Plus anti-rotation and dynamic hip screw fixation for the treatment of intertrochanteric fractures of the elderly.doc

 PAGE \* MERGEFORMAT 11 Plus anti-rotation and dynamic hip screw fixation for the treatment of intertrochanteric fractures of the elderly Authors: Hongwei Hu, Sun Kwong, Kwok-wah, Hou keep strong, Li Hao, HU Bo, Xu Weizhong Keywords: plus anti-rotation and dynamic hip screw fixation for the treatment of intertrochanteric fracture of femur in the elderly Intertrochanteric fractures are common injury in the elderly, used to conservative treatment, but the bed a long time and more complications. With the fixation continues to develop, at home and abroad many scholars advocate the use of surgical treatment [1 ~ 2]. Dynamic hip screw (dynamic hip screw, DHS) fixation is the most commonly used is very effective as a surgical approach, but less able to DHS anti-rotation fracture, postoperative rotation are likely to occur. Court on the basis of DHS in the application of Canadian anti-rotation screw for the treatment of intertrochanteric fractures of the elderly, 26 cases are summarized below. A clinical data 1.1 General Information 2005 ~ 2006 total income of intertrochanteric fractures of 26 patients, 11 males and 15 females, with an average age of 55, according to Evan category in which 17 cases of type Ⅰ, Ⅱ 5 cases, Ⅲ A type 3 cases, Ⅳ type 1 cases . 1.2 surgical Contraindication for surgery after admission to exclude the immediate surgery, 21 cases of use of epidural anesthesia, the remaining use of general anesthesia, after anesthesia limb traction, outreach, internal rotation. Take left hip lateral longitudinal incision, skin incision, subcutaneous tissue, punctate bleeding. Longitudinal cut open fascia and vastus lateralis, exposed upper femoral trochanter and femur, in the front position before inserting a Kirschner wire angle, and then select the condylar screw entry point in the greater trochanter is about 5 cm beyond the high point at , the backbone of the lateral mid-point, according to 130