CAJ | 학술논문

目的:探讨侧前方入路微创小切口髋关节置换治疗老年股骨颈骨折的可行性.方法:采用前外侧小切口对56例行髋关节置换术,其中46例为新鲜骨折,10例为陈旧骨折.48例患者行全髋关节置换术,8例患者行单纯股骨头置换术.患者取平卧位,患侧半边臀部略悬空于手术床边,使臀大肌及臀部软组织自然下垂,患侧下肢内收10°,使大粗隆突出部分充分暴露;股骨颈及大粗隆暴露后,先截骨清除股骨颈残端,再前脱位取出股骨头;术毕伤口引流24～48 h.结果:全部患者获得6～49个月的随访.Harris评分优52例,良3例,中1例,优良率达98%.结论:侧前方微创小切口髋关节置换治疗老年股骨颈骨折具有创伤小、术后恢复好,是一种安全可行的方法.
목적:탐토측전방입로미창소절구관관절치환치료노년고골경골절적가행성.방법:채용전외측소절구대56례행관관절치환술,기중46례위신선골절,10례위진구골절.48례환자행전관관절치환술,8례환자행단순고골두치환술.환자취평와위,환측반변둔부략현공우수술상변,사둔대기급둔부연조직자연하수,환측하지내수10°,사대조륭돌출부분충분폭로;고골경급대조륭폭로후,선절골청제고골경잔단,재전탈위취출고골두;술필상구인류24～48 h.결과:전부환자획득6～49개월적수방.Harris평분우52례,량3례,중1례,우량솔체98%.결론:측전방미창소절구관관절치환치료노년고골경골절구유창상소、술후회복호,시일충안전가행적방법.
Objective:To evaluate the feasibility of the minimally invasive total hip arthroplasty for aged people with femoral neck fracture through a small anterolateral approach and therapeutic result.Methods:56 cases with femoral neck fracture were performed with minimally invasive total hip arthroplasty through a small anterolateral incision.Results:The follow-up of 6 to 49 months,Harris score revealed that all patients in this group had a satisfied clinical result.Conclusion:Total hip replacement with outside small incision has the advantages of mini injury,good postoperative recovery,which is a safe and feasible method for the treatment of femoral neck fracture in the elderly.