Hemiarthroplasty treatment of femoral neck fracture of elderly.docVIP

 PAGE \* MERGEFORMAT 10 Hemiarthroplasty treatment of femoral neck fracture of elderly Of: Genggui Ping, Bao Zili, Zhu Jinhua [Keywords:] femoral neck fracture Arthroplasty old The elderly due to osteoporosis, slow movements and other factors, prone to femoral neck fracture. Complication of many older people themselves, in order to avoid recurrent complications and reduce the incidence of complications and improve quality of life of patients, our hospital from March 1999 to June 2006 double-action semi-artificial hip arthroplasty for old femoral neck fracture, 38 cases were followed up, results were satisfactory, are as follows. 1 Clinical data 1.1 General Information The group of 38 patients, 11 males and 27 females, aged 65 to 88 years, mean 77.6 years. 24 left hip, right hip 14. Injuries 1 week after surgery in 29 cases, 1 week after surgery in 9 cases, 4 weeks, the longest of which .20 patients with different degrees of osteoporosis. of which 27 patients with coexisting disease, the coexistence of two or more disorders in 12 cases, there are four kinds of co-existence of individual patients. coexistence of disease in 11 patients with hypertension, myocardial blood supply less than 4 cases of diabetes, 5 cases of chronic bronchitis in 5 cases, Parkinson’s disease in 2 cases, two cases of pressure ulcers, chronic gastritis, 4 cases of gout, 1 case of great saphenous vein in 5 cases. fractures are the first under the type type (Garden , type). 1.2 The selection of surgical epidural anesthesia, lateral position, after disinfection drape a modified Gibson incision. The external rotation muscles, gluteal muscles and some small gluteal muscle tendon cut, exposed after the top of the structure of the hip. “T” shaped incision of the joint capsule, flexion and internal rotation of hips, fracture of the femoral head removed, in cooperation with the template, at 1.5 cm on the lesser trochanter osteotomy, opening device opening, followed by expansion of