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109岁转子间骨折患者行半髋关节置换术:一例报告。

Hemi-arthroplasty performed in a 109-year-old patient with intertrochanteric fracture: A case report.

作者信息

Yang Peng-Fei, Chen Hao, Duan Xiao-Jun, Chen Guang-Xing, Guo Lin, Fan Hua-Quan, Yang Liu

机构信息

Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

出版信息

Chin J Traumatol. 2017 Dec;20(6):352-354. doi: 10.1016/j.cjtee.2017.06.002. Epub 2017 Nov 4.

Abstract

The mortality of conservative treatment and the risk resulting from operation for elderly patients with femoral intertrochanteric fractures are high. Safety in the perioperative period and quicker recovery should be placed at the top priority for elderly patients with hip fractures. We reported a case of 109-year-old female patient with intertrochanteric fracture who has undergone the hemiarthroplasty in our center recently. With sciatic nerve and lateral cutaneous nerve block anesthesia, she was offered the artificial femoral head replacement in the lumbar plexus block after sufficient preoperative preparation. The surgery went well with minimally invasive cut, and the patient's recovery was satisfactory.

摘要

老年股骨粗隆间骨折患者保守治疗的死亡率及手术风险均较高。髋部骨折老年患者围手术期的安全及更快康复应列为首要考虑因素。我们近期报道了1例109岁女性粗隆间骨折患者,在我院接受了半髋关节置换术。经过充分的术前准备,在坐骨神经及股外侧皮神经阻滞麻醉下,于腰丛阻滞下行人工股骨头置换术。手术切口微创,过程顺利,患者恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b66d/5832460/212f9dd81f45/gr1.jpg

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