CAJ | 학술논문

目的通过对使用人工股骨头置换以及动力髋螺钉(DHS)治疗股骨转子问骨折的结果进行比较分析,探讨两者之间的差异. 方法采用同顾性总结的方法 ,收集86例老年股骨转子问骨折,随机分别采用人工股骨头置换术及DHS的治疗方法 ,经过6个月以上的随访,比较两组间在手术所用时间、术后髋部的功能评分丢失及内固定物松动等方而存在的异同. 结果 DHS内固定纽于术花费了更长的时间;不同骨质疏松的高、中、低危各DHS治疗组,松动率随疏松程度不同而有显著不同,而半髋置换组对不同骨质疏松程度无明显不同反应;DHS内同定组有42%内固定穿出骨皮质现象,而半髋置换组患者则无明显的假体松动依据. 结论对于骨质疏松的转了间骨折患者,为能获得早期更多功能恢复及较少的术后并发症发生,人工股骨头置换术是DHS固定方法较为合理的替代.
목적 통과대사용인공고골두치환이급동력관라정(DHS)치료고골전자문골절적결과 진행비교분석,탐토량자지간적차이. 방법 채용동고성총결적방법 ,수집86례노년고골전자문골절,수궤분별채용인공고골두치환술급DHS적치료방법 ,경과6개월이상적수방,비교량조간재수술소용시간、술후관부적공능평분주실급내고정물송동등방이존재적이동. 결과 DHS내고정뉴우술화비료경장적시간;불동골질소송적고、중、저위각DHS치료조,송동솔수소송정도불동이유현저불동,이반관치환조대불동골질소송정도무명현불동반응;DHS내동정조유42%내고정천출골피질현상,이반관치환조환자칙무명현적가체송동의거. 결론 대우골질소송적전료간골절환자,위능획득조기경다공능회복급교소적술후병발증발생,인공고골두치환술시DHS고정방법 교위합리적체대.
Objective To discuss the differences between hemiarthroplaty and dynamic hip screws (DHS) by comparing their effect in treatment of osteoporotic femoral intertrochanteric fractures. Methods A retrospective study was done on 86 patients with femoral intertrochanteric fractures treated by hemiarthroplasty and dynamic hip screws respectively. After a follow-up for six months, the operation duration time, loss of ambulatory grades and prosthesis loosing were compared between two groups. Re-suits Operation was lasted for hmgcr time in DHS group, with significant difference between two groups. Loosening rate varied with different degree of osteoporosis in high-, moderate- and low-risk groups but not in hemiarthroplaty group. Internal fixators penetrating cortical bone occurred in DHS group, with inci-dence rate of 51.2%. On the contrary, no evidence proved loosening of prosthesis in hemiarthroplaty group. Conclusion For osteoporosis patients with intertrochanteric fracture, the hemiarthroplaty is a reasonable alternative to DHS device, for it can help obtain earlier and better functional recovery and less postoperative complication.