《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (08): 763-764.

• 临床研究 • 上一篇    下一篇

局部麻醉下外固定架治疗高危老年股骨粗隆间骨折的临床观察

刘四海;王安庆;刘克敏;唐涛;王飞;崔志刚   

  1. 1.首都医科大学康复医学院，北京市 100068;2.中国康复研究中心北京博爱医院骨科，北京市 100068
  • 收稿日期:2009-07-10 出版日期:2009-08-01 发布日期:2009-08-01

External Fixation of Trochanteric Fractures in High Risk Geriatric Patients in Local Anesthesia

LIU Si-hai,WANG An-qing,LIU Ke-min,et al   

  1. Department of Orthopaedics, Captial Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-07-10 Published:2009-08-01 Online:2009-08-01

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摘要： 目的 探讨高危老年股骨粗隆间骨折的治疗方法。方法 局部麻醉下外固定架治疗。2007年6月～2008年5月用外固定架治疗股骨粗隆骨折患者共15例，平均年龄82岁，均伴有不同程度的内科疾病。结果 除2例死于内科疾病外，全部骨折均在12周内愈合。结论 局部麻醉下外固定架治疗高危老年股骨粗隆间骨折具有创伤小、时间短等优点，降低了高危股骨粗隆间骨折患者的并发症和死亡率，是一种理想的手术方式。

关键词: 局部麻醉, 外固定架, 股骨粗隆间骨折, 治疗

Abstract: Objective To explore the management of trochanteric fracture in high risk geriatric patients. Methods Fifteen patients of trochanteric fracture were treated with external fixator using local anesthesia from June 2007 to May 2008, with an average age 82 years, all of which were complicated with various kinds of internal medical diseases.Results All paitents were recovered from fracture within 12 weeks, except for 2 cases died of internal medical diseases. Conclusion External fixator using local anesthesia in the management of trochanteric fractures in high risk geriatric patients is an ideal method with the advantages of less truma and less time as well as it reduces complications and mortality of trochanteric fracture in high risk geriatric patients.

Key words: local anesthesia, external fixator, trochanteric fracture, management