Proximal femoral nail fixation for intertrochanteric femoral fractures Advantage.docVIP

 PAGE \* MERGEFORMAT 7 Proximal femoral nail fixation for intertrochanteric femoral fractures Advantage [Keywords:] femur fracture fixation intramedullary Older parts of femur (including the intertrochanteric and subtrochanteric) fractures after conservative treatment often leads to nonunion, delayed union and malunion of bone, and will bring long-term bed rest bed sores, pulmonary infection and other complications, At present, many advocate operative treatment. Currently, the most common extramedullary fixation system is a dynamic hip screw (DHS), intramedullary fixation system is the Gamma nail and proximal femoral nail (PFN). our hospital treatment of subtrochanteric area with PFN 97 cases of fracture, and with the traditional and the Gamma nail DHS comparison of PFN features and advantages of internal fixation. 1 Data and methods 1.1 General information from January 2005 to August 2007 the Second People’s Liberation Army No. 273 Hospital of patients hospitalized for femoral bone fractures in patients with 97 patients, 58 males, 39 females, aged 62 to 91 years, mean 73 years, are closed fractures. AO type 41 cases classified as A1, A2 type 27 cases, A3 type in 29 cases. cause of injury: falls in 53 cases, 41 cases of traffic accident injury, injured, hit and wounded, etc. 3. combined head and 4 cases of thoracic and abdominal injuries, 18 cases of hypertension, diabetes in 10 cases, 3 cases of cerebral infarction, Parkinson’s disease in 1 case. 1.2 preoperative routine preoperative examination, understand the cardiopulmonary function of important organs such as liver and kidney conditions, bed traction, application of antibiotics before surgery. 1.3 surgical patients after general anesthesia or epidural anesthesia, patients in our department to take conventional side (the affected side in the last) in the C-arm X-ray machine bed surgical perspective, conventional disinfection, sterile shop towel. Suffering under the perspective limb tractio