Objective  To analyze the effect of internal fixation with plate and screw on treating patients with traumatic fracture of long tubular bone of four extremities.

  Methods  Totally 221 patients with traumatic fracture of long tubular bone of four extremities were randomly divided into two groups. Study group (n=111) was treated by internal fixation with plate and screw, while the control group (n=110) was treated by internal fixation with interlocking intramedullary nail. Perioperative parameters, recovery status of joint function, fracture healing time and complications were compared between the two groups.

  Results  The perioperative parameters of the study group were significantly better than those of the control group (P < 0.05). Compared with the control group, the improvement of joint function in the study group was better (P < 0.05). The fracture healing time of the study group was significantly shorter than that of the control group (P < 0.05). The incidence rate of postoperative complications in the study group was significantly lower than that in the control group (P < 0.05).

  Conclusion  Internal fixation with plate and screw is effective in the treatment of patients with traumatic fracture of long tubular bone of four extremities, which can improve joint function and reduce incidence of complications.