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[使用一束金属棒对中老年患者股骨转子间骨折进行手术治疗]

[Surgical treatment of trochanteric fractures of the femur in middle-aged and elderly patients using a bunch of metal rods].

作者信息

Okhotskiĭ V P, Suvalian A G, Malygina M A

出版信息

Ortop Travmatol Protez. 1989 Oct(10):55-8.

PMID:2622639
Abstract

The authors describe their experience in the treatment of 55 patients with trochanteric fractures of the femur operated with a bundle of elastic rods (after Ender). Their mean age was 80 (61-98) years. The control group comprised 83 patients who had received conservative treatment and 53 patients who had been treated surgically with a three-blade nail with diaphyseal plate. The method is characterized by low traumatism and is accompanied by little blood loss, that is why no hemotransfusion was made in most cases. The danger of infection at the fracture site is minimal as it in not exposed. A sufficiently stable fixation of the fragments allows to make an early activation of the weakened patients, which is necessary for the prevention of hypostatic complications. The operation is simple and easy; it may be successfully mastered by broad sections of the doctors; an electro-optical++ transducer is required in the operating room.

摘要

作者描述了他们使用一束弹性棒(恩德尔式)治疗55例股骨转子间骨折患者的经验。他们的平均年龄为80岁(61 - 98岁)。对照组包括83例接受保守治疗的患者和53例接受带骨干钢板三刃钉手术治疗的患者。该方法的特点是创伤小,出血量少,这就是为什么在大多数情况下无需输血。骨折部位感染的风险极小,因为骨折部位未暴露。骨折碎片的充分稳定固定使得能够早期让身体虚弱的患者活动,这对于预防坠积性并发症是必要的。手术简单易行;广大医生都能成功掌握;手术室需要一个光电++换能器。

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