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新型碳纤维复合材料外固定器治疗老年患者股骨转子间骨折的疗效。

Effectiveness in the Treatment of Intertrochanteric Fracture in Geriatric Patients by A Novel Prototype Carbon Composite External Fixator.

机构信息

Department of Orthopedic, 7A Military Hospital, Ho Chi Minh City, Vietnam.

出版信息

Med Arch. 2021 Apr;75(2):122-132. doi: 10.5455/medarh.2021.75.122-132.

DOI:10.5455/medarh.2021.75.122-132
PMID:34219872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8228569/
Abstract

BACKGROUND

Intertrochanteric fracture is a common injury in seniors. Senior patients taking surgical interventions suffer from prolonged bed-rest complications such as pressure ulcer, thromboembolism, or pneumonia, which may lead to high mortality rate. A treatment using external fixators is, therefore, recommendable, and has shown satisfactory outcomes such as early weight-bearing, short hospitalization time and quick union time. Fracture treatments in Vietnam mainly use metal and imported fixation, raising concerns of compatibility and financial issues from patients.

OBJECTIVE

This study investigated the effectiveness in treating an intertrochanteric fracture in Vietnamese geriatric patients by a novel prototype carbon composite external fixator (whose shaft screws near the fracture site) and an available stainless steel external fixator (shaft screw far from the fracture site) already used in Vietnam.

METHODS

Fifty-five patients treated with the metal fixator and 54 patients treated with the composite fixator - all aged 60 - 99 - were monitored for treatment results until one year after surgery.

RESULTS

The results demonstrated the external fixator's effectiveness, especially the composite prototype, which minimized blood loss, shortened operation time, reduced pain, and provided stable fixation that promoted proper bone union.

CONCLUSION

The novel composite fixator prototype in this study was also superior to the current metal fixator in many aspects. Proper application of this method could prove its effectiveness in the surgical cure for fracture in older people. It should be a viable choice for intertrochanteric fracture treatment for senile people in Vietnam.

摘要

背景

股骨转子间骨折是老年人常见的损伤。接受手术干预的老年患者会遭受长时间卧床休息的并发症，如压疮、血栓栓塞或肺炎，这可能导致高死亡率。因此，使用外固定器治疗是值得推荐的，并且已经显示出令人满意的结果，如早期负重、住院时间短和快速愈合时间。越南的骨折治疗主要使用金属和进口固定器，这引起了患者对兼容性和经济问题的关注。

目的

本研究调查了一种新型原型碳复合材料外固定器（其在骨折部位附近的轴螺钉）和一种在越南已经使用的可用不锈钢外固定器（轴螺钉远离骨折部位）治疗越南老年股骨转子间骨折的效果。

方法

对 55 名使用金属固定器和 54 名使用复合材料固定器（年龄均为 60-99 岁）的患者进行了治疗结果监测，直到手术后一年。

结果

结果表明，外固定器的治疗效果，特别是复合材料原型，最大限度地减少了出血量，缩短了手术时间，减轻了疼痛，并提供了稳定的固定，促进了适当的骨愈合。

结论

本研究中的新型复合材料固定器原型在许多方面也优于当前的金属固定器。适当应用这种方法可以证明其在老年人骨折手术治疗中的有效性。它应该是越南老年人股骨转子间骨折治疗的一种可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/81d895938ff2/medarch-75-122-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/b679f6b2416a/medarch-75-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/88d95e235e99/medarch-75-122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/44fef44081d2/medarch-75-122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/2f56ebf8a64d/medarch-75-122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/eec779aba52d/medarch-75-122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/94afe21c46d2/medarch-75-122-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/09ba852b9715/medarch-75-122-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/6ba159aa8720/medarch-75-122-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/b26794fb8c60/medarch-75-122-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/81d895938ff2/medarch-75-122-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/b679f6b2416a/medarch-75-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/88d95e235e99/medarch-75-122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/44fef44081d2/medarch-75-122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/2f56ebf8a64d/medarch-75-122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/eec779aba52d/medarch-75-122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/94afe21c46d2/medarch-75-122-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/09ba852b9715/medarch-75-122-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/6ba159aa8720/medarch-75-122-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/b26794fb8c60/medarch-75-122-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7645/8228569/81d895938ff2/medarch-75-122-g010.jpg

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