Clinical Analysis Of Surgical Opportunity In The Treatment Of Intertrochanteric Fracture Of Femur In Elderly Patients With Minimally Invasive Surgery

Objective After the discussion of intertrochanteric fracture of femur in elderly patients,we used the same kind of surgical method in different opportunities on patients and then have observed their hip joint activities and quality of their life to make clear whether should conduct the Surgical treatment of femoral intertrochanteric fracture in elderly patients as early as possible under the condition that the physical condition allows,in order to reduce preoperative pain,fractures complications,shorten the length of stay in hospital for patients.Method Our research group have collected elderly patients with intertrochanteric femur who treated in Lu’an people’s Hospital from August 2016 to January 2018 as the research object,with hip X-ray and CT as a diagnostic basis of hip joint,and the group of 78 cases of imaging data conforms to the diagnosis of intertrochanteric fractures.We divided them into two groups according to the surgery time,one operated within 48 h after fractures(experimental group),the other operated later than 48 h after fractures(control group).The two groups of patients all treated by unified PFNA treatment.Retrospective study was conducted to analyze the effects of different surgical opportunities on patients’ operation time,intraoperative blood loss,length of stay,hospitalization expenses,postoperative hip function score(Harris score),incidence of postoperative complications and mortality.Result 1.Patients in the two groups were screened by strict accordance with the criteria of the study,and were divided into the experimental group and the control group according to the different surgical timing after fracture.The age,gender,BMI,admission time after injury and ASA score of the patients were compared,and there was no statistical difference(P > 0.05),indicating that the two groups were comparable.2.The preoperative examination and preoperative preparation of all the patients were improved before surgery,and the risk assessment of anesthesia was improved.The patient was tolerant to surgery,the intraoperative bleeding and operation time were analyzed after surgery,and there was no statistical difference(P > 0.05),indicating that the decision of operation timing had no significant influence on the operation.3.After discharge,we perfected the rehabilitation guidance and joint functional exercise guidance,completed the postoperative follow-up in January,March,June to make clear that patients’ postoperative hip joint function recovery,the differences between the incidence of postoperative complications and mortality,the result shows no statistical difference(P > 0.05),explained the selection of operation time will not affect patients with hip joint function recovery,do not affect the incidence of patients with postoperative complications and mortality.4.The length of hospitalization and hospitalization costs were calculated.The length of hospitalization in experimental group was 5.52 ±1.35(d),and the hospitalization cost was 20668.42 ±858.37(RMB).The length of stay in the control group was 8.75±1.46(d),and the hospitalization cost was 23105.00 ±1185.15(RMB).The result shows that there was a statistical difference,indicating that the length of hospital stay in the experimental group was significantly shortened,and the hospitalization cost was significantly reduced.The results shows that the experimental group could save medical resources and reduce the financial burden of patients’ families.Conclusion Through the analysis of the clinical data of the patients and the follow-up,it can be seen that the choice of surgical timing does not affect the surgical process,nor does it affect the postoperative hip joint recovery,postoperative complications and mortality of the patients,the surgical effect of the experimental group and the control group is the same.On the premise of patient fracture tolerance surgery,complete surgical treatment within 48 hours can shorten the hospitalization time of patients,in order to reduce the psychological burden of patients and bed inconvenience,improve the quality of life of patients after fracture,early discharge can reduce hospital cross infection.At the same time,according to the data analysis of hospitalization expenses,the hospitalization expenses of patients in the experimental group were significantly reduced,which directly reduced the financial burden of patients’ families.