Gong Mao-qi, Mao Yu-jiang, Wei Jie, Wang Man-yi, Bai Jie, Fan Qiao-ling, Li Dong
Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing 100035, China.
Zhonghua Yi Xue Za Zhi. 2005 Dec 7;85(46):3263-5.
To observe the outcome of hip fractures which accepted traction treatment instead of operation considering their general condition in elderly.
102 cases of hip fractures accompanied by heart disease, hypertension, diabetes etc from Nov. 2000 to Jan. 2005 were accepted traction treatment. Among them, 37 cases are femoral neck and 65 cases are femoral intertrochanteric fractures. The average age was 75.8 years old, ranging from 48 to 98 years old. All cases were treated at home.
one-year mortality was 8.8% (9/102). According to the incidence, the complications include bedsore (30/102, 29.4), pulmonary infection (6/102, 5.9%), DVT (2/102), PE (1/102), Urine infection (1/102). The rate of healing in femoral neck fractures was 51.7% (15/29); in intertrochanteric fractures was 97.6% (40/41). The decrease of Harris score between pre-injury and post-injury was 23.1 in femoral neck fractures and 15.6 in intertrochanteric fractures.
For non-displacement and stable femoral neck fractures and some intertrochanteric fractures, good results could be obtained by traction treatment. Considering its low cost, traction treatment had its own indications.
观察老年髋部骨折患者因身体状况不佳而接受牵引治疗而非手术治疗的效果。
对2000年11月至2005年1月期间102例伴有心脏病、高血压、糖尿病等疾病的髋部骨折患者进行牵引治疗。其中，股骨颈骨折37例，股骨转子间骨折65例。平均年龄75.8岁，年龄范围48至98岁。所有病例均在家中接受治疗。
1年死亡率为8.8%（9/102）。按发生率排序，并发症包括压疮（30/102，29.4%）、肺部感染（6/102，5.9%）、深静脉血栓形成（2/102）、肺栓塞（1/102）、泌尿系统感染（1/102）。股骨颈骨折愈合率为51.7%（15/29）；股骨转子间骨折愈合率为97.6%（40/41）。股骨颈骨折伤前与伤后Harris评分降低值为23.1，股骨转子间骨折为15.6。
对于无移位的稳定型股骨颈骨折和部分股骨转子间骨折，牵引治疗可取得良好效果。考虑到其成本较低，牵引治疗有其自身的适应证。
