Different treatment of intertrochanteric femoral fracture analysis.docVIP

Different treatment of intertrochanteric femoral fracture analysis.doc

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Different treatment of intertrochanteric femoral fracture analysis

 PAGE \* MERGEFORMAT 19 Different treatment of intertrochanteric femoral fracture analysis Of: Hou Pang Yang Shih Zhaojia Hong Xu Yabin [Abstract] Objective To compare the analytical application of different surgical treatments for femoral intertrochanteric fractures. Methods 55 patients over the age of 65 patients with intertrochanteric fractures of the proximal femur were applied anatomical plate (A group of 15 patients), power hip screw (B group of 23 patients) and modified Gamma-shaped intramedullary nail (C group of 17 patients) three surgical methods of treatment. compared three groups of operative time, blood loss, postoperative follow-up time and load Sanders score results and complications, and clinical and statistical analysis. The results were followed up for 5 to 36 months (average 9 months), three excellent surgical 66.7%, 78.5% and 94.1%, C A group of excellent and good rate and the difference between groups was significant (P lt;0.05). C group and A, B group, operative time, blood loss and postoperative weight-bearing time, the difference was statistically significant (P lt;0.05) , three groups of hospital stay, A group and B group in comparison operation time and blood loss, and the B group and C group rate is relatively high, the difference was not significant (Pgt; 0.05), A group of complications was higher, coxa vara in 2 cases, 2 cases of screw breakage refund, superficial infection in 1 case, B group and C group complications included 2 cases of fracture of the greater trochanter and coxa vara in 1 case. Conclusion intertrochanteric fracture of femur in the elderly should be adopted Improved Gamma-shaped intramedullary nail, surgical fixation, trauma, weight-bearing early, fewer complications, and surgery to stabilize fractures in patients with good tolerance, dynamic hip screw fixation results were satisfactory. [Keywords:] femoral intertrochanteric fracture fixation Abstract: Objective To compare the clinical results of differ

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