58casesofintertrochantericfractureafterX-rayAnalysis-毕业论文翻译

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1、58 cases of intertrochanteric fracture afterX-ray AnalysisAbstractObjectiveToinvestigatetheintertrochanteric fracture after X-ray changes, a variety ofpostoperativefracture healing.Observed58casesofintertrochantericfracturefixedpreoperativeandpostoperative X-ray images of different, afteranalysis of

2、differentfracturehealingresultsafter58casesofintertrochantericfracturesoftheXimage, cannulatedscrew fixation was superior to other patients. Conclusionof intertrochantericfracturewithcannulatedscrewfixationoftheX-rayshowsThetreatmentofintertrochanteric fractures have significant effects.Keywordsinte

3、rtrochantericfracturefixationwith cannulated screws X-rayAbstractObjective:Toinvestigatetheintertrochanteric fracture after X-ray changes, a variety ofpostoperativefracturehealing.Methods:58casesofintertrochantericfracturefixedpreoperativeandpostoperativeX-rayimagesofdifferent,analysisof1differentfr

4、acturehealingafter surgery.Results:58patientswithintertrochantericfractures after X-fileswasexcellentofCannulatedscrewfixationthenotherpostoperativepatients.Conclusion:Thetechniqueofintertrochantericfracturesof Cannulatedscrew fixationthat itsX-raytreatmentofintertrochantericfracturesofsignificant e

5、ffect.Keywords:FemoralfracturesCannulatedscrewfixationX-rayProximalfemoralfractures,commonly known as hip fractures, femoral neck fractureand intertrochanteric fracture incidence roughly the same,both of which are more common in women than in men,theratiois about3:1 1. The authorhas collected2008May

6、 - March 2010 a total of 58 cases of intertrochantericfracturesof preoperativeandpostoperativeX-rayimagedata,analysisofintertrochantericfractureofsurgicaltreatment for intertrochanteric fracture efficacy.A MaterialsandMethods1 Clinicaldata58patients, 15 males, 8 females, aged 47 to 98 years, mean 51

7、.1 years old, have a clear history of trauma, of which 62patientsovertheageof60.The presenceofhypertension.Coronary heart disease, chronic bronchitis,diabetes,cerebrovasculardisease.Differentdiseasessuch as osteoporosis. Cause of injury: traffic accident in 20cases, 22 cases of falls, fall injuriesi

8、n 16 cases the timebetween injury and surgery to 8h 4d, an average 2.4d.25cases with two cannulated screw fixation, 18 patients with130o angle plate dynamic hip screw (DHS fixation system,15 patientswithhipfracturesofthe proximallockingscrew (PEN).(2) Check the method of this group of 58 patients we

9、re checked for DR. The use of Philips Medical Systems DMC GmbH, the DR machine, with the DigitalDiagnost application software, able to image post-processing.Respectively, before surgery, 1 week, after 3 months and 2 years after the photo shoot with the femuron the inner 1 / 2 side of the hip anterop

10、osterior film, anteroposterior pelvis films, films for post-processing of X, adjust the contrast and brightness.33surgical proceduretoepiduralanesthesiaorlocalanesthesia,preoperativeskintractionin the C-armX-ray monitoring closed reduction and satisfaction with lKirschner wires in front of the hip j

11、oint, the direction of slipalongtheheadandnecktochoosethebestangleanddirectionoftheneedle.markthefemoralheadandfemoralshaftoftheneedleposition,the greatertrochanter and the femoral neck under 2cm percutaneousfemoral drill into a parallel to the guide pin, spaced about l 2cm, before a needle in paral

12、lel with the first two drill guide pin. two guide pin and the axis of the femoral neck anteversion and parallel to the needle position in the femoral cortex under 1cm. under the protection of thecasing reaming, select the appropriate hollow compression screws, hex hollow titanium screw, length 80 95

13、cm. various types of interval lengths 5mm, threadlength1mm, threaddiameterof7.3mm) screwpeople,andtodeterminethescrewhead endlocatedin thefemoral head articular surface lcm or so, pull the needle,theincisionwas sutured.Surgicaltime50 80min,anaverageof40min,DHSandPENwereoperatedwitha4time of 2 hours

