Minimally invasive percutaneous cannulated screw for femoral neck fracture.doc

 PAGE \* MERGEFORMAT 7 Minimally invasive percutaneous cannulated screw for femoral neck fracture Study: Song Xiaoping WANG Ding Mao Shi Xiaolin Liu Kang should Delong [Abstract] [Objective] To investigate percutaneous cannulated screw minimally invasive treatment of femoral neck fracture. [Methods] Retrospective analysis of the 2003-2007 Percutaneous cannulated screw femoral neck fracture in 82 cases of minimally invasive treatment of the case. [Results] After 3 years of follow-up, 3 cases of femoral head necrosis, 3 cases of nonunion. [Conclusion] Percutaneous cannulated screw minimally invasive treatment of femoral neck fracture is an ideal method of minimally invasive internal fixation of fracture . [Keywords:] femoral neck fracture, hollow screws, percutaneous fixation From 2003 to 2007, using C-arm of the machine approach under the surveillance of closed reduction and minimally invasive percutaneous cannulated screw fixation of femoral neck fracture in 82 cases achieved good effect, will now report on clinical observations summarized below. 1 Clinical data The group of 82 cases, male 50, female 32 cases. Aged 32 to 90 years, mean 54.6 years old. Falls in 57 cases, fall injury in 6 cases, 19 cases of traffic injury. Garden type 5 cases of type , type in 17 cases , type 46 cases, in 14 cases. preoperative diabetes in 19 cases, 12 cases of hypertension, coronary heart disease in 9 cases, 5 cases of chronic bronchitis. 2 treatment 2.1 Preoperative preparation Improve the inspection, control of underlying diseases, and actively prevent complications (pressure ulcers, hypostatic pneumonia, urinary tract infection, deep vein thrombosis. In addition to sub-type 20 Garden exception underwent distal femoral traction 3 ~ 7d, weight and weight 1 / 9 1 / 8, the traction X ray film taken after the fracture line bit good after surgery. 2.2 Procedures Surgery under continuous epidural anesthesia. Patients supine in traction bed, padde