Surgical treatment of intertrochanteric fractures of the progress.docVIP

 PAGE \* MERGEFORMAT 23 Surgical treatment of intertrochanteric fractures of the progress [Keywords:] intertrochanteric fractures With the aging population is growing and high-energy injury, the incidence of hip fracture also been increased. U.S. is the incidence of hip fractures each year up to 25 million people, experts predict that by 2040 the figure will reach 50 million .90 % of hip fractures occur in people over the age of 65, 3 / 4 occurred in women [1]. The traditional treatment to get good traction reduction and reliable fixation is very difficult. Bedridden elderly patients with many complications, according to the literature [2] reported that conservative treatment caused the incidence of hip varus as high as 40% to 50%, and death rate of about 35%. Therefore, if patients with systemic conditions permit, early surgical treatment is considered to reduce the complications of bed rest, an effective way to improve the quality of life [3]. Current surgical treatment of intertrochanteric fracture of species more commonly used fixtures for the nail plate and intramedullary fixation device, in addition to external fixation and artificial joint replacement and so on. Screw-plate fixation device with AO / ASIF angle plate, dynamic hip screw (dynamic hip screw, DHS) and the dynamic condylar screw (dynamic condylar screw, DCS), etc. There Ender intramedullary nails fixtures, Gamma nail, PFN and so on. However, a number of different types of fixtures and the emergence and existence of that These are some within the implant defects and deficiencies. In recent years, literature and more focus on improving the treatment of fractures, internal fixation devices do a lot of improvements, this article reviewed. A nail plate fixation First, the angle plate from the AO school applications, because of its complex surgical procedures, trauma, bleeding, surgery is difficult to achieve Tiefu plate and the femoral shaft, the role of fracture fragments without