About PFNA treatment of intertrochanteric fractures毕业论文翻译Word格式文档下载.docx
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Papertowritenetwork:
Author:
SunZhipuYUHuiZhao,JunZhang
[Abstract]ObjectiveToinvestigatethePFNAtreatmentofintertrochantericfractures.MethodsPFNAtreatmentofintertrochantericfracturesin23cases,observedfracturehealingandfunctionalrecoveryoftheresultsofthese23patientsaftersurgeryfor4to14monthsoffollow-up,these23patients,thefracturehealed.withreferencetoHarrishipfunctionscore,excellentin19cases,goodin2cases.ConclusionPFNAissimple,lessinvasive,fewercomplications,helppatientswithearlyweight-bearingwalking,isthetreatmentelderlypatientswithunstableintertrochantericfracturesandosteoporosis,theidealmethod.
[Keywords]intertrochantericfractureosteoporosisPFNA[Abstract]Objective:
Toexploretheclinicaloutcomeofintertrochantericfracturestreatedwiththeproximalfemoralnailantirotation(PFNA).Methods:
Twenty-threepatientsforintertrochantericfracturesweretreatmentwithPFNA.Toobservethefracturehealingandthefunctionrecovery.Results:
23caseswereallfollowedupfrom4monthsto14monthsafteroperation.Theallof23patientswithfracturewerehealing.AccordingtoHarrisscore,theresultswereexcellentin19cases,goodin2case,theexcellentandgoodratewas91.3%.Conclusion:
PFNAhasthemeritsofsimplyoperated,littletraumaandfewercomplications.Itisbeneficialtotheearlystageloadedwalkingofpatient.PFNAisanidealmethodtotreatagedunstableintertrochantericfractureofthefemurcompliced?
?
osteoporosis.
[Keywords:
]IntertrochantericfractureofthefemurOsteoporosisPFNAIntertrochantericfracturesarecommonfracturesintheelderly,manywithosteoporosis.Conservativetreatmentcanleadtopressureulcers,hypostaticpneumonia,deepveinthrombosisandothercomplications,mortality,accountingfor15-20%[1]nowmanyadvocatessurgery[2].OurhospitalfromJanuary2010toMarch2011betweentheuseofPFNAtreatmentofintertrochantericfractures,andachievedgoodresults.Asfollows:
1MaterialsandMethods1.1GeneralInformationThisgroupofpatientsatotalof23cases,including10malesand13females,aged65to95years,mean74.5yearsold,accordingtoEvansintertrochantericfractureclassificationcriteriaforanalysis,Ⅰin4cases,Ⅱtypein6cases,ⅢA-typeeightcases,ⅢBtype2cases,Ⅳtype2cases,reversethesub-type1case.
1.2TreatmentPatientsadmittedtohospitalafterroutinetibialtubercletraction,theparallelroutinepreoperativeexamination,patientswithheartandlungfunctionandbloodsugartounderstandthesituation,andaskedrelevantdepartmentstoassistthetreatment,pleaseanesthetistconsultationaboutsurgery,anesthesiatolerated,excludingsurgicalcontraindicationsinastableconditionafter2-7daysofsurgery,surgeryusedPFNAfixationsystem.usespinalanesthesiaorgeneralanesthesia.Patientsplacedinorthopedictractionbed.Contralaterallowerlimbhipflexionkneeabductionofabout40°
positionfixed.Limbextensionposition,tractionC-armX-rayfluoroscopyafterfractures,limbadduction15°
fixed.Takeverticesofthegreatertrochanterproximallateralincisionabout5cm,cuttheskin,subcutaneous,hipfascia,bluntmuscleseparation,exposedtipofthegreatertrochanter.touchthetipofthegreatertrochanterto0.5cmattheinsideoftheneedlepoint,theopeningdeviceopening,Insertthenailguidepin,flexibledrillingtoexpandtheentrance,choosethethickness,therightlengthtoconnectthemainsightalongtheguidepinnailintothemedullarycavity,toadjustthenaildepthperspectiveonthegreatertrochantertothefemoralheadthroughtheneckintotheguidepinunderfluoroscopicguidancetodeterminethelocationoftheneedle,theneedleinthefemoralneck,anteroposteriorfluoroscopyguideinthelower1/3,lateralfluoroscopyguidedneedleinthemiddleofthefemoralneck,hollowdrillbitalongtheguidepinhole,justdrillthroughtheoutercortex,alongthesleeve,thedirectionoftheneedleguideintothescrewblades,undertheguidanceofthelocatorscrewdistalnailone,removethelocatorscrewintheproximalnailendcapWhitescrew,correctperspective,again,layerwoundclosure.becauseofthesmallincision,lessdamage,generallydonotplacethedrainagetube.Routineuseofantibiotics3-5daysafter2daysofthebeginningofthequadricepscontractionexercises.twoweeksafterremovalofstitches,notweight-bearingambulation.1,2,4,6,10,14weeksafterthefirstperiodicreview,onceevery3monthslater,accordingtoX-ray,fracturehealingbeginpartialweightbearing,fullweightbearingafterafracturecompletelyhealed.osteoporoticpatientsdelayShimoji,loadtime.
2resultsThegroupof23p