Analysis of influencing factors of failure of internal fixation after closed reduction and internal fixation for intertrochanteric fractures in the elderly
10.3760/cma.j.issn.1008-6706.2017.06.015
- VernacularTitle:老年人股骨转子间骨折闭合复位内固定术后内固定失败的影响因素分析
- Author:
Jinbin WEI
- Keywords:
Intertrochanteric fractures;
Fracture fixation,internal;
Internal fixation failure;
Influencing factors
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(6):858-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the process of clinical treatment of senile intertrochanteric fractures in patients with closed reduction and internal fixation,to analyze the related factors leading to operation failure,and to lay the foundation for the clinical treatment in Department of Orthopedics.Methods 100 elderly patients with intertro-chanteric fracture were treated with closed reduction and internal fixation,and the related factors leading to the failure of the operation were analyzed.Results Through the statistics of all patients,7 cases were found in patients with internal fixation failure.The internal fixation failure rates of the patients with 4 ~6 class Singh index,basic diseases, TAD >25mm,and the using of hormone drugs were significantly higher than those of the patients with 1 -3 class Singh index,basic diseases,TAD≤25mm,and no using hormone drugs,the differences were statistically significant (χ2 =6.246,4.532,4.532,6.439,all P <0.05).And the fracture type,Singh index,basic diseases,TAD >25mm and Cleveland partition were internal fixation failure risk factors,the difference was statistically significant(all P <0.05).Conclusion In the application of closed reduction and internal fixation for the treatment of intertrochanteric fractures in the elderly patients,the fracture type,Singh index,basic disease,TAD >25mm and Cleveland partition can be used as the risk factors of internal fixation failure.
