外固定治疗需透析股骨转子间骨折16例报道
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1.日照市中医医院;2.日照市精神卫生中心

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Treatment of femoral intertrochanteric fracture requiring hemodialysis with external fixator:report of 16 cases
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1.Rizhao Hospital of Traditional Chinese Medicine;2.Rizhao Mental Health Centre

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    摘要:

    [目的]探讨运用外固定架治疗需要血液透析的股骨转子间骨折患者的可行性。[方法]回顾分析从2016年4月至2020年4月收治的16例股骨转子间骨折并需血液透析治疗的尿毒症患者,在局部浸润麻醉下给予患者闭合复位经皮穿针并外固定架固定骨折;统计术中出血量;术后12个周随访,观察骨折愈合情况并拆除外固定;术后半年随访评价髋关节功能。[结果]16例患者术中出血量为(4.6~23.0)ml,平均(11.92±5.95)ml。股骨转子间骨折在12个周时均达到骨性愈合。术后半年随访,根据Sanders创伤髋关节评分标准评估,优秀6例,良好9例,较差1例,失败0例。[结论]运用外固定支架治疗需透析的股骨转子间骨折患者是一种可行、有效的方法。

    Abstract:

    [Objective]To explore the feasibility of using external fixator to treat femoral intertrochanteric fracture patients requiring hemodialysis. [Method] From April 2016 to April 2020,sixteen patients suffering from femoral intertrochanteric fracture and requiring regular hemodialysis treatment were analyzed.Under local anesthesia, the patient was given closed reduction, percutaneous pin fixation and external fixator to treat the fracture. intraoperative hemorrhage was counted; fracture healing was observed at 12 weeks after operation,and then removing external fixator;Six months later,the hip joint function was evaluated by follow-up. [Results]Femoral intertrochanteric fracture of all patients requiring hemodialysis treated by external fixator get bony healing at 12 weeks.The hemorrhage during operation was(4.6~23.0)ml, with an average of (11.92±5.95)ml. According to the Sanders scores of the hip joint function after half a year followed up,excellent was in 22 cases, good was in 2 cases, fair was in 2 cases, failure was in 0 cases. [Conclusion]External fixator is used to treat femoral intertrochanteric fracture requiring hemodialysis,which is a feasible and effective method.

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  • 收稿日期:2021-02-09
  • 最后修改日期:2021-06-05
  • 录用日期:2021-07-20
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