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[老年患者髋股骨折——手术治疗及内科-心脏科联合治疗。1. 手术步骤及术后随访]

[Coxal femoral fractures--surgical management and internal medicine-cardiologic concomitant therapy in geriatric patients. 1. Surgical procedure and postoperative follow-up].

作者信息

Eichstädt H, Kaiser W, David T, Del N, Cordes M

机构信息

Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Berlin.

出版信息

Z Gerontol. 1994 Jul-Aug;27(4):253-9.

PMID:7975816
Abstract

246 patients (average age 82.4 years) with proximal femur fractures treated with bipolar endoprothesis, sliding lag screw or Ender nailing, related to the fracture type were analyzed in a retrospective study. Preexistent diseases, duration of operation, postoperative complications, transfusions, hospital stay, mobility achieved and mortality were noted. As a result, we found a high multimorbidity related to the age, the highest requirement of transfusions in patients undergoing Ender nailing, a long period to achieve postoperative mobility, a long hospital stay, and increasing mortality with average age and average hospital stay.

摘要

在一项回顾性研究中,分析了246例(平均年龄82.4岁)股骨近端骨折患者,这些患者根据骨折类型采用双极人工关节、滑动加压螺钉或Ender钉进行治疗。记录了患者的既往疾病、手术时间、术后并发症、输血情况、住院时间、术后活动能力及死亡率。结果发现,患者的多种疾病发生率较高与年龄相关,接受Ender钉治疗的患者输血需求最高,术后恢复活动能力所需时间长,住院时间长,且死亡率随平均年龄和平均住院时间增加而升高。

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1
[Coxal femoral fractures--surgical management and internal medicine-cardiologic concomitant therapy in geriatric patients. 1. Surgical procedure and postoperative follow-up].[老年患者髋股骨折——手术治疗及内科-心脏科联合治疗。1. 手术步骤及术后随访]
Z Gerontol. 1994 Jul-Aug;27(4):253-9.
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[The clinical course of surgically managed para-articular femoral fractures in geriatric surgery].[老年外科手术治疗的股骨关节周围骨折的临床病程]
Unfallchirurgie. 1994 Feb;20(1):30-6. doi: 10.1007/BF02588136.
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[Ender nailing versus dynamic hip screw--a comparison of early postoperative results].
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Aktuelle Traumatol. 1992 Apr;22(2):76-9.
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Acta Chir Orthop Traumatol Cech. 2002;69(1):39-44.
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[Has the dynamic hip screw justifiably replaced Ender nailing in the management of hip para-articular femoral fractures of the A1-A3 and B2 type?].动力髋螺钉在治疗A1 - A3型和B2型髋关节周围股骨骨折时是否合理地取代了恩得钉?
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