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• W3016050455 abstract "To investigate the effectiveness of closed or limited open reduction and intramedullary nail fixation in the treatment of Seinsheimer type Ⅴ subtrochanteric fracture.Between May 2014 and July 2018, 36 patients with Scinsheimer type Ⅴ subtrochanteric fractures were treated with closed or limited open reduction and intramedullary nail fixation. There were 25 males and 11 females with an age of 23-86 years (mean, 55.8 years). The cause of injury included falling in 19 cases, traffic accident in 9 cases, falling from height in 7 cases, and heavy object injury in 1 case; all were fresh closed injuries. The interval between injury and operation was 1-14 days (mean, 6.8 days). There were 18 cases of closed reduction and 18 cases of limited open reduction during the operation. Seventeen cases were fixed with femoral reconstruction intramedullary nail, 5 with InterTan long nail, 14 with lengthened proximal femoral nail anti-rotation, and 7 cases were assisted with auxiliary steel wire binding. After operation, through X-ray film and clinical follow-up, the fracture reduction and maintenance status, internal fixation position, and fracture healing were judged; the range of motion, walking ability, and complications of hip joint were observed, and the function of hip joint was evaluated according to Merle d'Aubigne Postel hip joint scoring standard.All the incisions of medullary operation healed by first intention, and no vascular, nerve injury, or infection occurred. All patients were followed up 12-24 months, with an average of 14.2 months. Among the 36 patients, 1 patient received revision surgery due to varus displacement of femoral head and screw penetration at 2 months after closed reduction, with poor recovery of hip function. X-ray film re-examination showed that the fractures of the other 35 patients healed after 9-15 months, with an average of 11.5 months. During follow-up, there was no complication such as internal fixation failure, fracture redisplacement, bone nonunion or malunion, and deep vein thrombosis of lower extremity occurred. The function of hip joint recovered well, and the patients could walk and squat normally without affecting daily life or work. At last follow-up, according to Merle d'Aubigne Postel hip joint scoring standard, 28 cases were rated as excellent, 4 cases as good, 3 cases as fair, and 1 case as poor, the excellent and good rate was 88.9%.C-arm X-ray fluoroscopic closed or limited open reduction and intramedullary nail fixation for the treatment of Seinheimer Ⅴ type subtrochanteric fracture, if necessary, with the aid of auxiliary steel wire binding, it has the advantages of less blood supply destruction at the fracture end, satisfactory reduction, firm fixation, and early rehabilitation training, with definite effectiveness.探讨闭合或有限切开复位髓内钉固定治疗 SeinsheimerⅤ型股骨转子下骨折的疗效。.2014 年 5 月—2018 年 7 月，采用闭合或有限切开复位髓内钉固定治疗 36 例 SeinsheimerⅤ型股骨转子下骨折患者。男 25 例，女 11 例；年龄 23～86 岁，平均 55.8 岁。致伤原因：摔伤 19 例，交通事故伤 9 例，高处坠落伤 7 例，重物砸伤 1 例；均为新鲜闭合性损伤。受伤至手术时间 1～14 d，平均 6.8 d。术中闭合复位 18 例，有限切开复位 18 例；采用股骨重建髓内钉固定 17 例，InterTan 长钉固定 5 例，加长型股骨近端防旋髓内钉固定 14 例，辅助钢丝捆扎 7 例。术后通过 X 线片和临床随访，判断骨折复位维持情况、内固定物位置、骨折愈合情况；观察髋关节活动范围、行走能力及并发症发生情况，根据 Merle d’Aubigne-Postel 髋关节评分标准评价髋关节功能。.术后患者髋部手术切口均Ⅰ期愈合，无血管、神经损伤及感染等并发症发生。患者均获随访，随访时间 12～24 个月，平均 14.2 个月。1 例患者闭合复位术后 2 个月出现股骨头内翻移位、螺钉穿出现象，给予翻修手术，髋关节功能恢复稍差。其余患者术后 X 线片示骨折均愈合，愈合时间 9～15 个月，平均 11.5 个月；随访期间未出现内固定失效、骨折再移位、骨不连、畸形愈合、下肢深静脉血栓形成等并发症；髋关节功能恢复良好，能够正常行走、下蹲，不影响日常生活或工作。末次随访时，根据 Merle d’Aubigne-Postel 髋关节评分标准评价，获优 28 例，良 4 例，中 3 例，差 1 例，优良率 88.9%。.C 臂 X 线机透视下闭合或有限切开复位髓内钉固定治疗 SeinsheimerⅤ型股骨转子下骨折，必要时辅助钢丝捆扎，具有骨折端血供破坏少、复位满意、固定牢靠及利于早期康复训练等优点，疗效确切。." @default.
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• W3016050455 date "2020-04-15" @default.
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• W3016050455 title "[Effectiveness analysis of closed or limited open reduction and intramedullary nail fixation in treatment of Seinsheimer type Ⅴ subtrochanteric fracture]." @default.
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