外固定架治疗股骨粗隆间骨折

Mahmood A. Aljumaily, Y. Saleem, Saher H ALbanna
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引用次数: 0

摘要

背景:股骨转子间骨折(ITFF)是老年人常见的损伤,治疗方法多种多样。外固定架用于高危患者。目的:介绍外固定架治疗itff的一系列病例。患者和方法:2017年7月至2019年10月,在摩苏尔Alzahrawy私立医院对26例ITFF患者进行外固定治疗。结果:平均随访时间11个月。22例患者在第4个月结束时骨折完全愈合,并拆除了外固定架。2例患者死于非相关内科疾病,1例患者发生股骨骨干病理性骨折。患者髋关节和膝关节均有良好的活动范围。针道感染是最常见的并发症。结论:外固定架是治疗股骨粗隆间骨折的一种简便、微创、经济的方法。
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Intertrochanteric Femoral Neck Fractures Treated by External Fixation
Background: Intertrochanteric femoral fracture (ITFF) is common injury in old age group, there are many options of treatment. External fixation used in the high risk patients. Objective: To present a case series of ITFFs treated by external fixators. Patients and method: Twenty six patients with ITFF were treated by external fixation in Alzahrawy private hospital in Mosul, during the period from July 2017 through October 2019. Results: The mean time of follow-up was 11 months. Twenty two patients showed full union of the fracture by the end of the 4 th month and the external fixators were removed. Two patients died due to unrelated medical diseases, and one patient developed pathological fracture in the shaft of femur. The patients had good range of motion in both hip and knee joints. Pin tract infection was the commonest complication. Conclusion: External fixation is simple, mini-invasive, cost-effective alternative method in the treatment of intertrochanteric femoral fractures.
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