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diesel jeans Manipulation double gold compression screw pin fixation of displaced femoral
Manipulation double gold compression screw pin fixation of displaced femoral neck fracture
To normal. Good: no limp , long walk somewhat pain. In: find a little pain when walking, botas ugg, and mild limp. Difference: no activity is also a sense of pain, limited squatting, life can not completely take care of themselves. Treatment outcomes in this group : excellent in 28 cases, good in 35 cases, in 7 cases. Including 1 case of deep vein thrombosis, polo ralph lauren pas cher, 2 cases with osteoporosis, the fine was 90%. 3 Discussion hemiarthroplasty Indications: hemiarthroplasty in elderly patients with femoral neck fracture is the ideal method. Choose a good indication for the rehabilitation of patients, the prognosis is an important part. Law is mainly applied to traumatic, fresh femoral neck fractures to head the next type, the neck-based, such fractures is difficult to heal, could easily lead to avascular necrosis, especially in poor physical fitness over the age of 7O patients. Of old femoral neck fracture nonunion, pseudarthrosis, joint pain dysfunction caught feasible hemiarthroplasty, ralph lauren pas cher, the joint function can be restored . Complications and prevention: ① Reset difficult to avoid the false stem cortical bone and bone piercing the splitting of the old fracture, the patient due to muscle contracture can cause difficulties fracture reduction surgery is difficult, diesel jeans, so the surgery needs to be done before full traction, surgery to expand marrow to fully expand the canal should be parallel with the backbone, should not the backbone of successful angle with violently beating. Try to hit lower limb prosthesis to maintain hip flexion knee adduction and external rotation position, the remote down to avoid piercing the cortical bone prosthesis. ② hip pain, be sure to choose a good preoperative right femoral head, head and acetabulum is too large friction is large, too small to make the acetabular head pressure is too large. Must be taken before surgery with bilateral hip X-ray measurements, or the line CT measurements, select the original size of a femoral head prosthesis. ③ postoperative hip dislocation, surgery is necessary to pay attention to the size of the prosthesis anteversion, the femoral canal from the level and size, before the angle is too large, too small are easily lead to postoperative dislocation of the femur from the femoral prosthesis is too short and the hip can not asked to maintain the normal tension of mortar can also cause subsidence of the prosthesis. Too easy to make the canal prosthesis rotation, can not maintain normal anteversion easy dislocation. Therefore, surgery is necessary to keep the femur from the 1 ~ 1.5cm, neck stump trimmed to 10 before the low-high tilt., The former stable angle of 15.. ④ deep vein thrombosis, hemiarthroplasty common postoperative deep vein thrombosis, moncler online shop, 1 case occurred after the group treatment and healing, prevention is designed to allow patients to do as soon as possible active muscle contraction and relaxation movements and limb passive activities, to reduce the complications the incidence. Femoral neck fracture for the elderly is a serious injury, forcing the patient bedridden, thus leading to a series of complications. Ruzhui plot pneumonia, urinary tract infections, pressure ulcers and cardiovascular disease. Previous conservative treatment does not shorten a patient bed time, patients often complications, so the risk is enormous. The hemiarthroplasty though there may be complications of its own, but compared to a minor. Therefore, in order to shorten the bed when asked, to prevent and reduce complications, improve patient quality of life, as long as the general condition of patients without surgical contraindications were allowed, should be as early as possible hemiarthroplasty treatment of elderly patients with femoral neck that is fractures of the preferred method of treatment. Author Xian Liu River , male, attending physician, in the orthopedic 2O years, a wealth of clinical experience, good bone trauma. (Received: 2001 – O3-14 Revised :2001-05 a lO) Manipulation double gold compression screw pin fixation of displaced femoral neck fracture / Wang Xiangxi … / / Chinese Medical Abstracts ankle on preoperative femoral skeletal traction for 7 to 10 days. Surgery when the removal of traction, in the C-arm X-ray CCTV, the periosteum and skin anesthesia. After the tilt position . Two assistants were fixed pelvis, axilla for counter traction, the doctor thought the side stand, a forearm to trap the limb popliteal fossa, a hand ankle, the ipsilateral knee and hip flexion in traction to 9O., Sustained upward traction while pronation limb . Reset the difficulties in front of the hip femoral artery at 2 ~ 3cm lateral to the femoral head diameter of 2mm needle into one. Suffering from hip pain and displaced femoral head tilt underlay sandbags, so hip hyperextension and external rotation of the lower limbs due . Techniques as appropriate, plus needle poking reduction. Maintain the reset position, the tension driven into the trabecular bone of a Kirschner wire diameter 2mm guide pin, the depth of the subchondral 0.3 ~ O. 5cm for the degree; 2cm below the needle in the first place by the pressure of trabecular bone and then driven into a cross. To guide the needle as the center for 2 ~ 3cm transverse incision. Along the guide pin screwed into the two 6mm diameter, fine compression screw, nail tail rotor placed under the lateral femoral cortex is thicker, suturing, dressing wounds. After wearing anti-spin shoes, skin traction 3 to 4 weeks. Of hip flexion and quadriceps functional exercise. The group of 134 cases followed up for 1 to 5 years, the result: excellent
cases, good in 42 cases, 5 cases and poor in 7 cases, good rate of 91. O4. (Sham)
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