CHS elderly patients with intertrochanteric fractures of the clinical application of.docVIP

 PAGE \* MERGEFORMAT 3 CHS elderly patients with intertrochanteric fractures of the clinical application of Authors: Xiaolin CHAN Kam Ping Yang Di Yong-Ming Jin [Keywords:] CHS old femoral fracture Intertrochanteric fractures of the elderly, one of the most common injury, with the aging of our population, the incidence of elderly patients showed a gradual increase. For these elderly patients in the traditional conservative treatment, then the bed a long time and more complications, nursing difficulties, a high fatality rate. Therefore, in recent years, use of surgical treatment methods, including hip screw (DHS, CHS, etc.), proximal femoral nail (PFN), as well as hip replacement, etc., and its corresponding indications there much controversy. But adopt dynamic hip screw fixation. Our hospital from January 2002 to September 2006, select 67 cases of intertrochanteric fractures of elderly patients with use of dynamic compression hip screw fixation system for treatment, to obtain good clinical results. Report are as follows. A clinical data 1.1 General Information Select 67 cases of patients with 28 males, female 39 cases; the left side of 38 cases, 29 cases of right side, with an average age of 78.3 years (75 ~ 101 years). Follow-up time of 30.2 months (5 ~ 53 months), of which 3 cases were lost, 2 patients died, follow-up rate of 92.5%. Clinical diagnosis: in this group were all fresh and intertrochanteric fractures. According to Evans typing methods, only the I-Case for dynamic compression hip screw fixation system for treatment, in which I ° 31 Li, II ° 22 Li, III ° 14 Li. Because these patients are generally elderly with other chronic medical diseases such as diabetes in 17 cases, 38 cases of high blood pressure, heart disease, 25 cases, while there were 36 patients with amp;quot;two classes of chronic diseases. Preoperative preparation: conventional surgery proactive standard pelvic X-ray and lateral films are suffering from the hip (including the fe