95dynamic condylar screw for treatment of intertrochanteric and subtrochanteric fractures of 33 cases of unstable comminuted.docVIP

 PAGE \* MERGEFORMAT 9 95dynamic condylar screw for treatment of intertrochanteric and subtrochanteric fractures of 33 cases of unstable comminuted [Keywords:] 95 DCS internal fixation of intertrochanteric fracture With the increase in high-speed high-energy injury and aging society, intertrochanteric and subtrochanteric fractures are unstable comminuted increasing number of such fractures many ways, we have since April 2004 ~ January 2007 with 95 dynamic condylar screw (DCS treatment of intertrochanteric and subtrochanteric fractures in 33 cases by clinical observation, the effect is good. Materials and Methods 1. General Information The group of 33 patients, 20 males and 13 females, aged 34 74 years, mean 52.3 years .33 cases, 18 cases of intertrochanteric fractures, subtrochanteric fractures in 15 cases. intertrochanteric fractures by Evans classification, type in 11 cases, in 7 cases. subtrochanteric fractures by Seinsheimers Category 7 cases of type , 5 cases, type in 3 cases. The causes of injury: falls flat, in 6 cases, 13 cases of fall injury, motor vehicle injured in 14 cases. preoperatively in 4 cases with hypertension, diabetes 3 cases. Preoperative preparation Tibial tubercle line traction to facilitate the reduction, relief of pain. Treatment complications. Traction after hip X-ray films taken in order to more clearly within the fixed option. Surgical Satisfaction with epidural anesthesia, the patient lying on the orthopedic traction bed, ipsilateral hip Xiadian pillows, traction, lateral perspective is confirmed satisfactory reduction, body length usually recover from the medial femoral trochanter arched structure recovery as the symbol. take hip lateral longitudinal incision, arrogant rotor apex down about 14 to 20 cm, the vastus lateralis muscle from the back to front off to expose the greater trochanter, using 95 angle guide, the drill into the femoral neck guide pin, guide pin is located in lateral perspective confir