CAJ | 학술논문

目的：分析改良穿针外固定架与股骨近端锁定钢板治疗老年人股骨转子间骨折的疗效。方法：92例70岁以上老年股骨转子间骨折患者,分为改良穿针外固定架治疗组49例,锁定钢板治疗组43例;两组一般情况比较差异无统计学意义（P〉0.05）。结果：随访3～16个月,两组骨折均骨性愈合,术后按Harris标准评定两组关节功能,改良穿针外固定架组优良率为89.79%,锁定钢板组优良率为90.69%,两组优良率比较差异无统计学意义（P〉0.05）;术中出血量、手术时间改良穿针外固定架组明显优于锁定钢板组,两组比较差异有统计学意义（P〈0.05）;改良穿针外固定架组并发症2例,锁定钢板组并发症4例。结论：改良穿针外固定架较适合于年老体弱患者,改良穿针后固定可靠,能早期下地扶拐行走,手术时间短,术中出血量少,不需再次手术取内固定;股骨近端锁定钢板适合于无严重合并症的各型股骨转子间骨折患者。
목적：분석개량천침외고정가여고골근단쇄정강판치료노년인고골전자간골절적료효。방법：92례70세이상노년고골전자간골절환자,분위개량천침외고정가치료조49례,쇄정강판치료조43례;량조일반정황비교차이무통계학의의（P〉0.05）。결과：수방3～16개월,량조골절균골성유합,술후안Harris표준평정량조관절공능,개량천침외고정가조우량솔위89.79%,쇄정강판조우량솔위90.69%,량조우량솔비교차이무통계학의의（P〉0.05）;술중출혈량、수술시간개량천침외고정가조명현우우쇄정강판조,량조비교차이유통계학의의（P〈0.05）;개량천침외고정가조병발증2례,쇄정강판조병발증4례。결론：개량천침외고정가교괄합우년로체약환자,개량천침후고정가고,능조기하지부괴행주,수술시간단,술중출혈량소,불수재차수술취내고정;고골근단쇄정강판괄합우무엄중합병증적각형고골전자간골절환자。
Objective： To compare the efficacy of improved single arm needle external fixator technique and proximal femoral locking plate in treatment of intertrochanteric fracture.Methods： 92 cases of intertrochanteric fracture patients aged more than 70 were divided into two groups,49 cases were treated by improved single arm needle external fixator technique,and 43 cases were treated by proximal femur plate locking.There was no significant difference between the two groups in general（P 0.05）.Results： 92 patients had been followed up during a period of 3 ～ 6 months and the fractures were all healed.According to Harris evaluation criteria,the excellent rates of the improved single arm needle external fixator group and the proximal femur plate locking group reached 89.79% and 90.69%,respectively,and there was no significant difference（P 0.05）.During the operation,the blood loss and average time of the improved single arm needle external fixator group were less than the proximal femur plate locking group,and there was significant difference（P 0.05）.2 cases of the infection occurred in the improved single arm needle external fixator group,and 4 cases occurred in the proximal femur plate locking group.Conclusion： The improved single arm needle external fixator technique is fit for old and weak patients,which has the properties of reliable fixation,early walking with crutches,short operation time,less blood loss and without reoperation for fixation.Meanwhile,the proximal femur plate locking is suitable for various types of non-serious complications patients with intertrochanteric fractures.