Gamma3Nait Treatment Of Stable Early Weight-bearing Femoral Intertrochanteric Fracture Postoperative Short-term Effect

Background: femoral intertrochanteric fracture is also called the intertrochanteric fracture, refers to outside the hip joint capsule line to thesmall rotor below the region of fracture, good hair in the elderly,accounting for about1.4%of all fractures. With the development ofsociety, people live longer, increasing the number of osteoporosis, theelderly femoral intertrochanteric fracture probability is on the rise.Elderly patients with intertrochanteric fracture is always a difficultproblem to us in the treatment of such patients, because often associatedwith various diseases in Department of internal medicine, past theconservative traction therapy. But the conservative treatment bed timelonger, easy to concurrent hypostatic pneumonia, bedsores, urinary tractinfection, deep vein thrombosis and so on, so the death, disability rate. So,now the vast majority of scholars advocate the operation treatment, andthe existing evidence-based results also show that for the femoralintertrochanteric fracture early operation treatment should be the firstchoice. For elderly patients, especially the patients with pulmonaryinfection, cardiovascular and cerebrovascular diseases, early operationand early weight training is the key factor to reduce the quality of life ofthe patients improved, postoperative complications. Treatment of senilefemoral intertrochanteric fracture with operation trauma, short time, less bleeding, simple operation, firm fixation with Gamma3nail, early activity,high healing rate, less complications, is the treatment of intertrochantericfracture of femur in the elderly of the effective operation of internalfixation. Femoral intertrochanteric fracture in elderly patients is mostlycaused by osteoporosis, therefore, although the Gamma3nailcharacteristics of early weight training can have after surgery, but doctorsfor Gamma3nail in treatment of femoral fractures is feasible earlyweight-bearing still larger objection intertrochanteric, especially stabletype of intertrochanteric fracture of femur.Objective: through the trauma group in this hospital from2012Januaryto2013March, using Gamma3to treat stable femoral fracture in48casesof patients with intertrochanteric, randomized controlled trials ofGamma3nail set, feasibility of early weight-bearing treatmentintertrochanteric fractures after operation, to guide Gamma3nail in thetreatment of stable recovery after the operation of femoralintertrochanteric fracture.Methods:48patients were randomly divided into two groups: group A:25cases,23cases in B group. The A group after5days began to help turnto weight training, training3times every day with1months,15minuteseach time, in January after the train5times a day, every20minutes, andgradually to the full weight-bearing walking. The B group at8week afteroperation help turn to weight training, training3times every day with1 months,15minutes each time, in January after the train5times a day,every20minutes, and gradually to the full weight-bearing walking. All ofthe patients after first days,10days after operation,3months afteroperation,6months after operation,12months after the surgery foripsilateral femoral lateral X-ray examination, the number of cases ofimageology observation of complications, including hip varus, breakageof internal fixation, femoral fractures. After10days,3months and1yearpostoperative clinical cases of complication, including no pulmonaryinfection, bedsore and deep venous thrombosis of lower extremity (forDoppler ultrasonic examination). After10days,3months and1yearsaccording to the evaluation criteria Harris hip joint function. The datawere statistical analysis of all the results.Results: In experimental group,25cases in group A, there were no casesof various clinical complication after operation;1cases at first monthsafter operation for X-ray examination found coxa vara, follow-up of1years does not affect the normal life. The control group23patients in theB group,1cases occurred5days after pulmonary infection,1casesoccurred10days after the bedsore,3patients after10days appear venousthrombosis of lower extremity vascular ultrasound. Two groups ofpatients with postoperative Harris hip scores were10days after operation(75.68±1.86,75.17±1.77),3months after operation (85.56±2.16,80.44±1.83),1years after operation (86.08±3.98,85.70±3.13). Two groups of patients the results of data analysis showed that patientswith A group occurred10days after clinical complications obviously lessthan group B patients by statistics, with statistical difference (P<0.05),and imaging of complications and Harris hip score was not statisticallysignificant (P>0.05). Patients in group A after3months of day clinicalcomplications and imaging complications and patients in group B had nostatistical difference (P>0.05), and the Harris hip score was higher thanthat in group B patients, there were significant differences (P<0.01).During a follow-up period of1years, two groups of patients with variousresearch indicated no significant statistical difference.Conclusion:1.Treatment of intertrochanteric fractures in the early stage of earlypostoperative weight training can significantly reduce the postoperativecomplications in1Gamma3.2.Treatment of intertrochanteric fractures of early postoperative weighttraining in3months after operation can significantly improve the hipjoint function in Gamma3, greatly improve the quality of life of patients.