Cut Out Complications and Anisomelia of the Lower Limbs in Surgery with Valgus Reduction for Intertrochanteric Fractures

CBYG]BKYCABKL K]@HCTGP AD EGIC@CBG PG@YCAB> Y]KWEKYALAOS KBI A]YHAZGIC@P CPPB> ;?77-?48=

X-rky cekogs wgrg tkfgb ad thg kbtgrapastgrcar pglvcs wcth thg pktcgbt cb thg iarskl ig`umctus pasctcab wcth thg lawgr lcems kt ;7º cbtgrbkl ratktcab kbi klsa ad thg kddg`tgi hcp cb pra﬋lg wcth thg pktcgbt cb thg iarskl ig`umctus pasctcab wcth thg hcp ﬍gxgi kt 3:º kbi kmiu`tcab ad 97º, cb thg autpktcgbt igpkrtegbt ad thg haspctkl. Kdtgr thg kbklyscs ad thg drk`turg, k bgw X-rky ad thg kbtgrapastgrcar pglvcs wks tkfgb wcth thg rky da`usgi ab thg pumc` syephyscs, kbi wcth thg pktcgbt cb thg iarskl ig`umctus pasctcab, wcth thg lawgr lcems kt ;7º cbtgrbkl ratktcab kbi trk`tcab ad thg kddg`tgi egemgr ta ekfg thg `lkssc﬋`ktcab ad thg drk`turg passcmlg, klsa cb thg autpktcgbt igpkrtegbt ad thg haspctkl. P`kbaegtry, kssgsscbo thg icddgrgb`g mgtwggb thg lawgr lcems, wks ubigrtkfgb abg ygkr pastapgrktcvgly my egkbs ad rkicaorkphy V;:U .Yhg YKI cbigx wks `kl`ulktgi ta vgrcdy thg passcmclcty ad `ut aut V;:U. Yhg ickphysgkl `grvc`kl kbolg (klsa fbawb ks thg kbolg ad cb`lcbktcab) cs thg kbolg thkt thg laboctuicbkl shkdt ad thg dgearkl bg`f ekfgs wcth thg laboctuicbkl shkdt ad thg ickphyscs ad thg dgeur. Yhg `rctgrck drae thg eaic﬋gi qugstcabbkcrg ad Egrlg i' Kumcobã kbi Zastgl wgrg usgi dar dub`tcabkl kssgssegbt V;;U. Puroc`kl tg`hbcqug K sybthgscs ad thg IHP ad ;07º, rkicas`apy, trk`tcab tkmlg kbi vklous rgiu`tcab wks usgi cb kll `ksgs. Tklous rgiu`tcab wks rgprgsgbtgi my k ickphysgkl `grvc`kl kbolg gqukl ta ar orgktgr thkb ;9: igorggs.  Drae thg sg`abi iky ad haspctklczktcab, rgspcrktary kbi eatar physcathgrkpy ad thg uppgr egemgrs wks kpplcgi ta kll thg pktcgbts. Kdtgr thg sg`abi past-apgrktcvg iky, ks wgll ks thg rgspcrktary kbi eatar physcathgrkpy ad thg uppgr egemgrs, eatar physcathgrkpy wcth k`tcvg kbi pksscvg eavgegbt ad thg lawgr lcems wks pgrdaregi. Ksscstgi pkrtckl laki wks gb`aurkogi drae thg sg`abi pastapgrktcvg iky. Yhg stct`hgs wgrg rgeavgi ab thg tgbth past-apgrktcvg iky.

9

=:;7 Tal. 8 Ba. 93 iac> ;:.08=0/;498

Ad thg 4; pktcgbts, 77 (3:.=%) ubigrwgbt kbtcthraematc` praphylkxcs wcth sum`utkbgaus Gbaxkpkrcb Paicue 9: eo ab`g ikcly drae thg ﬋rst iky ad haspctklczktcab ubtcl thg sgvgbth past-apgrktcvg iky6 cb scx pktcgbts (3.8%) 7::: sum`utkbgaus ubcts ad Hgpkrcb wgrg kpplcgi gvgry ;= haurs drae thg ﬋rst iky ad haspctklczktcab ta thg sgvgbth past-apgrktcvg iky. Yrgktegbt wcth kbtc`akoulkbt wks cbtgrruptgi dar kll thg pktcgbts ;=h mgdarg thg apgrktcab. @utkbgaus trk`tcab wks usgi ab kll thg pktcgbts iurcbo thg prg-apgrktcvg pgrcai. Ptktcstc`kl trgktegbt Drgqugb`y tkmlgs, egksurgegbts ad `gbtrkl tgbigb`y kbi ad icspgrscab wgrg usgi ta igs`rcmg thg iktk. Yhg stktcstc`kl tgsts usgi cb`luigi Frusfkl_kllcs, Ekbb-_hctbgy, kbi Ppgkrekb–s `arrglktcab dar qukbtctktcvg vkrckmlgs kbi thg `hc-squkrgi tgst dar quklctktcvg vkrckmlgs. Ppgkrekb–s `arrglktcab tgst wks usgi dar thg kbklyscs ad thg `arrglktcab mgtwggb thg YKI cbigx kbi thg ickphysgkl `grvc`kl kbolg6 thg Ekbb-_hctbgy tgst wks usgi dar thg kbklyscs ad thg `arrglktcab mgtwggb thg YKI cbigx ≩ =9ee kbi thg ickphysgkl `grvc`kl kbolg kbi thg YKI cbigx ≧ =7ee kbi thg ickphysgkl `grvc`kl kbolg6 thg Frusfkl-_kllcs tgst wks usgi dar thg kbklyscs ad thg ickphysgkl `grvc`kl kbolg kbi kbcsaeglck kbi thg YKI cbigx kbi kbcsaeglck6 kbi thg `hc-squkrgi tgst wks usgi ta kbklyzg YKI ≩ =9ee wcth kbcsaeglck kbi YKI ≧ =7ee wcth kbcsaeglck. K 7% scobc﬋`kb`g lgvgl wks kiaptgi.

]gsults Yhg pktcgbts prgsgbtgi kb kvgrkog kog kbi stkbikri igvcktcab ad 8:.= » 3.3 ygkrs, rkbocbo drae 9? ta 34 ygkrs. Yhg kvgrkog kbi stkbikri igvcktcab ad thg ickphysgkl `grvc`kl kbolg wgrg ;93.? » ;:.4 ;: .4 rkbocbo drae ;9: kbi ;8:, wcth thg ickphysgkl `grvc`kl kbolg mgcbo rglktcvgly lkrog. Yhg YKI cbigx wks rglktcvgly hcoh wcth w cth kb kvgrkog ad =?.? =?.? ee. Yhg icstkb`g mgtwggb thg kpgx ad thg dgearkl hgki kbi Yhcs krtc`lg cs kvkclkmlg kt>

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