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find Keyword "股骨转子间骨折" 81 results
  • 动力髋螺钉治疗股骨转子间骨折36例

    Release date:2016-09-01 09:26 Export PDF Favorites Scan
  • 股骨转子间骨折股骨近端防旋髓内钉内固定术后螺旋刀片向内穿透股骨头一例

    Release date:2019-09-18 09:49 Export PDF Favorites Scan
  • 股骨近端锁定钢板治疗老年股骨转子间骨折

    目的 总结股骨近端锁定钢板在治疗老年股骨转子间骨折的手术经验及成功率。 方法 对2008年1月-2009年3月收治的57例老年股骨转子间骨折患者,行切开复位股骨近端锁定钢板内固定治疗。 结果 在Evans分型1~5型中手术成功率为100%,优良率为98.2%。 结论 股骨近端锁定钢板适用于老年股骨转子间骨折的各种类型。

    Release date:2016-09-08 09:47 Export PDF Favorites Scan
  • THE CLINICAL EFFECT OF BIPOLAR LONGSTEM PROSTHETIC REPLACEMENT ON THE TREATMENT OF COMMINUTED INTERTROCHANTERIC FRACTURE OF HIP IN THE ELDERLY OSTEOPOROTIC PATIENTS

    Objective To evaluate the clinical effect of bipolar long-stem prosthetic replacement on the treatment of comminuted intertrochanteric fracture of hip in the elderly osteoporotic patients. Methods From March 2000 to August 2003, 18 patients who were more than 72 years old with comminuted intertrochanteric fracture were treated with bipolar longstem prosthetic replacement. There were 8 males and 10 females (aged from 72 to 91). Fractured fragments of large trochanter and minor trochanter should be preserved during the operation so that the fragments can be fixed with steel wires and insertion of artificial femoral head.The surgical approach and operative technique, the average course of treatment in hospital, the average time to ambulate with full-weight bearing on the operated limb after the operation, complication, and mortality were observed. Results All patients were followed up 6 to 28 months(16.2 months on average). The average course of stay at hospital was 16 days. The average time to ambulate was 32 days. The incidence of the pain of the hip joint was one-eighteenth, and one patient due to another disease was unable to walk without using twocrutches one month after the surgery. The mortality of the patients was oneeighteenth one year after the surgery. Conclusion Bipolar longstem prosthetic replacement for the treament of comminuted intertrochanteric fractures in the elderly osteoporotic patients proves to be a suitable alternative.Patients have better prognosis, early full-weight bearing, rapid rehabilitation, and fewer complications.

    Release date:2016-09-01 09:29 Export PDF Favorites Scan
  • 动力髋螺钉结合拉力螺钉治疗股骨转子间骨折

    目的 探讨动力髋螺钉(dynamic hip screw, DHS)结合拉力螺钉治疗股骨转子间骨折的疗效。方法 1996年4月~2005年5月,采用DHS结合拉力螺钉治疗股骨转子间骨折78例。其中男42例,女36例;年龄30~90岁,平均65岁。骨折按TronzoEvans分类:Ⅰ型2例,Ⅱ型51例,Ⅲ型16例,Ⅳ型6例,Ⅴ型3例。伤后3~12 d行手术。 结果 术后患者切口均Ⅰ期愈合。72例获随访6个月~4年,平均2年。X线片检查示骨折断端对位对线良好,8~14个月骨折线消失,骨折愈合。根据黄公怡疗效评定标准,优29例,良36例,可6例,差1例,优良率90.2%。 结论 DHS结合拉力螺钉治疗股骨转子间骨折具有固定确切、抗旋转等优点,是一种治疗股骨转子间骨折的有效方法。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • Patterns and research progress on the concomitant ipsilateral fractures of intracapsular femoral neck and extracapsular trochanter

