108 cases of fresh femoral neck fractures in the clinical observation of three surgical methods.docVIP

 PAGE \* MERGEFORMAT 12 108 cases of fresh femoral neck fractures in the clinical observation of three surgical methods On: Sun Jianzhong Li Fuliang Yu Ping Zou [Keywords:] Aged; femoral neck fracture; internal fixation; hemiarthroplasty; total hip replacement As the femoral head after femoral neck fracture blood supply rather unstable, the physician may not control the incidence of avascular necrosis, femoral neck fracture has in its treatment methods and results in many areas there are still many unsolved problems (1). This paper Retrospective analysis of fresh femoral neck fractures in the clinical data, surgical methods of their observation. 1 Materials and Methods 1.1 General information from July 2002 to September 2006 our department treated a total of 168 cases of femoral neck fractures, 129 patients over the age of 60, with the exception of 9 cases and 12 cases of old fracture conservative treatment, 108 patients included in this study, male 47 cases and 61 females, aged 60 to 85 (mean (69.5 + -7.8)) years old. the left side in 57 cases, 51 cases of right. falls in 76 cases, 32 cases of traffic accident injuries. 13 cases of diabetes, hypertension in 11 cases, coronary heart disease in 7 cases, 5 cases of chronic lung disease, history of cerebral infarction in 3 cases, a total of 39 cases. by degree of fracture displacement type, Garden type in 11 cases, type 29 cases, type 42 cases, type 26 cases . 1.2 underwent hospital treatment for skeletal traction, improve the preoperative examination, the merger-related internal diseases department, please consultations, depending on the circumstances in stable condition after surgery to determine the program. Surgical method: hollow screw fixation group of 49 patients with bipolar artificial femoral head replacement 24 cases, total hip replacement group of 35 patients. 1.3 Postoperative treatment against infection, anti-osteoporosis, anticoagulation therapy. Encourages expectoration in p