Treatment of GardenⅠ,Ⅱtype femoral neck fracture with modified unilateral lithotomy position combined with G-shaped arms

LIU Ji-chun; TANG Zhi-hong; WANG Can-bin; SUN Qi; LV Ren-fa

doi:10.3969/j.issn.1009-4237.2018.05.008

Abstract：Objective To study the application of modified unilateral lithotomy combined with G-arm in the reconstruction of Garden Ⅰand Ⅱfemoral neck fractures.Methods Sixty-eight patients with Garden Ⅰand Ⅱfemoral neck fractures in our hospital from Feb.2016 to May 2017 were divided into control group(32 cases)and intervention group(36 cases).The control group was treated with conventional position and C Shaped arm,and the intervention group was treated with improved unilateral lithotomy position combined with G -shaped arm.The opera-tive time,intraoperative blood loss,and intraoperative flow were compared between the two groups.Results The operation time of the intervention group((1.13 ±0.13)h)was significantly shorter than that of the control group ((1.67 ±0.24)h,P<0.05).The dose of radiation exposure((27.14 ±1.93)μSv)was significantly less than that of the control group((38.19 ±2.40)μSv,P<0.05).The intra-operative bleeding volume((88.06 ±16.62) mL)was significantly less than that of the control group((162.00 ±11.17)mL,P<0.05).In the intervention group,the G-shaped X-ray machine had no need to move the position during the operation,and the operation was convenient and the operation time was greatly reduced.Conclusion The application of modified unilateral lithoto-my position combined with G-arm in the reconstruction of Garden ⅠandⅡfemoral neck fractures significantly re-duces the number of ineffective fluoroscopy and ineffective operation time,which has advantages such as short opera-tive time,less intraoperative blood loss,simple operation,reduced surgical bleeding and reduced radiation exposure time for medical personnel.