After traction reduction, absolute bed rest and strong external fixation with plaster and braces were carried out for about 8 weeks. Or open reduction and internal fixation, the effect is better and the complications can be reduced.
2. Principles of treatment
(1) Treatment of complications It is the key to reduce surgical complications and improve the success rate of surgery to conduct a comprehensive and systematic examination of the elderly, find complications and carry out corresponding treatment. If the medical complications of the elderly involve multiple systems and the treatment is complicated, it is best to cooperate with relevant departments to control the complications quickly and effectively, so as to effectively prevent the occurrence of complications.
(2) Timing of operation Although some patients have intertrochanteric fracture of femur and can take care of themselves, if they stay in bed for a long time after the fracture, they will reduce the chances of exercise, further worsen the original chronic disease, increase the risk of surgery, and even lose the chance of surgery. Therefore, the elderly intertrochanteric fracture should be operated as soon as possible to shorten the preoperative preparation time.
(3) The first choice of anesthesia method is one with little influence on respiratory and circulatory system, short-lived effect and strong controllability. Continuous epidural anesthesia is more suitable for elderly patients, and local anesthesia can also be selected.