Correlation of changes in coagulation function with the age of high-risk elderly patients with proximal humerus fractures treated with a combined external fixator
Objective To identify the correlation of changes in coagulation function with the age of high-risk elderly patients with proximal humerus fractures treated with a combined external fixator.Methods The clinical data of 70 high-risk elderly patients with proximal humerus fractures surgically treated with a combined external fixator in the Department of Orthopedics and Traumatology,Hebei Province Hospital of TCM from January 2020 to December 2021 were retrospectively analyzed,including 25 males and 45 females.There were 22 cases in the 60-69 years old group,28 cases in the 70-79 years old group,18 cases in the 80-89 years old group,and 2 cases in the 90-99 years old group.Prothrombin time(PT),activated partial thromboplastin time(APTT),thrombin time(TT),fibrinogen(FIB)and D-dimer(D-D)were compared at 1 day preoperatively,and 1,3,7 and 14 days postoperatively.Results There was no significant differences in PT,APTT,TT,FIB,and D-D at 1 day preoperatively,and 1,3,7 and 14 days postoperatively among the 4 groups(P>0.05).None of the 70 patients developed upper extremity deep vein thrombosis after operation.Surgical treatment of combination external fixator fixation for elderly patients with high-risk proximal humerus fractures before and after surgery had little correlation between the changes of four coagulation indices and D-D with age.Conclusion The coagulation function of elderly patients with high-risk proximal humerus fractures treated with combined external fixator is not correlated with age,and the incidence of deep vein thrombosis is low.
万方数据
维普
