A Study of Results of CHS Method for High Aged Patients with Intertrochanteric Fracture of the Femur.

概要

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Since 1984, we have performed osteosynthesis for intertrochanteric fracture of the femur using CHS method.79 Compression Hip Screws and 12 Captured Hip Screws were used for 46 stable and 45 unstable intertrochanteric fractures of the femur.The mean age was 77.9, ranging from 61 to 96 years.Among 91 patients, 8 patients could not walk even before the injury. 62 patients out of the remaining 83 patients (74.7%) were discharged with one cane gait.The major symptoms of 62 patients who could walk postoperatively were knee pain (25.8%) and thigh pain (9.7%).The major radiographic findings of those 62 patients were shortening of the neck more than 5mm (25.8%). But the shortening of the neck and the knee pain don't seem to correlate to each other.21 patients out of 83 patients (25.3%) were not able to walk on one cane. But systemic complications seemed to be the main causes in more than half of those 21 patients.
西日本整形・災害外科学会の論文