DHS elderly patients with intertrochanteric fracture analysis of 30 cases.docVIP

 PAGE \* MERGEFORMAT 7 DHS elderly patients with intertrochanteric fracture analysis of 30 cases Of: Wang Zhi, Hai Ren, Ren Zemin [Abstract] Objective To study the dynamic hip screw (Dynamic Hip Screw, DHS) elderly patients with intertrochanteric fractures of the method and effect. Methods of open reduction and dynamic hip screw (DHS) fixation of intertrochanteric fracture of 30 cases. Results 30 patients after internal fixation with DHS, with an average follow-up 8 months, excellent in 22 cases, good in 4 cases and poor in 4 cases, the fine rate was 86.7%. Conclusion DHS is the treatment of intertrochanteric fractures of the good methods. [Keywords:] intertrochanteric fracture; DHS; fixation Intertrochanteric fracture is a common fracture of the elderly, conservative treatment of complications and high mortality. Our hospital from August 2005 to August 2009 DHS 30 patients with intertrochanteric fractures and achieved good efficacy. The report is as follows. 1 Materials and Methods 1.1 General Information The group of 30 patients, 26 males and 4 females; aged 60 to 79 years old, average 73.5 years old. The causes of injury: falls, 20 cases of traffic accident injuries, 10 cases were closed fractures, according to Evan s standard classification [1], -type in 11 cases, type in 7 cases, type 9 cases, type 3 cases. 1.2 The material made 130 sliding compression hip screw (DHS), DHS screw length of 65 ~ 85 mm, a length of steel sleeve 4 to 10 holes. 1.3 preoperative surgical patients with tibial tubercle limb skeletal traction 3 to 10 days, improve the inspection, medical consultation, please deal with chronic diseases, excluding surgical contraindications. Surgery to take continuous epidural anesthesia, the affected side hip Xiadian high, 2 cm on the tuberosity to the subtrochanteric 10 cm lateral incision to expose the femoral greater trochanter and the femoral fracture site under the 5 ~ 6 cm, below the top of the greater trochanter i