Closed treatment of femoral neck fracture in 38 cases of pinning Experience.docVIP

 PAGE \* MERGEFORMAT 7 Closed treatment of femoral neck fracture in 38 cases of pinning Experience [Abstract] Objective To investigate the treatment of closed pinning effect of femoral neck fracture. Methods closed pinning treatment of 38 cases of femoral neck fracture patients, clinical data review and analysis of the effect. Results After 2 years of follow-up, according to Harris scoring criteria: good rate 92.2%. Conclusions The treatment of femoral neck fractures by closed pinning is an effective, simple, effective and reliable method. [Keywords:] Close Needle, Minimally invasive, femoral neck fracture Our hospital from 2004 to 2008 in the C-arm fluoroscopy with closed reduction and percutaneous lag screw AO hollow titanium femoral neck fracture in 38 cases, effect is significant and reliable, are as follows. 1 Clinical data 1.1 General Information The group of 38 patients, 25 males and 13 females, aged 38 to 83 years, mean 55 years. By bone site classification, 8 cases under the head, the femoral neck in 18 cases, 12 cases of basal-type . according to Garden classification, 8 cases, type 26 cases, 4 cases of combined internal diseases in 10 cases. anesthetic choices: local anesthesia in 20 cases, continuous epidural anesthesia in 18 cases. 1.2 The successful treatment of anesthesia, traction against the limb in abduction of about 20 ~ 30 , internal rotation 15 , traction. C arm fluoroscopy visible fractures satisfaction of the greater trochanter in the next 2 ~ 3 cm at the selection of the most excellent entry point, the skin and the femoral neck parallel to the femoral head and drill a guide pin and the femoral neck anteversion axis parallel to the femur away from the subject of this pin. the same again parallel to the needle and into the top of this pin second gold guide pin. perspective is, axial and confirmed in good position after the guide pin along the longitudinal skin incision 1 cm, under the protection of the casing reaming,