Application of warm liquid in proximal femoral nail antirotation(PFNA) internal fixation.
10.3969/j.issn.1003-0034.2019.02.002
- Author:
Xiang GU
1
,
2
;
Hai-Tao LU
3
;
Le ZHAO
3
;
Lin CHEN
3
;
You-Min CHEN
3
Author Information
1. Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China; kentgx800228@
2. com.
3. Nanjing Lishui District People's Hospital, Nanjing 211200, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Femoral intertrochanteric fractures;
Fracture fixation, intramedullary;
Warm liquid
- MeSH:
Aged;
Aged, 80 and over;
Bone Nails;
Female;
Femoral Fractures;
Femur;
Fracture Fixation, Internal;
Fracture Fixation, Intramedullary;
Humans;
Male;
Middle Aged;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2019;32(2):101-104
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the effect and application of warm fluid in patients with proximal femoral nail antirotation(PFNA) internal fixation.
METHODS:From November 2012 to December 2016, 80 patients with femoral intertrochanteric fracture were treated with PFNA internal fixation, including 35 males and 45 females, aged from 62 to 90 years old. The patients were divided into two groups. In the control group 40 patients were infused and rinsed at the normal temperature liquid(22 to 24 °C) during the operation; in the experimental group 40 patients were infused and rinsed at warm liquid(36.5 to 37.5 °C). The amount of bleeding, the temperature, the occurrence of shiver and the C-reaction protein in the two groups were analyzed.
RESULTS:The incidence of hypothermia and shiver in the experimental group was significantly lower than that in the control group(<0.05). The amount of intraoperative bleeding and C-reaction protein were significantly decreased(<0.05).
CONCLUSIONS:The application of warm liquid infusion and flushing in PFNA internal fixation can effectively reduce the incidence of hypothermia and shiver, reduce the amount of bleeding in the operation and the infection rate of the surgical site, improve the comfort of the patients, and ensure the safety of the patients.
