- 期刊
Treatment of Trochanteric Fractures with Cemented Internal Fixator in Elderly Osteoporotic Patients
並列摘要
In a retrospective review from January 1990 to June 1995 at Taichung Veterans General Hospital, 40 comminuted intertrochanteric fractures of the femur in forty elderly, debilitated patients with severe ostroporosis were stabilized. The fractures were stabilized in an approximately anatomical reduction position using AO fixed andle-plate device or AO telescoping screw device with methymethacrylate in the head-neck fragment as an adjunct to conventional internal fixation.The fractures were classified as defined by Boyd and Griffin. The degree of osteoporosis were staged as class I 2, class II 10, and class III 28 as classified by Singh et al. With the exception of six non- ambulatory preoperatively patients who remained in bed after the operation, all patients were encouraged to sit up in chair on day after the operation and to bear their full weight with a frame as soon as their general condition permitted. Three patients died. One patient died postoperatively due to wound infection with sepsis and two patients died due to respiratory failure. 28 fractures were followed up for an average of 14 months. Loss of reduction occurred in five patients. Two fixed angle-blade plates broke as a result of the fracture collapsing and they underwent hemiarthroplasty with Leinbach prosthesis. Nail cutting through the head and neck occurred in two patients and one of these two under-went total hip replacement. There was no evidence of osteonecrosis of the femoral head in these patients.
延伸閱讀
- Kuo, K. H., & Shaw, K. Y. (1987). Evaluation of Treatment Using Hoffmann External Fixation in Open Tibial Fracture. Journal of Orthopaedic Surgery Taiwan, 4(3), 123-132. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198709-4-3-123-132-a
- Shih, K. Z., Hou, S. M., & Chen, S. Y. (1996). Treatment of the Comminuted Fractures of the Distal Radius with the Small AO External Fixator. Journal of Orthopaedic Surgery Taiwan, 13(1), 73-79. https://www.airitilibrary.com/Article/Detail?DocID=10116923-199603-13-1-73-79-a
- Winker, K. H., Kwok, T. G., Auer, H., & Weller, S. (1989). Temporary External Transfixation of Open Intraarticular Fractures. Journal of Orthopaedic Surgery Taiwan, 6(4), 207-212. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198912-6-4-207-212-a
- Wu, H. T., Chang, F. C., Chuang, P. Y., Lee, C. Y., Shen, S. H., Huang, K. C., & Huang, T. W. (2019). The effect of bone substitute on augmentation of internally fixed osteoporotic intertrochanteric fractures. Formosan Journal of Musculoskeletal Disorders, 10(4), 145-156. https://doi.org/10.6492/FJMD.201911_10(4).0002
- Wu, H. T., Chang, F. C., Chuang, P. Y., Lee, C. Y., Shen, S. H., Huang, K. C., & Huang, T. W. (2015). The effect of bone substitute on augmentation of internally fixed osteoporotic intertrochanteric fractures. Formosan Journal of Musculoskeletal Disorders, (), 1-12. https://doi.org/10.6492/FJMD.202001/PP.0005