The choice of operative pattern for the femoral intertrochanteric fracture in elderly people
- VernacularTitle:70岁以上老年人股骨粗隆间骨折术式的选择
- Author:
Jintu XIE
- Publication Type:Journal Article
- Keywords:
Femoral neck fractures
- From:
Chinese Journal of Geriatrics
2001;0(05):-
- CountryChina
- Language:Chinese
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Abstract:
Objective To study the best surgical pattern for the femoral intertrochanteric fracture in the elderly people over 70 years of age. Methods One hundred and seventy six patients(divided into 5 groups) were treated with high position fixation with many pins (A group), low position fixation with many pins (B group); Richard's nail (C group), Gamma nail (D group) and single armed external fixator (E group), respectively. The prognosis and treatment results of the above groups were observed. Results The rate of coxa vara in A and B groups was 69 7% and 40 0% respectively, and it mainly occurred at Ⅲ or Ⅳ types. The rate of coxa vara in other three groups were 5 7%,10 0% and 13 0%,respectively. No death occurred during the surgery and till three months later. Because of the pain caused by pin tail, patients of A and B groups could hardly move around and caused more complications compared to other groups. Patients of E group cured quite quickly, but their knee joint function poorly recovered. Conclusions Methods used in C and D groups prevented patients from coxa vara and less complications occurred due to early moving and therefore turned out to be the ideal choice for therapy and for better life quality. No higher operative risks for C and D methods were found compared to other three methods. E method could be used with great care in patients who could not experience C or D method because of the disadvantages of limitating the knee joint movement and increasing the mental pressure. Sufficient attention must be paid to the elderly patients with fracture, a specific and high risk group, besides routine biochemical tests, physician should be invited to monitor the patient's condition during the operation if necessary.
