veoexrmpzt
Dołączył: 21 Lut 2011
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Wysłany: Śro 13:21, 09 Mar 2011 Temat postu: ghd italia qgx wtw ldkb ktg |
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Locking compression plate fixation of intertrochanteric fractures of the elderly experience
eta1. Cervicalfacetjointkine-maticsduringbilateralfacetdislocation [J]. EurSpineJ ,2007,16:1680-1688. [7] TropianoP, ThollonL, AmouxPJ, eta1. UsingafiniteelementmodeltoevaluatehumaninjuriesapplicationtotheHUMOSmodelinwhiplashsituation [J]. Spine ,2004,29:1709-1716. [8] FialhoJC, FemandesPR, EcaL,[link widoczny dla zalogowanych], eta1. Computationalhipjointsimulatorforweal JBiomechanics ,2007,40:2358-2366. (Received :2008 -03-31 Revised :2008-05 * 15) 3 to discuss the group of patients treated with locking compression plate approach is consistent with bio-mechanics, ends on is stable, less periosteal stripping,[link widoczny dla zalogowanych], fracture and wound favor soft tissue healing and reduce the complications caused by other methods,[link widoczny dla zalogowanych], intertrochanteric fractures in elderly ideal treatment. However, should fully consider the situation of osteoporosis patients, patients with severe osteoporosis and internal fixation should be carefully done. Reported the mechanical strength of bone in the Singh index of 3 or less, 20% success rate fixation. Osteoporotic fracture patients, in addition to the general processing of fracture,[link widoczny dla zalogowanych], but also for anti-osteoporosis treatment, and long-term effect should be evaluated as a standard to improve the quality of life of patients and to prevent further fractures from occurring. Compared with other fixation methods, locking compression plate and screw fixation in the formation of a high degree of angle stability, to avoid the loss of the initial and secondary reduction of normal bone or osteoporosis bone can provide sufficient the stability of the fixed, especially in the bone may have a very good holding force, the incidence of screw loosening lower j. Locking compression plate and screws into the angle stability mechanism does not rely on the friction plate and bone to provide stability, and the cortical bone plate in close contact without the need to reduce the damage the periosteum,[link widoczny dla zalogowanych], the maximum degree of reduction of the impact of genetically related transportation. Locking compression plate in the metaphyseal fracture, and other than ordinary steel has more advantages of internal fixation is the treatment of intertrochanteric fractures, especially comminuted and osteoporotic fractures ideal method.
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