ABSTRACT
Objective To analyze the mortality in the aged patients with hip fractures who have been treated by operations. Methods We collected the clinical data of 349 aged patients (60 to 98 years old) with hip fracture who had been treated by operations from March 1999 to January 2008 in our hospital. Their overall mortality and one-year mortality were analyzed to find the causes for death. Results Thirty-one cases died and the overall mortality was 8.9% (31/349). Nineteen patients died within one year and the one-year mortality was 5.4% (19/349). Three patients died in hospital after surgery, 28 patients died in the follow-up period. Cardiac event, pulmonary dysfunction, cancer, cerebral vascular disease, hepatic cirrhosis, multiple organs dysfunction and infection were sequentially the major causes for death. Statistical results showed the factors which had definitely influenced the mortality were age and sex. Patients treated with proximal femoral nail anti-rotation (PFNA) had the lower mortality than with proximal femoral nail (PFN). Conclusions Operations can lead to a low mortality for aged patients with hip fractures. Ad-equate preparation and mini-invasive surgery can reduce the mortality.
ABSTRACT
Reconstructing thumb opposition function using modified transfer of proper extensor tendon of the fifth digit is one of the methods to treat old median nerve injury-induced thumb opposition dysfunction. To explore the long-term effect of this method, 97 patients undergoing modified transfer of proper extensor tendon of the fifth digit to reconstruct thumb opposition function in Department of Hand Surgery, Affiliated Hospital of Beihua University between January 2003 and December 2007 were retrospectively analyzed, and 21 were followed up. The thumb opposition function postoperatively was evaluated using Changing of Hand Function Evaluation Standard. After reconstructing thumb opposition function, length of thumb (T), distance moving to (mo) and moving away from (Mo) centre of palm in opposition, i.e. during closing and leaving centre of palm distance between middle point of thumb interdigit transverse striation and middle point of middle finger MP joint transverse striation. In addition, their ratios were calculated. The patients were followed-up for 7.5 years (ranging 1-14 years). It is a good therapy to reconstruct thumb opposition function using modified transfer of proper extensor tendon of the fifth digit.
ABSTRACT
Reconstructing thumb opposition function using modified transfer of proper extensor tendon of the fifth digit is one of the methods to treat old median nerve injury-induced thumb opposition dysfunction.To explore the long-term effect of this method,97 patients undergoing modified transfer of proper extensor tendon of the fifth digit to reconstruct thumb opposition function in Department of Hand Surgery,Affiliated Hospital of Beihua University between January 2003 and December 2007 were retrospectively analyzed,and 21 were followed up.The thumb opposition function postoperatively was evaluated using Changing of Hand Function Evaluation Standard.After reconstructing thumb opposition function,length of thumb (T),distance moving to (mo) and moving away from (Mo) centre of palm in opposition,i.e.during closing and leaving centre of palm distance between middle point of thumb interdigit transverse striation and middle point of middle finger MP joint transverse striation.In addition,their ratios were calculated.The patients were followed-up for 7.5 years (ranging 1-14 years).It is a good therapy to reconstruct thumb opposition function using modified transfer of proper extensor tendon of the fifth digit.