DHS treatment of elderly patients with intertrochanteric fracture care and rehabilitation guidance.docVIP

 PAGE \* MERGEFORMAT 7 DHS treatment of elderly patients with intertrochanteric fracture care and rehabilitation guidance Of: Liang Feng, Rong Weiping, Wu Qun, Qu Bo [Keywords:] intertrochanteric fracture of femur in the elderly care Intertrochanteric fractures in the elderly common orthopedic injuries, multiple injuries, more common in people over the age of 60, with the aging of population development, and osteoporosis are closely related to the incidence of intertrochanteric fracture rate increases. in our hospital from January 2001 -2007 dynamic hip in elderly patients with intertrochanteric fractures of 138 patients achieved satisfactory results, now nursing reported below. 1 Clinical data 138 patients in this group the average age of 67 years, 50 cases combined with other fractures, cardiovascular and cerebrovascular diseases in 76 cases, 80 cases of osteoporosis, diabetes in 21 cases, 5 cases of lung infection. All fixation with dynamic hip. All were followed up from 6 months to 2 years, an average of 15 months, all patients through the perioperative intensive care, early prevention, there are 5 cases of patients with lung infection under control before surgery, 12 patients with deep vein thrombosis after by both drugs and functional training to improve local tissue metabolism, effectively accelerate the venous reflux, pressure sores, urinary tract infection did not occur, after review of X ray showed fractures at or near the anatomical position, the fixation failure in 2 cases, 2 cases of re-fracture of femoral head necrosis in 1 case, 1 case of delayed bone healing. 2 Care 2.1 preoperative care and health guidance 2.1.1 Psychological Care Mostly in patients aged over 60 widespread fear and anxiety, the treatment of skepticism, negative reaction, lack of knowledge of the disease, knowledge about postoperative rehabilitation and support is low, a lack of confidence on the prognosis, and many have psychological resistance to t