Gao J.-W.,Shanxi Armed Police Corps Hospital |
Chang J.-N.,Shanxi Armed Police Corps Hospital |
Liang W.-Z.,Shanxi Armed Police Corps Hospital
Chinese Journal of Tissue Engineering Research | Year: 2015
BACKGROUND: With the diversification of the choice of internal fixation for femoral intertrochanteric fracture, the fixation method for the same kind of fracture can be selected according to surgeon’s habit, and there is no unified standard. OBJECTIVE: To compare Gamma nail and proximal femoral locking plate fixation for repair of femoral intertrochanteric fractures. METHODS: A total of 94 elderly patients with unstable intertrochanteric fractures were treated in the Shanxi Armed Police Corps Hospital from April 2009 to September 2012. They were divided into two groups according to fixation methods. Gamma nail group contained 46 cases. Proximal femoral locking plate group contained 48 cases. The two fixation methods were compared and analyzed from the following aspects: incision length, intraoperative bleeding volume, operation time, postoperative hip function recovery, loading time and complications. RESULTS AND CONCLUSION: Incision length, intraoperative bleeding volume, loading time and complications were better in the Gamma nail group than in the proximal femoral locking plate group (P < 0.05). No significant difference in operation time was detected between the two groups (P > 0.05). The excellent and good rate of hip function was 96% (44/46) in the Gamma nail group and 92% (44/48) in the proximal femoral locking plate group at 1 year after treatment, and no significant difference was detectable between the two groups (P > 0.05). These findings suggest that Gamma nail and proximal femoral anatomic locking plate for the treatment of unstable intertrochanteric fractures can reach good recovery of hip function, but Gamma nail showed obvious advantages in incision length, intraoperative bleeding volume, loading time and complications. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.
Liang W.-Z.,Shanxi Armed Police Corps Hospital |
Feng Q.,Shanxi Armed Police Corps Hospital |
Dong Y.,Shanxi Armed Police Corps Hospital |
Li H.-J.,Shanxi Armed Police Corps Hospital |
Li D.-L.,Shanxi Armed Police Corps Hospital
Journal of Clinical Rehabilitative Tissue Engineering Research | Year: 2010
OBJECTIVE: To investigate the factor impacting the initial effect of replacement for osteoarthritis of the knee and the countermeasures. METHODS: A computer-based online search of VIP database was performed for articles published between January 1994 and October 2009, with the key words "knee joint, osteoarthritis, knee joint replacement, deep venous thrombosis, infection, prosthesis loosening". A total of 22 articles were included and analyzed. RESULTS: Artificial knee joint was selected according to condition of disease, joint limitation range, fixation pattern and meniscus functions. Guiding the knee rehabilitation, strictly aseptic operation, the use of preventive antibiotics can prevent infection, postoperative pain precise, and early functional training, and application of drugs for prevention of deep vein thrombosis drug can increase the certainty of subjective satisfaction, and improve recovery of joint activities. CONCLUSION: With developing surgical techniques and prosthesis, artificial knee replacement is improved. However, many issues require further investigation.