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Old 08-29-2011, 11:53 AM   #1
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Intertrochanteric fracture of Clinical analysis of sliding hip screw
. Of cardiovascular system, respiratory system, endocrine system and additional remedial diseases,tory burch shoes, 8 cases were treated along appropriate surgery. 1.2 Treatment of all cases underwent preoperative tibial tubercle traction 7 ~ 1Od, average 8d, tension weight and weight 1 / 7 ~ l / 8. With continuous epidural anesthesia or endotracheal anesthesia, the patient supine, elevate the limb hip 10cm or so, adapt the curtate location because the femoral nape anteversion in the C-arm x-ray machine under the guidance, bring,0 the lateral hip reach is about 10cm incision apt expose the femoral trochanter and femur size,Christian Louboutin Ireland, satisfactory decrement after the greater trochanter as the next 2 ~ 3cm by the probe points to the femoral brain by the femoral nape in the intention of the axis of drill navigate pin, navigate pin the heart of the femoral brain or neck should be prejudiced orthotopic, the observed location of the needle lead and fathom its depth, namely, the length of the sliding screw (nail head from a distance of femoral head cartilage 1.0 ~ 1.5cm, along the guide pin reaming, tapping screw screwed into the sliding iron sleeve installed above them, such like,0 the inferior trochanter rupture fraction disconnection, can pry pull reset, and then to cancellous bone screws, wire fixation, and in the end,0 nailed and sliding screw panel screw Last nut, close the incision later the drainage tube set. operative time 1 ~ 2h, the average l04min. after conventional anti-inflammatory dispose, 24 ~ 48h after the drainage tube pulled out, after 2 days of encouraging patients with ankle, knee flexion and quadriceps synopsis and remission exercises. 4 to 6 weeks after starting ambulation with crutches, partly weight-bearing limb l0 ~ 16 周. x ray exam of callus to fashion a good, you can gradually load on patients with severe osteoporosis, applicable to extend the loading time. 2 Results The 30 patients were followed up one average of 20 months, bone articulation. postoperative complications: 1 case of concurrent varus. chiefly lag screws in the femoral head caused by mowing. 1 patient early weight-bearing limb,jimmy choo peninsula town, resulting in sliding among the fix plate, nail plate surface exposed tail 4ram, fracture intercalation, ends relatively stable. 3 Discussion 3.1 intertrochanteric fracture indications extra common in the retired, forward with the aging of our population, intertrochanteric fracture also on the rise, which reduces the elderly osteoporotic bone strength, additional bone fragility. surgical therapy can feature in patients with early exercise, depress 22 Chinese and alien medical CHINAFOREIGNMEDICALTREATMENT lying mattress period, effortless to attention. to decrease complications and mortality was significantly reduced, greatly improving the quality of life. 3.2 Bone screw sliding characteristics of the nail plate system namely the A0 crew for intertrochanteric fractures charted with the twin function of oppression and sliding, can fracture along the sliding lag screw sliding and produce oppression on the fracture, so namely a accentuate fracture provocation to accelerate fracture healing. dynamic hip screw placed in the lateral femur, from the to the stress band effect. apparatus namely easy, easy to operate,five fingers kso, and no exposed fracture site, to defend the fracture of the blood afford, aired trauma, fewer bleeding, consistent with the principles of biological fixation. Therefore, manifold types of sliding hip screw for intertrochanteric fractures 3.3. preoperative arrangement and operative characteristics of the tibial tubercle preoperative tension 3 ~ 7d, depress patient pain and the treatment of inner diseases have a definite time. surgery in the C-arm X-ray machine beneath surveillance. preoperative Reset is the opener to surgery, and surgery to retain normal anteversion is very important. There are 2 ways (1) The entrance point is situated in the greater trochanter of femur bone under the rear side, from back to front to reserve l5 ~ 20. forward into. (2) limb internal rotation, can be offset before the dip, into the lag screw parallel. On the inside of the rotor is fixed a small problem, the author's experience is not fixed. Wangya Zi such that if fixation screw-plate system , femoral small rotor do not fixed. merely can not load ahead fracture healing, which I view the same. 3.4 and postoperative rehabilitation like,air max 91,0 presently as possible after a assured line guide ankle, knee and quadriceps exercising. for lower limb blood rotation, prevent disuse muscle atrophy and venous thrombosis. Shimoji time and load levels should be based on patient old, fracture type, degree of osteoporosis, fixation callus growth conditions and determinations. especially erratic fracture Patients should be vigorous and passive in bed is not weight-bearing exercise,mbt laarzen, 4 to 6 weeks after surgery according to x-ray tips callus growth and then make sure if to walk with weight-bearing limb class.
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