哈利法克斯钉治疗老年粗隆间骨折的初步结果

Akhilesh Kumar, J. Das, Phagu Majhi, R. Raman
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引用次数: 0

摘要

背景:各种植入物(髓外和髓内)可用于固定转子间骨折,但几乎没有任何数据证明一种优于另一种。每种植入物都有自己的优点和缺点。本研究的目的是分析60 ~ 100岁年龄组哈利法克斯钉的结果。材料与方法:采用哈利法克斯钉治疗股骨粗隆间骨折15例,其中年龄最小的患者男性60岁,年龄最大的患者女性95岁。13例在同一医院手术,2例在不同医院手术。这些患者随机选择于2017年8月至2019年1月住院的老年IT骨折患者。结果从活动、疼痛控制、愈合时间、种植体失败等方面进行分析。最终结果根据哈里斯髋关节评分进行评估。结果:15例患者中有13例随访,2例自然死亡后失访。13例患者(n = 13)中,Harris髋关节评分为优7例,良5例,差1例。结论:哈利法克斯钉治疗老年IT骨折疗效显著。所有患者均早期愈合,无种植体失败。早期活动和可忽略的死亡率和发病率是其他附加的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Initial results of halifax nail in elderly intertrochanteric fracture
Background: Variety of implants (extramedullary and intramedullary) are available to fix intertrochanteric (IT) fracture but hardly any data is available that proves the superiority of one over other. Every implant is having its own advantage and disadvantages. The aim of this study is to analyze the results of Halifax nail in age group of 60 to 100 year age group. Materials and Methods: Total 15 cases of intertrochanteric fracture operated using Halifax nail in which youngest patient was 60 years male and oldest was 95 years female.13 cases operated in same hospital and 2 in two different hospitals. These patient were chosen randomly among elderly IT fracture admitted in hospital during August 2017 to January 2019. Results are analyze in term of Mobilization, pain control, union time, implant failure. Final outcome was evaluated as per Harris Hip Score. Result: Among 15 cases,13 follow up available, 2 patient were lost in follow up after natural death. Out of 13 patients (n = 13), 7 showed excellent, 5 showed good and one patient showed poor result as per Harris Hip Score. Conclusion: Results of Halifax nail for IT fractures in elderly was found to be highly encouraging. All patients had early union and none had implant failure. Early mobilization and negligible mortality and morbidity were other added advantages.
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