    ObjectiveTo summarize the patterns and research progress of the concomitant ipsilateral fractures of intracapsular femoral neck and extracapsular trochanter, and to provide a common language among orthopedic surgeons for scientific exchange.MethodsAccording to related literature and authors own experiences concerning the anatomic border between femoral neck and trochanter region, the intertrochanteric line (or intertrochanteric belt) and its capsularligament attachment footprint, fracture patterns, and treatment strategies were reviewed and analyzed.ResultsWith the rapid growing of geriatric hip fractures, an increased incidence was noted in recent years regarding the proximal femoral comminuted fractures that involving ipsilateral intracapsular neck and extracapsular trochanter regions simultaneously. But the concept of femoral neck combined with trochanter fractures was ambiguous. Based on the anatomic type of femoral neck fracture, the location of fracture center, and the ability to achieve direct inferior calcar or anteromedial cortex-to-cortex apposition and buttress, we classified these complex fractures into 3 sub-types: ① Segmental femoral neck fractures (two separate fracture centers at subcapital and trochanteric region respectively); ② Femoral neck fracture (trans-cervical) with extension to the supero-lateral trochanteric region (fracture center in femoral neck); ③ Trochanteric fracture with extension to the medio-inferior femoral neck region (fracture center in trochanter, comminuted basicervical fracture, or variant type of comminuted trochanter fracture). For treatment strategy, surgeons should consider the unique characteristics of femoral neck and trochanter, usually with combined fixation techniques, or arthroplasty supplemented with fixation.ConclusionCurrently there is no consensus on diagnosis and terminology regarding the concomitant ipsilateral fractures of femoral neck and trochanter. Further studies are needed.

    Release date:2021-09-28 03:00 Export PDF Favorites Scan
  • 牵引床辅助下锁定钢板内固定治疗高龄股骨转子间骨折手术配合

    目的 探讨牵引床辅助下锁定钢板内固定治疗高龄股骨转子间骨折的手术护理配合方法。 方法 2009年3月-2010年12月对54例高龄股骨转子间骨折患者在牵引床辅助下,实施股骨近端锁定加压钢板内固定术,其巡回护士、器械护士按护理规范在术前、术中予以积极配合。 结果 54例患者手术过程顺利,术后切口均Ⅰ期愈合,随访3~12个月,所有患者骨折全部愈合,髋关节功能恢复良好。 结论 周密的术前准备和术中娴熟的配合技术是确保手术安全顺利进行的有力保证。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • BIPOLAR FEMORAL HEAD REPLACEMENT COMBINED WITH TENSION BAND WIRE FIXATION FOR INTERTROCHANTERIC FRACTURE IN ELDERLY OSTEOPOROTIC PATIENTS

    Objective To explore the effectiveness of bipolar femoral head replacement combined with tension band wire fixation for intertrochanteric fracture in elderly osteoporotic patients. Methods Bipolar femoral head replacement combined with tension band wire fixation were used for intertrochanteric fracture in 48 elderly osteoporotic patients between January 2004 and December 2010. Of 48 patients, 15 were male and 33 were female, aged 90-99 years (mean, 94.1 years). All fractures were caused by falling, and pathological fracture was excluded. It was 2-7 days (mean, 4.2 days) from fracture to surgery. According to the Tronzo Evans classification, 25 cases were rated as type IV, 20 cases as type III, and 3 cases as type II. And all of the cases were accompanied with severe osteoporosis and accompanied by more than one medical diseases, and 10 cases had spinal compression fracture. Results All patients underwent the operation successfully. Six cases died of underlying medical illness within 2 years postoperatively. A total of 39 cases were followed up 2-7 years, averaged 3.1 years. After operation, short-term mental disorders occurred in 9 cases, suspected urinary tract infection in 2 cases, sacral rear bedsore in 1 case, hip pain in 1 case, thigh pain in 1 case, and deep vein thrombosis of affected limb in 1 case. All the incisions healed by first intension, and X-ray film showed bone union in all cases; no complications of bone osteolysis, prosthesis loosening, subsidence, rupture, and heterotopic ossification occured postoperatively. No case needed revision. According to the Harris score system, the results were excellent in 5 cases, good in 28 cases, fair in 5 cases, and poor in 1 case, with an excellent and good rate of 84.6%; the score at 2 years was significantly higher than that at 6 weeks (t= — 14.79, P=0.00). The physical health score and mental health score of SF-12 at 2 years postoperatively were significantly higher than those at 6 weeks postoperatively (P lt; 0.05). The visual analogue scale (VAS) scores at 6 weeks and 2 years postoperatively were significantly lower than those at preoperation (P lt; 0.05), and the score at 2 years was significantly lower than that at 6 weeks (P lt; 0.05). Conclusion The bipolar femoral head replacement combined with tension band wire fixation for intertrochanteric fracture in elderly osteoporotic patients has the advantages of firm fixation, early function exercise with load bearing, pain relieving, improving hip function, and avoiding complication in bed.

