Analysis of 68 cases of intertrochanteric fractures treated with Richards compression screw

heal. In 67 cases, 12 Jia 24 Jia Jing, film review and clinical examination showed that the fracture had reached clinical healing. And restore self-care, the excellent rate is 9 off. 1 case of hip varus fracture 3 Discussion 3.1 Traditional traction therapy has a long hospital stay, severe pain at the fracture site, and high complication rate and mortality rate. After fracture healing, hip varus knee stiffness is more common and surgical treatment can reduce pain and reduce complications and mortality. Calendar 1 also has a reasonable design of compression screws, which is reliable and reliable. The shortcomings of early postoperative patients are bleeding, and the operation time is slightly longer and the cost is relatively high.

3.2 Osteoporosis in elderly patients, internal fixation plate screws are prone to loosening, severe osteoporosis patients can be used to cut bone cancellous or even femoral head. Osteoporosis 316 grade 3 or less is a surgical contraindication. We advocate early bed activities and extend the walking time of bed load as much as possible.

3.3 The eccentric compression screw not only has the function of static pressure, but also has the power and pressure to absorb and compress at the fracture end, and the nail can still exert the pressure and firm internal fixation. This method has a good fixed effect on both the stenotic and unstable intertrochanteric fractures. The 3.4 celestial compression screw is due to the long operation time. The large north blood should pay attention to the surgical smear. , the ability to live, preoperative innocent organs are incomplete or partially incomplete 2!

3.5 Emphasis on fixed small rotor fracture, and strive to reset the small rotor to avoid the defect of the medial cortex of the proximal femur, so as to avoid the occurrence of hip varus and fatigue fracture of the steel plate. The lesson is profound.

4 Summary of the elderly between the femoral intertrochanter, the fold should be treated with bungee surgery, in order to facilitate the early functional exercise compression screw design is reasonable and firm, as long as the surgical indications are strictly controlled, correct operation, you can achieve good therapeutic effect Turning down the ground 2 results, the effect of l, A, t intertrochanteric fractures. Chinese Journal of Surgery, 1996, 734 severely condensed agglutinin caused difficulties in blood matching 1 case Zhong Guiqin Huizhou Central People's Hospital, Guangdong Huizhou 1 case introduction patient, Lin Fu, female, 67 years old, due to left hemiplegia 3 mountain in December 1996 There was no obvious incentive before admission on the 30th, and the left upper limb was weak, and then the lower limbs were weak, no headache, vomiting, unconscious disorder, anemia, and mild yellow staining due to hemoptysis. Examination, diagnosis of longitudinal tumor lung mediastinum 130, clinical diagnosis of mediastinal tumor intracranial metastasis; cerebrovascular accident to be discharged. Patients with severe anemia, urgent need for blood transfusion, laboratory identification of blood type, type, before blood matching, blood 1 筻 apricot blood type for human, type, human 戌 type blood donors cross, the results of the primary and secondary sides are agglutinated, and found that patients have red blood cells Self-aggregation phenomenon, therefore, do a progress check if, 2 blood type serological examination 21 blood feeding identification re-examine blood yeah, found that the patient's blood is condensed, then, the red blood cells are washed 3 times with 3 brine, do positive and negative stereotypes Compared with self-test, the results of 1 anti-8 anti-human 6 anti-0 untested 2.2 anti-globulin test patients with red blood cells and multivalent anti-globulin serum negative reaction 2.3 cross-matching test according to patients, 0 blood type identification we use 0 Type blood donors intersect with them, the results are presented at room temperature, 舡 agglutination, 3 long-term indirect anti-globulin cross-matching blood is negative 2.4 cold aggregate antibody titer determination mixed, type adult red blood cell test patient serum, cold agglutinin The antibody is 10243 to discuss the species of autoimmune hemolytic anemia of cold agglutination disease, which is divided into primary idiopathic and secondary diseases such as lymphoblastic pneumonia and infectious mononuclear cells. At the time of the occurrence of high-efficiency condensed agglutinin 纟; 2 of the congenital is a secondary transfusion, the patient died in mid-January 1997, the loyalty of the genus Shanhong, 1 cell was strongly sensitized by the body Into the blood type identification, the serum condensed antibody titer is 1.1024, which increases the blood-sufficiency ratio. This example uses saline washing red blood cells, positive and negative stereotypes, 3 no blood matching and other series of methods to overcome the positive definite and cross-matching blood. purpose.

Edited by Xiao Xingwei. Blood Transfusion Technical Manual. Chengdu Science and Technology Publishing tt, 1992.

Editor-in-Chief Deng Jiaxuan. Clinical hematology. Shanghai Shanghai Science and Technology Press,

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