Minimally invasive treatment of 36 cases of femoral neck fracture Experience.doc

 PAGE \* MERGEFORMAT 6 Minimally invasive treatment of 36 cases of femoral neck fracture Experience Of: ZHU Wen-zhong, Han Jincheng, in the Iron Army, Xue Yen [Keywords:] Fracture Our hospital from 2001 to date using C-arm X-ray machine monitoring with closed reduction and percutaneous AO titanium hollow screw for the treatment of 36 cases of femoral neck fracture, a significant effect, the report is as follows. 1 Clinical data 1.1 General Information The group of 36 patients, 24 males and 12 females, aged 36 to 72 years, mean 52 years of age. At the fracture site type, 6 cases under the head, the femoral neck in 17 cases, 13 cases of basal. according to Garden classification, 8 cases, type 22 cases, 6 cases, 8 cases of internal diseases combined. from injury to operation time 12 h ~ 11 d. 1.2 Treatment with epidural anesthesia in orthopedic traction bed will be outreaching limbs fixed in about 20 ~ 30 , 15 internal rotation position, traction. C-arm fluoroscopy X-ray machine confirmed the satisfaction of fracture reduction that the Garden Index 155 ~ 180 . the greater trochanter at the next 2 ~ 3 cm to select the best point of percutaneous puncture to the femoral head and neck parallel to the guide pin and drill into an axis and femoral neck anteversion parallel. using parallel guide the guide wire into the remaining two, three nails into a parallel to the triangle. again confirmed in good position after the guide pin along the longitudinal skin incision 1 cm, under the protection of the casing reaming, select AO appropriate length of hollow titanium screw into the screw and make sure the screw head side located about 1 cm under the articular surface. elderly patients in osteoporosis, pressure can be appropriate and, where appropriate using the screw washer, unplug the guide needle, rinse and close the incision. intraoperative mean blood loss of about 20 mL. surgery when 0.5 ~ 1.5 h, an average of 45 min. After treatment with mild li