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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Cemented THR In Comminuted Intertrochanteric Multi-Fragmentary Fracture Femur And Previously Failed Hip Surgery Is Really A Challenge
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Cemented THR In Comminuted Intertrochanteric Multi-Fragmentary Fracture Femur And Previously Failed Hip Surgery Is Really A Challenge

机译：在粉碎的次间骨折多碎片骨折股骨中巩固了thr，以前失败的髋关节手术真的是一个挑战

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Comminuted intertrochanteric fracture is a common scenario in geriatric patient group. So far only DHS is the choice of implant to fix those fractures. But unfortunately we cannot allow the patient to full weight bearing mobilization before 6 weeks of surgery. And in addition of that due to osteoporotic bone many of the cases present with cut out of DHS later on. So in our center LabaidArthroplasty Center we started in trial basis cemented THR in Comminuted intertrochanteric fracture femur cases. In these cases we can allow patient to full weight bearing mobilization at minimum in 1st POD to maximum 3rd POD as pain permitted. In addition the previously failed hip surgeries also difficult to manage and cemented THA will be one of the best option in those cases. In subsequent follow up we observed better functional outcome in comparison to the cases of DHS. It is a case based study and need to be more theoretical and long term study before any conclusive decision.
机译：粉碎的血栓转化体骨折是老年患者组中的常见情景。到目前为止，只有DHS就是植入物的选择来解决这些骨折。但遗憾的是，我们不能让患者在手术前6周之前全重轴承动员。并且由于骨质疏松骨骼，许多案例存在于后来的DHS。因此，在我们的中心LabaParthloptasty中心，我们在粉碎的次间骨折股骨病例中开始试用基础。在这些情况下，我们可以允许患者在第一个允许的疼痛中最小轴承动员，以最大3个豆荚作为疼痛。此外，先前失败的臀部手术也难以管理和巩固Tha将是这些案件中最佳选择之一。在随后的后续后，我们观察到与DHS的病例相比，观察到更好的功能结果。这是一个基于案例的研究，在任何决定性决定之前需要更为理论和长期研究。

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