External fixation of intertrochanteric fractures of elderly clinical study of 73 cases.docVIP

 PAGE \* MERGEFORMAT 11 External fixation of intertrochanteric fractures of elderly clinical study of 73 cases Study: Man-Miao Xu Chang Hai-Feng Cui Shi Wei Wang Fei WU Zuo Hao [Abstract] Objective osteoporotic intertrochanteric fracture fixation outside the feasibility of expanding the scope of its treatment. Methods A retrospective analysis from June 1996 to March 2006 with unilateral external fixation of intertrochanteric fractures of elderly patients The clinical data of 73 patients, aged 67 to 94 years, average 73.5 years old. All the patients over at least a systemic medical disease combined, in varying degrees of osteoporosis. Results 70 patients were followed up for 5 to 32 months average of 14 months., 26 patients had inflammatory reaction around the needle, of which 12 patients had pin tract infection, deep infection and osteomyelitis, hip pins loosening in 12 cases, but did not affect fracture healing, fixed needle through the hip 2 cases of femoral head, hip varus malunion in 9 cases, compared with the preoperative knee activity decreased by 20 cases, of which 6 cases was limited. Conclusions external fixation of intertrochanteric fractures of the advantages and disadvantages are clearly higher complications, prolonged weight-bearing activities away from the bed time is an effective way to reduce the fixation failure, external fixation of the existing improvements and design is the key to expanding the use of the range. [Keywords:] elderly osteoporotic intertrochanteric fractures external fixation China has entered the aging society, elderly intertrochanteric fracture significantly increased the incidence of surgical treatment of these patients use more out of bed early in order to achieve the purpose of the event. Because the elderly tend to patients with multiple medical problems, and sometimes internal fixation surgery risks are too high, so the application of external fixation is one of effective methods to choose from. But the addit