大腿骨頚部外側骨折の治療経験
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概要
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Twenty-six cases (5 males, 21 females over 65 years old of femoral trochanteric fractures utilizing the Captured Hip Screw system were investigated concerning clinical results and radiographic assessment. The average age at surgery was 80.8 (range: 65-92 years. Ten cases were stable and 16 cases were unstable by Evans classification. Eleven cases (stable type 5 cases, unstable type : 6 cases began full weight bearing and walking exercise within 14 days after surgery (A-group) ; fifteen (stable type : 5 cases, unstable type : 10 cases) started full weight bearing and walking exercise after 15 days (B-group) . Walking ability upon leaving the hospital, period of hospitalization, reduction loss of fractured area, telescoping phenomenon, time of bone union and complications were compared between the two groups. One case of the A group and 7 cases of the B group showed a deterioration of walking ability upon leaving the hospital (p<0.05) . Four cases of the A group and 4 cases of the B group showed a reduction loss of the fractured area of more than 10 mm (n.s.) . Early weight bearing and walking exercise maintains walking ability and is useful as postoperative management for aged femoral trochanteric fractures, even though some cases showed a reduction loss of the fracture area.
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