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PFNA treatment of intertrochanteric fractures of elderly patients in nursing
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PFNA treatment of intertrochanteric fractures of elderly patients in nursing
Of: Xie Rui group, Zhang Xiaohong, Wang Lijuan
[Abstract] Objective To introduce the anti-rotation proximal femoral nail (PFNA) Treatment of intertrochanteric fractures with experience. Methods from 2006 to 2008 62 cases of elderly patients with intertrochanteric fractures, open reduction and internal PFNA fixed with surgery, including preoperative visits, psychological care after entering the operating room, anesthesia care in old age-related vital signs, orthopedic traction bed traction surgery, surgery with the other. Results 62 elderly patients were operated successfully, without any serious complications. Conclusion PFNA the treatment of intertrochanteric fractures of elderly effective way to care with is an important part of a successful operation.
[Keywords:] surgery experience; anti-rotation of proximal femoral nail; intertrochanteric fracture; care
Intertrochanteric hip fractures that occurred in the line outside the joint capsule to the bottom of the rotor within the region of small fractures occur in the elderly, accounting for 1.4% of the body fracture, within 3 months after injury, the patient mortality rate was 16.7% [ 1]. To enable patients to the early exercise to improve the quality of life of patients, our hospital in January 2006 to December 2008 in 62 elderly patients with intertrochanteric fracture were treated with open reduction and prevention of proximal femoral rotation intramedullary nail (PFNA) fixation, smooth operation, after obtaining satisfactory results. now with the surgical care are summarized below.
1 Clinical data
1.1 General Information The group of 62 patients, 37 males and 25 females, aged 69 to 97 years old, average 77.2 years old. Injury factors: falls in 49 cases, 13 cases of traffic accident injuries. Fractures using AO classification types: A1-type 17 cases, A2 1 in 13 cases, A2 2 type 25 cases, A2 3
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