CAJ | 학술논문

背景:老年股骨颈骨折患者进行非骨水泥还是骨水泥人工股骨头置换是目前争论的焦点.目的:对85岁以上股骨颈骨折行骨水泥型人工股骨头置换患者的高风险的临床问题和功能结果进行评估.方法:32例股骨颈骨折患者进行骨水泥型双极人工股骨头置换治疗,所有患者在置换后1,3,6个月和以后每年行X射线片检查,患者平均随访2～5年.结果与结论:患者出现内科并发症发生5例(16%),在随访期间内死亡4例(25%).脱位发生1例(3%),患者均未出现异位骨化.平均Harris髋关节评分为84分.说明骨水泥型人工股骨头置换治疗老年股骨颈骨折效果较好,稳定安全.
배경:노년고골경골절환자진행비골수니환시골수니인공고골두치환시목전쟁론적초점.목적:대85세이상고골경골절행골수니형인공고골두치환환자적고풍험적림상문제화공능결과진행평고.방법:32례고골경골절환자진행골수니형쌍겁인공고골두치환치료,소유환자재치환후1,3,6개월화이후매년행X사선편검사,환자평균수방2～5년.결과여결론:환자출현내과병발증발생5례(16%),재수방기간내사망4례(25%).탈위발생1례(3%),환자균미출현이위골화.평균Harris관관절평분위84분.설명골수니형인공고골두치환치료노년고골경골절효과교호,은정안전.
BACKGROUND: A discussion is ongoing whether the elderly patients with femoral neck fractures should be treated with a non-cemented or a cemented hemiarthroplasty.OBJECTIVE: To evaluated the results of cemented hemiarthroplasty for femoral neck fractures in the patients older than 85 years with high-risk clinical problems and functional outcomes.METHODS: Thirty-two patients with femoral neck fractures were treated with cemented bipolar hemiarthroplasty. X-ray examination after operation was done at 1, 3 and 6 months and annually in all patients. The mean follow-up period was 2 to 5 years.RESULTS AND CONCLUSION: Medical complications occurred in five patients (16%) and four patients (25%) died within the follow-up period. Dislocation occurred in one patient (3%). None of the patients had heterotopic ossification. The mean Harris-hip score was 84. Cemented hemiarthroplasty can provide stability, security and good outcomes for the treatment of femoral neck fractures in elderly patients.