Artificial femoral head replacement therapy in patients over 90 years of hip fracture.docVIP

 PAGE \* MERGEFORMAT 17 Artificial femoral head replacement therapy in patients over 90 years of hip fracture Author: Yu-Tian Liang GUO Yi-chu, Pei-Fu Tang Sheng-Qun Yang Tao Yu Keywords: Hip fracture Abstract: [Objective] report of artificial femoral head replacement therapy in patients over 90 years of hip fractures. [Method] This group of 23 patients (24 hips), 7 males and female 16 cases. Age 90 ~ 100 years old, with an average age of 94. Fracture classification: 10 cases of femoral neck fractures according to Garden classification, Ⅲ in 6 cases, Ⅳ type 4 cases; 13 cases of intertrochanteric fracture (1 case of bilateral), according to Evans classification, Ⅲ A type 6 cases, Ⅲ B type in 6 cases, Ⅳ type 1 case. In addition to two cases have been bumps in the outdoors, the other fractures occurred indoors. After admission for temporary use in patients with skin traction brake limbs, and then seize the time to undertake the necessary preoperative examination to understand the patient’s health. Fight in a short time invited relevant sections of the joint consultation, the patient’s general condition assessment, demonstrated ability to tolerate surgery. This group of patients both in the pre-fracture co-existence of different degrees of medical illness, but after symptomatic treatment is relatively stable, most of them self-care, after assessment concluded that no absolute contraindication for surgery. Surgery are general anesthesia with endotracheal intubation, intraoperative monitoring ECG monitor. Take lateral position, hip, posterolateral incision, femoral neck fractures in patients with operation and other operation of the same age. Intertrochanteric fractures, isolated fractures of the femur needs to be large and small tuberosity re-reset, tied with wire fixation, from the parts of the femur bone defects filled with bone cement to rebuild. Intertrochanteric fracture surgery in patients with appropriate blood transfusion, this group of eight