External fixation of intertrochanteric femoral fractures.docVIP

 PAGE \* MERGEFORMAT 9 External fixation of intertrochanteric femoral fractures [Abstract] Objective To observe the external fixation of intertrochanteric fractures in the elderly application and effect of the treatment. Methods of local anesthesia, 30 min before the intramuscular injection of pethidine reset injection 50 ~ 100 mg, 22 patients with intertrochanteric between the fractures were treated with external fixation. Results 17 patients were followed up for 3 to 28 months, with an average of 14 months. without off needle, needle, head cutting, no severe coxa vara, no further surgery, postoperative healing rate was 100%. Conclusions external fixation of intertrochanteric fractures with a trauma, simple operation, the exact benefits of fixed effects, poor tolerance for surgery has obvious advantages in elderly patients. [Keywords:] the elderly, hip fracture, external fixator Elderly, hip fracture, external fixator With the aging of our population of elderly patients with intertrochanteric fractures in the clinical treatment of more and more attention. Because elderly patients tend to merge more serious medical illness, trauma, etc. can not tolerate large open reduction surgery, and conservative treatment Many complications can cause long-term bed rest, so we choose the external fixation of minimally invasive surgical approach is more appropriate [1]. 22 cases were reviewed by external fixator in the treatment of intertrochanteric fractures in elderly patients, external fixation of femur in the elderly intertrochanteric fracture of the clinical experience. 1 Clinical data 1.1 General Information of this group 22 cases, 7 males and 15 females, aged 65 to 88 years, with an average age of 78. Fractures Even typing by typing [2], type 17 cases, type in 5 cases. Injury mechanisms: 3 cases of car accident injuries, falls in 19 cases. combined cardiovascular disease in 16 cases, in addition there are lung infections, polio sequelae, Alzheimer’s