老年股骨远端骨折的逆行髓内钉固定术
Retrograde nailing for distal femur fractures in the elderly.
作者信息
Giddie Jasdeep, Sawalha Seif, Parker Martyn
机构信息
Department of Orthopaedics, Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough City Hospital, Bretton Gate PE3 9GZ Peterborough UK.
出版信息
SICOT J. 2015 Dec 1;1:31. doi: 10.1051/sicotj/2015034.
INTRODUCTION
We report the results of treating a series of 56 fractures in 54 elderly patients with a distal femur fracture with a retrograde femoral nail.
METHODS
Fifty-four of the nails were inserted percutaneously with a closed reduction. After surgery all patients were allowed to weight bear as tolerated. Four fractures were supported in a temporary external splint.
RESULTS
The mean age of patients was 80.6 years (range 51-103 years), 52/54 (96%) were females. There were no cases of nail related complications and no re-operations were required. One patient was lost to follow up. The 30-day mortality was 5/54 (9.3%) and the one year mortality was 17/54 (31.5%).
CONCLUSIONS
Distal femoral nail fixation provides a good method of fixation allowing immediate mobilisation for this group of patients.
引言
我们报告了使用逆行股骨钉治疗54例老年患者的一系列56处股骨远端骨折的结果。
方法
54枚钉子通过闭合复位经皮插入。术后所有患者根据耐受情况允许负重。4处骨折用临时外部夹板固定。
结果
患者的平均年龄为80.6岁（范围51 - 103岁），52/54（96%）为女性。没有与钉子相关的并发症病例，也无需再次手术。1例患者失访。30天死亡率为5/54（9.3%），1年死亡率为17/54（31.5%）。
结论
股骨远端钉固定为这组患者提供了一种良好的固定方法，可使其立即活动。
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