg Surg."},{"key":"B2","doi-asserted-by":"publisher","first-page":"874","DOI":"10.7507\/1002-1892.202001035","article-title":"Intelligent monitoring system assisted pelvic fracture closed reduction for treating one case with complex pelvic fracture","volume":"34","author":"Chen","year":"2020","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi."},{"key":"B3","doi-asserted-by":"publisher","first-page":"S125","DOI":"10.1016\/j.otsr.2019.05.017","article-title":"Pelvic fractures in children (pelvic ring and acetabulum)","volume":"106","author":"Guillaume","year":"2020","journal-title":"Orthop Traumatol Surg Res."},{"key":"B4","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1055\/a-0869-8190","article-title":"Arthrodesis of the infected knee joint with the ilizarov external fixator: an analysis of 13 cases","volume":"158","author":"Reinke","year":"2020","journal-title":"Z Orthop Unfall."},{"key":"B5","doi-asserted-by":"publisher","first-page":"e337","DOI":"10.1097\/SCS.0000000000005303","article-title":"Clinical application of temporary external fixator for immediate mandibular reconstruction","volume":"30","author":"Yin","year":"2019","journal-title":"J Craniofac Surg."},{"key":"B6","first-page":"S41","article-title":"Does pin tract infection after external fixator limits its advantage as a cost-effective solution for open fractures in low-middle income countries, a prospective cohort study","volume":"69","author":"Shah","year":"2019","journal-title":"J Pak Med Assoc"},{"key":"B7","doi-asserted-by":"publisher","first-page":"693","DOI":"10.1016\/j.fas.2019.08.018","article-title":"Callus distraction with external fixator for the treatment of congenital brachymetatarsia of the fourth ray","volume":"26","author":"Fuiano","year":"2020","journal-title":"Foot Ankle Surg."},{"key":"B8","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1186\/s12891-019-2808-5","article-title":"A case report depicting patient's installation on the fracture table when an ankle spanning external fixator is already in place","volume":"20","author":"Mohamad","year":"2019","journal-title":"BMC Musculoskelet Disord."},{"key":"B9","doi-asserted-by":"publisher","first-page":"e17068","DOI":"10.1097\/MD.0000000000017068","article-title":"Treatment of distal metaphyseal tibia fractures using an external fixator in children","volume":"98","author":"Dai","year":"2019","journal-title":"Medicine (Baltimore)."},{"key":"B10","doi-asserted-by":"publisher","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","year":"2013","journal-title":"JAMA."},{"key":"B11","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1080\/08941939.2018.1543483","article-title":"Experimental study on the prevention of posttraumatic osteoarthritis in the rabbit knee using a hinged external fixator in combination with exercises","volume":"32","author":"Sun","year":"2019","journal-title":"J Invest Surg."},{"key":"B12","doi-asserted-by":"publisher","first-page":"328","DOI":"10.7507\/1002-1892.201811024","article-title":"Application of bone transport with unilateral external fixator combined with locked plate internal fixation in treatment of infected tibial nonunion","volume":"33","author":"Chen","year":"2019","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi."},{"key":"B13","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1007\/s00590-018-2295-7","article-title":"Unilateral uniplanar modular external fixator for percutaneous proximal femoral osteotomy in children: surgical technique","volume":"29","author":"Coppa","year":"2019","journal-title":"Eur J Orthop Surg Traumatol."},{"key":"B14","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1186\/s13063-020-4087-8","article-title":"Primary or secondary wound healing of the pin sites after removal of the external fixator: study protocol for a prospective, randomized controlled, monocenter trial","volume":"21","author":"Roth","year":"2020","journal-title":"Trials."},{"key":"B15","first-page":"284","article-title":"Outcome of ilizarov external fixator for the treatment of gap non-uniting mid shaft tibia-fibula fractures: our experience","volume":"29","author":"Kamruzzaman","year":"2020","journal-title":"Mymensingh Med J."},{"key":"B16","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1016\/j.otsr.2018.10.013","article-title":"Minimally invasive internal fixation for extra-articular distal radius fracture: Comparison between volar plate and intramedullary nail","volume":"105","author":"Thomas","year":"2019","journal-title":"Orthop Traumatol Surg Res."},{"key":"B17","doi-asserted-by":"publisher","first-page":"5636528","DOI":"10.1155\/2019\/5636528","article-title":"Finite element- and design of experiment-derived optimization of screw configurations and a locking plate for internal fixation system","volume":"2019","author":"Sheng","year":"2019","journal-title":"Comput Math Methods Med."},{"key":"B18","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1186\/s12891-019-2888-2","article-title":"Open reduction and internal fixation of humeral midshaft fractures: anterior versus posterior plate fixation","volume":"20","author":"Lotzien","year":"2019","journal-title":"BMC Musculoskelet Disord."},{"key":"B19","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1080\/17483107.2019.1684581","article-title":"Functional capacity of elderly with lower-limb amputation after prosthesis rehabilitation: a longitudinal study","volume":"16","author":"Silva","year":"2021","journal-title":"Disabil Rehabil Assist Technol."},{"key":"B20","doi-asserted-by":"publisher","first-page":"634","DOI":"10.23736\/S1973-9087.17.04776-1","article-title":"Motor imagery ability of patients with lower-limb amputation: exploring the course of rehabilitation effects","volume":"55","author":"Saruco","year":"2019","journal-title":"Eur J Phys Rehabil Med."},{"key":"B21","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1007\/s00198-019-04944-5","article-title":"Timeline of functional recovery after hip fracture in seniors aged 65 and older: a prospective observational analysis","volume":"30","author":"Fischer","year":"2019","journal-title":"Osteoporos Int."},{"key":"B22","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1016\/j.gaitpost.2019.03.007","article-title":"Gait characteristics and functional outcomes during early follow-up are comparable in patients with calcaneal fractures treated by either the sinus tarsi or the extended lateral approach","volume":"70","author":"Brand","year":"2019","journal-title":"Gait Posture."},{"key":"B23","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jht.2017.09.009","article-title":"Changes in fall risk and functional status in women aged 50 years and older after distal radius fracture: A prospective 1-year follow-up study","volume":"32","author":"Crockett","year":"2019","journal-title":"J Hand Ther."},{"key":"B24","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1055\/a-1128-7128","article-title":"Musculoskeletal Regeneration, Rehabilitation, and Plasticity Following Traumatic Injury","volume":"41","author":"Greising","year":"2020","journal-title":"Int J Sports Med."}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.887123\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,29]],"date-time":"2022-04-29T05:45:27Z","timestamp":1651211127000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2022.887123\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,29]]},"references-count":24,"alternative-id":["10.3389\/fpubh.2022.887123"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2022.887123","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,29]]},"article-number":"887123"}}