Objective: to study the effect of artificial joint replacement in the treatment of unstable intertrochanteric femoral fractures in elderly patients. Methods: from February 2016 to December 2020, 60 elderly patients wi...Objective: to study the effect of artificial joint replacement in the treatment of unstable intertrochanteric femoral fractures in elderly patients. Methods: from February 2016 to December 2020, 60 elderly patients with unstable femoral intertrochanteric fracture who came to our hospital for treatment were selected for the study. They were divided into treatment group and comparison group by coin toss, with 30 cases in each group. The contrast group was treated with traditional fixation, while the treatment group was treated with artificial joint replacement. The treatment effect, operation duration and hospitalization duration of the two groups were observed. Results: the total effective rate of the treatment group was better than that of the contrast group, and the difference between them was significant (P < 0.05). The duration of operation and length of hospitalization in the treatment group were significantly different from those in the control group (P < 0.05). Conclusion: the efficacy of artificial joint replacement in the treatment of unstable intertrochanteric fractures in elderly patients is worthy of affirmation. The operation duration is shorter, the safety is improved, the joint function of patients can be improved, and the length of hospital stay can be shortened.展开更多
We present a detailed outline of treatment of intertrochanteric fractures of femur with a new technique on the basis of principles of combined traditional chinese and western medicine. We use pins and an outer fixatio...We present a detailed outline of treatment of intertrochanteric fractures of femur with a new technique on the basis of principles of combined traditional chinese and western medicine. We use pins and an outer fixation frame, which keeps the injured limb in abduction and under traction and at the same time allows for functional exercise of all the joints in the extremity. The procedure is discussed and compared with other different techniques.展开更多
Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in o...Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in our hospital from February 2020 to May 2022 were counted, and 78 elderly patients with intertrochanteric fracture were selected and divided into groups according to fracture fixation methods. Group A (39 cases) were treated with PFNA fixation, while group B (39 cases) were treated with DHS fixation. The final effect of the two groups was observed, and the curative effect was evaluated by related surgical indexes, fracture healing degree and postoperative complications. Results: compared with Group B, the operation time of Group A was shorter, the blood loss was less, the patients standing time was shorter under the condition of weight bearing, the fracture healing time was obviously shortened, and the overall related operation indexes were better than those of Group B (P < 0.05). The proportion of patients with good fracture healing in Group A was higher than that in Group B (P < 0.05). The scores of hip function and walking ability of lower limbs in group A were higher than those in group B (P < 0.05). The incidence of postoperative complications such as infection, hip varus, lower extremity venous thrombosis, femoral head cutting or femoral neck shortening in Group A is less than that in Group B (P < 0.05). Conclusion: for the elderly intertrochanteric fracture fixation, PFNA internal fixation can shorten the operation time, reduce surgical trauma and stress stimulation, and reduce postoperative complications, which is beneficial to the recovery of hip joint function and early weight bearing, better fracture healing, and early improvement of walking ability. It is worthy of application.展开更多
文摘Objective: to study the effect of artificial joint replacement in the treatment of unstable intertrochanteric femoral fractures in elderly patients. Methods: from February 2016 to December 2020, 60 elderly patients with unstable femoral intertrochanteric fracture who came to our hospital for treatment were selected for the study. They were divided into treatment group and comparison group by coin toss, with 30 cases in each group. The contrast group was treated with traditional fixation, while the treatment group was treated with artificial joint replacement. The treatment effect, operation duration and hospitalization duration of the two groups were observed. Results: the total effective rate of the treatment group was better than that of the contrast group, and the difference between them was significant (P < 0.05). The duration of operation and length of hospitalization in the treatment group were significantly different from those in the control group (P < 0.05). Conclusion: the efficacy of artificial joint replacement in the treatment of unstable intertrochanteric fractures in elderly patients is worthy of affirmation. The operation duration is shorter, the safety is improved, the joint function of patients can be improved, and the length of hospital stay can be shortened.
文摘We present a detailed outline of treatment of intertrochanteric fractures of femur with a new technique on the basis of principles of combined traditional chinese and western medicine. We use pins and an outer fixation frame, which keeps the injured limb in abduction and under traction and at the same time allows for functional exercise of all the joints in the extremity. The procedure is discussed and compared with other different techniques.
文摘Objective: to explore the surgical fixation methods for intertrochanteric fracture of femur in the elderly, and analyze the effects of DHS and PFNA fixation methods. Methods: the data of fracture patients treated in our hospital from February 2020 to May 2022 were counted, and 78 elderly patients with intertrochanteric fracture were selected and divided into groups according to fracture fixation methods. Group A (39 cases) were treated with PFNA fixation, while group B (39 cases) were treated with DHS fixation. The final effect of the two groups was observed, and the curative effect was evaluated by related surgical indexes, fracture healing degree and postoperative complications. Results: compared with Group B, the operation time of Group A was shorter, the blood loss was less, the patients standing time was shorter under the condition of weight bearing, the fracture healing time was obviously shortened, and the overall related operation indexes were better than those of Group B (P < 0.05). The proportion of patients with good fracture healing in Group A was higher than that in Group B (P < 0.05). The scores of hip function and walking ability of lower limbs in group A were higher than those in group B (P < 0.05). The incidence of postoperative complications such as infection, hip varus, lower extremity venous thrombosis, femoral head cutting or femoral neck shortening in Group A is less than that in Group B (P < 0.05). Conclusion: for the elderly intertrochanteric fracture fixation, PFNA internal fixation can shorten the operation time, reduce surgical trauma and stress stimulation, and reduce postoperative complications, which is beneficial to the recovery of hip joint function and early weight bearing, better fracture healing, and early improvement of walking ability. It is worthy of application.
