Hemiarthroplasty 43 cases of senile femoral neck fracture.docVIP

 PAGE \* MERGEFORMAT 8 Hemiarthroplasty 43 cases of senile femoral neck fracture [Keywords:] femoral neck fracture, elderly, artificial femoral head replacement, complications Fracture of femoral neck fracture of the total number of 3.58% (1), while fractures of proximal femoral neck fractures account for 53% or more (2), often occur in the elderly. Elderly femoral neck fracture and Garden , -type fractures were due to osteoporosis, hypertension, diabetes, bronchitis, coronary heart disease and other complications caused by fracture healing, higher rate of ischemic necrosis of the femur, or even increase due to life-threatening complications, it should be in the treatment of balance, choose the right treatment to December .2005 December 2009, our department treated with hemiarthroplasty femoral neck fracture in 43 cases, were followed up were received satisfactory outcome. 1 Materials and methods 1.1 General Information The group of 43 patients, 18 males and 25 females, aged 60 to 86 years, mean 65 years, 32 cases of right, left 11 cases of fracture types: type 22 cases under the head, neck in 21 cases, Garden points 30 cases of type type , type in 13 cases, including 35 cases of fresh fractures, 8 cases of old fracture, preoperative patients were osteoporosis, hypertension, diabetes, chronic bronchitis, coronary heart disease complications. 1.2 Methods 1.2.1 preoperative preparation Aggressive treatment of complications, to be able to tolerate surgery, in which the injured limb in abduction of fresh fractures skin traction 1 w. According to the two types of hip fracture DR clear films, the degree of osteoporosis, with or without marrow abnormalities, select the appropriate prosthesis. 1.2.2 Procedures Successful use of lumbar epidural anesthesia, take hip posterolateral surgical approach, the contralateral lateral position, the incision is about 18 ~ 20 cm long, and then click open. Gluteus maximus fibers separate along the top a