14、or more.Postoperative patients outsidethebooth,wearinganti-spinshoes,antibiotics3 7d,earlylimbactivitiesinbed.Quadricepsexercise .1to2monthsafterambulationwithcrutches.3to6monthshealing of the fracture of weight-bearing activities.tworesults11weekafterX-rayevaluationof58patients were taken with the

15、femur on the 1 / 2 side of thehip anteroposterior film, anteroposterior pelvis film, X-ray:58patientswere resetaftertwocannulatedscrewsfixation,PHSsystemarefixedandthePENfixationobtainedsatisfactoryresults,goodfracturereduction,off-side without dislocation.(2) after 3 months to 2 years X-ray study 2

16、5 cases using two cannulated screw fixation of the patients,22 cases of fracture has healed, 18 patients with 130o angle plate dynamic hip screw (DHS fixation system patients had healed in 12 cases, 15 cases of the use of hip fractures of the proximal locking screw (PEN) of the patients have been he

17、aled in 8 cases. healing time of 6 to18 months, an average of 8.6 months, according to Huang5Gongyi evaluation criteria: excellent in 42 cases, good in16 cases, with no lower limb shortening and varus hip deformity.Three discussionIntertrochanteric fracture isacommondiseaseoftheelderly,butwiththeacc

18、ident-prone,45yearsofagein patientswithintertrochantericfracturesthereisagrowingtrend,themajorityofauthorsbelieve thatthepresent72hafterinjury, surgery safer in the first 12 24h within the patientshould be a comprehensive inspection, processing of theoriginaldiseaseand planforadequatepreoperativepre

19、parationandanesthesiaiscurrentlythetreatmentoffracturesoftheintertrochantericfracturefixationare:cannulated screws, 130oangleplatedynamichipscrew(DHS) , hip fractures of the proximal locking screw (PEN),etc.2The lattertwothereisarelativelycomplextechnique of internal fixation surgery for a long time

20、, thescope of trauma, bleeding and other shortcomings for avarietyofmedicalconditionsassociatedwitholderpatients difficult to tolerate a higher risk of postoperativecomplications.twocannulatedscrewfixationofthe6advantagesof:C-armX-raymonitoringofclosedreductionandtwocannulatedscrewfixationofintertro

21、chantericfractureswithastablecreatingsmall.less bleeding, shorter operative time, interfering on organfunction in patients with small, simple operation, high rateoffracturehealing, shortentimetoreducetheclinicalincidenceof complications,etc.throughthe needleandtheC-armX-raymonitoringofaccuratepositi

22、oning,dominatedbystrongscrews,sothatuniformstressfracturesurface,tightentheavailabilityofadequatefracturesurface aftercompressionand stabilitytomovecloser to the fracture surface closely, there is a high shear,bending,anti-rotationforce,thefracturehealing.cannulated screws are very small shear, comp

23、ressive stressincreases,withembeddedhelpfracturetoachievethesamestrongsetoffractures.Minimallyinvasivetwocannulatedscrewfixationofstableintertrochantericfractureneedtoinsist on asmallchipfractureoftheanatomicalreductionandtocut toomuchexposuretomaintain the fracture does not occur as long as shorten

24、ing,too slight, angular and rotational displacement.Maintainnormal neck-shaft angle is fixed, you can ensure agood7recovery.Usingtheabovemethodoftreatmentofintertrochanteric fracture after 1 week, after 3 months to 2years X-ray study, 58 patientswereresetaftertwocannulatedscrewfixation,PHSsystemfixa

25、tionandinternalfixationhavereceivedPENsatisfactoryresults,goodfracturereduction,off-sidewithoutdislocation.usingtwocannulatedscrewfixationofthepatientswasexcellentwiththeuseof130oangleplatedynamichipscrew (DHS systems and internalfixationof fracturesofthe proximallockingpatientsandtheuseofhipintrame

26、dullarynailing(PEN)inpatientswithacertainefficacy and social benefits, should be primary hospitals.References1 Cao guests Practical bone andjointimagingdiagnosticsM.Jinan:ShandongScienceand Technology Press, 2004:376.2S. TERRY CANALE.Campbellorthopedicsurgery study M. Jinan: Shandong Science and Technology Press, 2005:2760. 8