Operation for Fracture of the Femoral Neck and the Trochanteric Fracture in Yamaguchi-Rosai Hospital

概要

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For recent six years, from September in 1969 to August in 1975, sixty-three patients with sixty-four fractures of the femoral neck and trochanter were operated in Yamaguchi-Rosai Hospital. As one patient had bilateral operations and seven were revised, so operations were seventy-two in all.As concerns the method of the operation, fifty-six operations of seventy-two (77.5%) were ostesyntheses and eleven were replacement operations to prostheses. In point of the site of the fracture, operations for fracture of the femoral neck were twenty-five (34.7%) and the rest was for the trochanteric fractures.In the femoral cervical fracture, the ratio of osteosyntheses to prostheses was thirteen to ten, and in another group, forty-three to one.These patients are usually old and having any complications, therefor have to be prevented various secondary diseases of bedsore, inflammation of urinary tract, stiffness or contracture of joint, dementia and so, which are caused by prolonged bedridden lying. If patients are able to be permited exercises on the bed or in Hubbard tank in a few days after operation, the operative therapy is reasonable.
西日本整形・災害外科学会の論文