开机后速阅读（Read after startup）.docVIP

开机后速阅读（Read after startup） With the aging of society, intertrochanteric fracture is common orthopedic trauma, which is caused by trauma. With the increase of the age, the bone density gradually decreases, the bone brittleness increases, the fracture is easy to occur under the effect of minor external forces; And the internal organs in the elderly physiological function decline, leading to low reserve capacity and compensatory function, fracture more than before with different degree of medical disease, so the treatment process which were liable to occur all kinds of complications. During the treatment of fracture, it is important to pay close attention to preventing the occurrence and development of complications. Surgical method with short wound, fixed cell and short operation time; Early and proper functional exercise can effectively reduce the incidence of complications such as descending pneumonia, bedsore, and lower limb vein thrombosis. Since 1992, when it was reported that the use of Gamma nail to treat the intertrochanal fracture, it has been promoted to [1] in China due to its many advantages. Since January 2006 to December of the fractures (especially Evans Ⅲ, Ⅳ) 12 third generation routine Gamma nail fixation, curative effect is satisfied. 1 clinical data 1.1 general information, 12 cases, 8 males and 4 females; Age 54 ~ 71, average 66 years old; 1 case with Evans Ⅰ type, Ⅱ type (3 cases), Ⅲ type 5 cases, Ⅳ type 3 cases; There were 3 cases of diabetes mellitus, 5 cases of hypertension and 1 case of activity inactivity after cerebral infarction. 1.2 surgical method Continuous epidural anesthesia, recumbent in surgical patients with traction bed, limb as adduction, traction reduction, use the c-shaped arm X-ray fluoroscopy confirm good after fracture, marked by big rotor vertex, upward vertical incision, about 2 ~ 3 cm long. Under the c-shaped arm X-ray fluoroscopy machine monitoring, prior to the big rotor vertex after 1/3 and 2/3 to penetrate cortex and e