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Elderly hyperthyroid clinical analysis of 38 cases of heart disease

The correct diagnosis, and most of the antithyroid treatment in patients after heart abnormalities improve or disappear along with interlocking intramedullary nailing of long bone segmental fractures of lower limb Laibin Xian People's Hospital of Guangxi Foreign = Branch (546100) Liu Wen-Bin Yang Luo Keling sea legs multiple fractures of long bone fracture in the lower extremities of a more complex, such as failure to receive timely and effective treatment. Disability rate is higher. 4 years in our hospital 23 patients were unsettled governance sections of lower extremity fractures were fixed with interlocking intramedullary nail. Clinical data are reported as follows 1 1.1 General Information 15 males. 8 females, aged 23 to 69 years, mean d4 years. Multiple fractures of the femur 1] cases, of which 1 case the middle section of burst fractures of 2 bone pieces; tibia fracture in 9 cases. Femoral and tibial fractures are more than 3 cases. 2 cases more than double tibial fractures, 3 patients had three broken place. Fracture of the t segments; the middle section of the longest fracture 1jcm. Minimum 3cm. Comminuted segmental fractures of 7 cases. l2 cases of open fractures with vascular and nerve injury in 3 cases, thoracic, abdominal, head injury and other fractures in 13 cases. Complicated by shock in 3 patients. Occurred in 2 cases of bone compartment syndrome. 1.2 8 hours after injury,[link widoczny dla zalogowanych], treatment experts 21 cases of open reduction and internal fixation, 2 patients with severe brain damage due to surgery within 3 weeks. 3 cases were complicated with shock, the anti-shock after surgery. All fractures were fixed with interlocking intramedullary nail. First segment of the fracture reamed. Comminuted fracture or a burst of multi-block bone fragments, the first reduction of bone fragments after the steel wires fixed, further reamed. Fully reamed, it will reset the fracture segments, starting from the proximal, cis guide Zhenda people nail, and then on the ends of the nail in the reset process, try not to periosteal stripping of bone fragments without loss of 2 cases with bone l cases of compartment syndrome, and excessive skin tension segmental fractures of the tibia fixation compartment simultaneously open decompression. 2 cases of open fractures of tibia skin defects due to the larger line I of neighboring flaps l2 cases after internal fixation of a body supported by plaster immobilization. 2 Results 2.1 The effect of back surgery in 23, 5 October, have been in clinical fracture healing. The average hospital stay 22 days. Wounds healed without infection after incision and bone x-ray fracture prompted l9 cases were cut at or near the reset solution. t cases of bone fragments on the bit part of the poor can be found in all patients 2 to 5 weeks after the beginning of non-weight-bearing walking, 2.2 follow-up after 6 months to 3 years of follow-up, taken 1 month after x-ray film showed 2 () patients had callus growth, and the other 3 cases were 2 October, are also callus growth. Radiography after 5 months show fracture healing,[link widoczny dla zalogowanych], nonunion, or no nonunion without bone shortening. Ipsilateral limb in 3 cases both the tibia and femur fractures and 1 case of multiple injuries due to a serious failure to exercise early, after only 80 knees. , The other knee were more than 120. , 1 case of normal ankle joint fractures of the femur after more than mild knee valgus (8.): 2 cases of proximal locking screw is not through the proximal femoral nail holes, no broken screws or intramedullary nails, 3 to discuss more than 31 lower extremity fractures of long bones is the backbone of the two same or two or more fractures. But it is not the superposition of two simple fracture wounds because of its serious complications, fracture displacement obvious soft tissue injury weight. Increased opportunities for the formation of open fractures. Therefore, its treatment than the general fracture complex. Because segmental fractures, bone fragments and more stable fixation in general, and need large amount of periosteal stripping, fracture healing effect. Plate also need a larger incision, increasing the patient's injury. At the same time,[link widoczny dla zalogowanych], occupy a certain spatial steel, soft tissue contusion of those severe edema of the limb, and placing one plate often result in difficult after the incision was sutured, increased plate exposure opportunities and chances of infection. Such as the use of other nail,[link widoczny dla zalogowanych], can overcome these shortcomings, but without locking nail fixation, anti-rotation displacement of poor, often result in fractures after rotating shift. The healing of fractures, often result in nonunion, delayed fracture healing and so on. If conservative treatment, repeated manipulative reduction, but increase the original injury, and Manipulation extremely difficult, difficult to maintain the reset. To be bed-ridden patients. Convenient care, impact of early exercise, it should be fixed within a 3.2-based proximal and distal interlocking intramedullary nails are nails, can be static fixed, you can also power fixed, so only the fracture rotation Fang shift shift and overlap, restore leg length, and early functional exercises, to ho lower limb bone fracture treatment has significantly expanded the indications for a l2. Interlocking nail surgery reamed intramedullary although damaged blood vessels, but do not peel too much periosteum, the periosteum is still preserved a good blood supply. Comminuted fracture of the film do not need special treatment, preservation of the fracture pieces of blood supply, while cortical bone after intramedullary nail and quickly form between the rich regeneration of blood vessels, and the particles into the reamed bone fractures when the autologous bone graft from the premises effect. This

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