Artificial femoral head replacement in the treatment of intertrochanteric fractures of the elderly.docVIP

 PAGE \* MERGEFORMAT 6 Artificial femoral head replacement in the treatment of intertrochanteric fractures of the elderly [Keywords:] hemiarthroplasty intertrochanteric fracture elderly Since June 2004 to October 2007, our hospital elderly patients with femoral head replacement of unstable intertrochanteric fractures in 18 cases, results were satisfactory, are as follows. 1 Clinical data 1.1 General information on this group of 18 patients, 10 males and 8 females, aged 70 to 87 years, with an average age of 76. The causes of injury: 17 cases of injury of life, 1 case of accident injuries. By Evans type, type 15 cases, type 3 cases. 1.2 Case selection criteria is less than 70 years of age, before the hip fracture can be weight-bearing walking, no pain, there is obviously displaced fracture, is unstable intertrochanteric fractures, Evans classification of type and type in the above have different degrees of osteoporosis. 1.3 preoperative limb after admission to maintain the temporary line of skin traction. Routine preoperative examination, a positive control comorbidities, please the relevant specialist and comprehensive assessment of surgical anesthesia consultation and to assist in dealing with tolerance, in general, stable operation in time, time 2 7 d. 1 d of preoperative prophylactic antibiotics, while in the improvement of osteoporosis drugs. contralateral hip femoral length film X-ray film, an artificial femoral head prosthesis size and length. 1.4 surgical anesthesia with endotracheal intubation or epidural anesthesia, intraoperative electrocardiographic monitoring. Contralateral patients supine, modified Gibson incision, keep the top of the greater trochanter gluteal muscle attachment points, the small rough Long on the oblique osteotomy at 1.0 cm, remove the femoral head. reamed medullary cavity, and grinding after the filing to file as a support canal restoration and the block size of intertrochanteric fractures with a wire bun