External fixation of intertrochanteric fractures in elderly high-risk patients
| Autor: | Kostas, Kazakos, Dimitrios N, Lyras, Dionysios, Verettas, Vasilios, Galanis, Ioannis, Psillakis, Kostas, Xarchas |
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| Rok vydání: | 2007 |
| Předmět: |
Aged
80 and over Fracture Healing Male Intraoperative Care Time Factors External Fixators Hip Fractures Recovery of Function Length of Stay Hospitalization Weight-Bearing Treatment Outcome Fracture Fixation Risk Factors Cause of Death Humans Blood Transfusion Female Early Ambulation Aged Follow-Up Studies Skin |
| Zdroj: | Acta orthopaedica Belgica. 73(1) |
| ISSN: | 0001-6462 |
| Popis: | This study concerns 56 elderly high-risk patients with an intertrochanteric fracture of the femur, who were treated with the Citieffe/Ch-N external fixator between November 2002 and February 2004. A short intraoperative time (37 minutes), no need for peroperative blood transfusion, fast mobilisation and a short hospitalisation (average 6 days, thus reducing the total cost) were noted. Union was obtained in all patients after 6 months. There was no significant difference between the functional status before the injury and at follow-up after 12 months (p0.05). No deep pin track or wound infections occurred, but a superficial skin reaction was seen in 39.3%. The mortality rate was 16.1% at 6 months, and 20.4% at 12 months, which contrasts favourably with other types of treatment. External fixation with this device can be used successfully for the treatment of elderly high-risk patients with intertrochanteric fractures. |
| Databáze: | OpenAIRE |
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