    Release date:2016-08-31 04:08 Export PDF Favorites Scan
  • Treatment of irreducible intertrochanteric femoral fracture in elderly by folding top technique combined with right-angle pliers prying and pulling under G-arm X-ray fluoroscopy

    Objective To explore the effectiveness of irreducible intertrochanteric femoral fracture in the elderly by treating with folding top technique and right-angle pliers prying and pulling under G-arm X-ray fluoroscopy. Methods The clinical data of 74 elderly patients with irreducible intertrochanteric femoral fracture admitted between February 2016 and December 2022 and met the selection criteria were retrospectively analyzed. Among them, 38 cases were treated with folding top technique combined with right-angle pliers prying and pulling under G-arm X-ray fluoroscopy and intramedullary nailing fixation (study group), and 36 cases were treated with limited open reduction combined with other reduction methods and intramedullary nailing fixation (control group). There was no significant difference in baseline data between the two groups, such as age, gender, cause of injury, affected side and classification of fractures, complicated medical diseases, and time from injury to operation (P>0.05). The operation time, intraoperative blood loss, hospital stay, fracture reduction time, fracture healing time, and complications of the two groups were recorded and compared. The quality of fracture reduction was evaluated by Baumgaertner et al. and Chang et al. fracture reduction standards. ResultsPatients in both groups were followed up 10-14 months, with an average of 12 months. The operation time and intraoperative blood loss in the study group were significantly less than those in the control group (P<0.05), there was no significant difference in hospital stay between the two groups (P>0.05). At 2 days after operation, according to the fracture reduction standards of Baumgaertner et al. and CHANG Shimin et al., the quality of fracture reduction in the study group was better than that in the control group, and the fracture reduction time in the study group was shorter than that in the control group, with significant differences (P<0.05). After operation, the fractures of the two groups all healed, and there was no significant difference in healing time between the two groups (P>0.05). During the follow-up, there was no complication such as incision infection, internal fixation failure, deep venous thrombosis of lower limbs, intramedullary nail breakage, spiral blade cutting, or hip varus in the two groups, except for 2 cases of coxa vara in the control group. Conclusion For the irreducible intertrochanteric femoral fracture, using folding top technique combined with right-angle pliers prying and pulling under G-arm X-ray fluoroscopy can obviously shorten the operation time, reduce the intraoperative blood loss, and improve the quality of fracture reduction.

    Release date:2024-05-13 02:25 Export PDF Favorites Scan
  • A comparative study on effectiveness of closed reduction and internal fixation of intertrochanteric fracture assisted with skeletal tractor and traction table

    ObjectiveTo investigate the effectiveness and advantages of skeletal tractor in closed reduction and proximal femoral nail antirotation (PFNA) internal fixation of intertrochanteric fracture compared with traction table.MethodsThe clinical data of 86 patients with intertrochanteric fractures, who were treated with closed reduction and PFNA internal fixation between October 2016 and March 2018 and met the selection criteria, was retrospectively analysed. Among them, 44 cases were treated with skeletal tractor (trial group) and 42 cases were treated with traction table (control group). There was no significant difference between the two groups in gender, age, cause of injury, fracture side, AO classification, and degree of osteoporosis (P>0.05). The preoperative position time, operation time, intraoperative fluoroscopy times, intraoperative blood loss, fracture healing time, intraoperative and postoperative complications, and postoperative Harris score were compared between the two groups.ResultsThe operation was successfully completed in both groups. Compared with the control group, the patients in the trial group had shorter preoperative position time and operation time, fewer intraoperative fluoroscopy times, and less intraoperative blood loss (P<0.05). The patients were followed up 12-21 months in trial group (mean, 14.2 months) and 12-22 months in control group (mean, 14.3 months). Venous thrombosis of lower extremity occurred in 8 patients (3 cases of trial group and 5 cases of control group) after operation. Internal fixation failure occurred in 5 patients (2 cases of trial group and 3 cases of control group) during 1 year after operation. All fractures healed except for those with internal fixation failure, the fracture healing time was (11.6±2.9) weeks in trial group and (12.4±3.6) weeks in control group; and there was no significant difference between the two groups (t=1.250, P=0.214). At 1 year after operation, Harris score of the trial group was 86.2±5.9 and that of the control group was 84.1±6.1. There was no significant difference between the two groups (t=1.768, P=0.080).ConclusionCompared with traction table, skeletal tractor in closed reduction and PFNA internal fixation of intertrochanteric fracture can significantly shorten the preoperative position time and operation time, reduce the intraoperative fluoroscopy times, improve the operation efficiency, and have similar effectiveness.

    Release date:2020-04-29 03:03 Export PDF Favorites Scan
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