Elderly patients with closed reduction and reconstruction nail subtrochanteric fracture.docVIP

 PAGE \* MERGEFORMAT 6 Elderly patients with closed reduction and reconstruction nail subtrochanteric fracture [Keywords:] closed reduction and reconstruction nail Femoral subtrochanteric fractures Subtrochanteric fracture more common in the elderly, patients with old age, bedridden, causing more complications, Boyd et al [1] reported that the fractures in the first 3 months after injury mortality rate was 16.7%, and that the fracture is a serious injury, it should choose clinically a simple, minimally invasive, stable fixation, early ambulation exercise of the surgical fixation. The author since 2001, re-use femoral intramedullary nail in treatment of subtrochanteric fractures in 31 elderly cases, satisfactory results of clinical observation and follow-up are reported below. 1 Materials and Methods 1.1 General information on 31 patients, 18 males and 13 females, aged 60 to 87 years, mean 69 years. Traffic accident in 9 cases, 20 cases of falls, fall injury in 2 cases, 4 cases of combined injury of other parts of the injured to the operative time was 6 h ~ 8 d. surgery of the orthopedic traction bed and C-arm X-ray machine, the operation time 40 ~ 100 min. 1.2 surgical epidural anesthesia or general anesthesia, the patient lying on the straight bit orthopedic traction bed. C-arm fractures observed satisfied, the limb internal rotation 10 ~ 15 to maintain traction on the greater trochanter apex the top for a long 5 ~ 8 cm incision to expose the greater trochanter for the pyriform sinus apex entrance point, the opening unreamed intramedullary nail insertion. perspective position satisfied, under the greater trochanter, the locator and casing on Perspective on the direction along the femoral neck screw proximal two lag screws until the femoral head under 0.5 cm. was fixed with two distal locking screw, flush rear incision drainage, layer by layer wound closure, 24 h after removal of drainage. without any external fixation after 1 week gradually wa