About PFNA treatment of intertrochanteric fractures毕业论文翻译.docx

About PFNA treatment of intertrochanteric fractures毕业论文翻译.docx

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AboutPFNAtreatmentofintertrochantericfractures毕业论文翻译

AboutPFNAtreatmentofintertrochantericfractures

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