Surgical treatment of elderly hip fracture status and progress.docVIP

 PAGE \* MERGEFORMAT 20 Surgical treatment of elderly hip fracture status and progress [Keywords:] elderly people; fracture; hip; surgery With the aging population and increasing number of high-energy injury, elderly hip fracture increased year by year (1). United States is as high as 25 million people each year, experts predict that by 2040 the figure will reach 50 million people. 90% occurred in the 65 years of age or older. it has the following characteristics: osteoporosis, bone loss, reduced physical strength of bone, fracture fixation decreased reliability (2); the elderly is often associated with multiple chronic medical disease, difficult to tolerate the larger surgical trauma; bedridden prone to respiratory tract, urinary tract infections, pressure ulcers, deep vein thrombosis (DVT) and other complications, life-threatening. The fractures are the main problems caused by bedridden elderly patients The complications and sequelae of hip varus, hip pain (1,3,4). Therefore, its treatment should aim to minimize surgical trauma, access to good fracture reduction, early fixation, allowing early patient activities away from the bed, reduce complications, and early resumption of the hip joint function and improve quality of life (5). the past 30 years the treatment of fractures of the class tend to surgery (4). Currently, the surgical incision or closed primarily reduction, femoral neck fracture with three percutaneous cannulated screw fixation and cut cannulated screw fixation as well as artificial joint replacement, fractures intertrochanteric nail plate system (commonly used with dynamic hip screw (DHS) and the dynamic condylar screw (DCS)) or interlocking nail system (including the Gamma nail, proximal femoral nail (PNF) and Fixion expandable proximal femoral nail) internal fixation, in addition to external fixation system and the artificial joint replacement and so on. However, Each method has its own flaws. to improve the treatment of fractures, i