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| Clinical effect of closed reduction combined with external fixaton in the treatment of intertrochanteric fracture of femur in high risk elderly |
| TIAN Yafeng1 LIU Shizhao2 YAO Xingbao1 YU Jian1 REN Weiliang3 LI Yanli4 WANG Jinbang3 QI Liqing3 |
1.First Department of Orthopaedic, Hebei Provincial Hospital of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China;
2.Emergency Department, Hebei Provincial Hospital of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China;
3. Third Department of Orthopaedic, Hebei Provincial Hospital of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China;
4.Operation Room, Hebei Provincial Hospital of Chinese Medicine, Hebei Province, Shijiazhuang 050011, China |
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Abstract Objective To explore the clinical effect of the closed reduction combined with external fixaton in the treatment of intertrochanteric fracture of femur in high risk elderly. Methods From May 2012 to May 2016, 92 patients with femoral intertrochanteric fracture over 60 years old treated in Hebei Provincial Hospital of Traditional Chinese Medicine were divided into the treatment group and the control group by random number table, with 46 cases in each group. The treatment group was given closed reduction combined with external fixaton and the control group was given skeletal traction, both of them were followed up for 6 months after operation. The Harris score and the incidence of complications were compared between the two groups. Results The Harris score in the treatment group was higher than that of control group, the incidence of complications in the treatment group was lower than that of control group, with statistically significant differences (P ＜ 0.05). Conclusion The clinical effect of the closed reduction combined with external fixaton in the treatment of intertrochanteric fracture of femur in high risk elderly is good. It can reduce the incidence of complications. The advantages are appropriate for elderly patients who are poor tolerance for surgery and with more internal medical diseases. It is worthy of clinical promotion and application.
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