PFNA closed reduction and internal fixation of intertrochanteric fractures of the elderly Clinical analysis of 27 cases.docVIP

 PAGE \* MERGEFORMAT 7 PFNA closed reduction and internal fixation of intertrochanteric fractures of the elderly Clinical analysis of 27 cases Of: Wang Bin, Chen Xiumin, Gezhan Zhou, Han Peng, He Long, Chong Wei Chang [Keywords:] PFNA closed reduction and internal fixation of intertrochanteric fractures elderly Analysis We have since August 2007 -2009 in November with closed reduction and anti-rotation in proximal femoral nail (proximal femoral nail antirotation, PFNA) internal fixation of intertrochanteric fractures of the elderly in 27 cases, satisfactory effect, these are as follows . 1 Clinical data 1.1 General Information The group of 27 patients, 11 males and 16 females; aged 63 to 89 years, with an average age of 78. Fall injuries in 21 cases, 4 cases of bicycle falls, traffic accident in 2 cases; the left side in 10 cases, the right side in 17 cases. by Evans type, type 1 degree in 10 cases, 6 cases of type 2 degrees, type 3 in 4 cases, in 7 cases. complications: 17 cases of osteoporosis, hypertension in 9 cases , coronary heart disease in 11 cases, 6 cases of diabetes, history of cerebral infarction in 3 cases, 3 cases of chronic obstructive pulmonary emphysema. injury to operation 2 to 13 days, an average of 6.8 days. 1.2 All surgical patients were excluded in improving the examination after surgery contraindication for surgery, if the primary disease affecting the operation, the relevant departments actively consultation please give treatment, condition and arranged to allow surgery, surgery to choose, according to the patient or the whole lumbar epidural anesthesia Ma, patients sit in the orthopedic traction bed, limbs and trunk to maintain 10 ~ 15 adduction, adjust the traction closed reduction, C-arm X-ray machine perspective fracture alignment, neck shaft angle, limb length satisfied, to maintain traction, on the greater trochanter to do at 3 ~ 5cm 3cm vertical incision, separation of the top of Tai tuberosity, on the verte