中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2011年
5期
396-398
,共3页
徐国健%钱宇%金柏军%翁东%张军
徐國健%錢宇%金柏軍%翁東%張軍
서국건%전우%금백군%옹동%장군
股骨骨折%骨折固定术%外科手术,微创
股骨骨摺%骨摺固定術%外科手術,微創
고골골절%골절고정술%외과수술,미창
Femoral fracture%Fracture fixation,internal%Surgical procedares,minimally invasive
目的 探讨高风险老年人股骨粗隆间骨折的治疗方法.方法 对46例高风险老年股骨粗隆间骨折患者采用局部麻醉(局麻)下经皮多针多向内固定结合股骨髁上牵引治疗,评价其疗效及手术安全性.结果 平均随访8.8个月,42例恢复行走功能,无严重并发症出现,优良率91.3%.结论 局麻下经皮多针多向内固定结合股骨髁上牵引,对于伴发多种疾病,不能耐受麻醉和较大手术的高风险老年股骨粗隆间骨折患者是一种安全有效的治疗方法.
目的 探討高風險老年人股骨粗隆間骨摺的治療方法.方法 對46例高風險老年股骨粗隆間骨摺患者採用跼部痳醉(跼痳)下經皮多針多嚮內固定結閤股骨髁上牽引治療,評價其療效及手術安全性.結果 平均隨訪8.8箇月,42例恢複行走功能,無嚴重併髮癥齣現,優良率91.3%.結論 跼痳下經皮多針多嚮內固定結閤股骨髁上牽引,對于伴髮多種疾病,不能耐受痳醉和較大手術的高風險老年股骨粗隆間骨摺患者是一種安全有效的治療方法.
목적 탐토고풍험노년인고골조륭간골절적치료방법.방법 대46례고풍험노년고골조륭간골절환자채용국부마취(국마)하경피다침다향내고정결합고골과상견인치료,평개기료효급수술안전성.결과 평균수방8.8개월,42례회복행주공능,무엄중병발증출현,우량솔91.3%.결론 국마하경피다침다향내고정결합고골과상견인,대우반발다충질병,불능내수마취화교대수술적고풍험노년고골조륭간골절환자시일충안전유효적치료방법.
Objective To evaluate a minimally invasive procedure for intertrochanteric fracture treatment in elderly patients. Methods Total 46 elderly patients with intertrochanteric fracture were treated with a minimally invasive procedure from September 2008 to February 2010. The fractures were fixed with multiple K-wires combined with skeletal traction through supracondyle of femur. All procedures were undertaken under local anesthesia. Results All the patients were followed up for 8.8-months in average, and 42 patients recovered with independent walking, and the good rates was 91.3%, without severe complications in this group. Conclusions Minimally invasive procedure including fixation with multiple K-wires combined with traction through femoral supracondyle, is a safe and effective treatment for intertrochanteric fracture in elderly patients, avoiding high risks of intra-and post-operative complications.
