CAJ | 학술논문

目的探讨应用双动人工股骨头置换术治疗高龄股骨粗隆间骨折的临床疗效.方法选择43例高龄股骨粗隆间骨折患者,其中Evans分型Ⅲ型32例；Ⅳ型11例.采用骨水泥型双动人工股骨头置换术,保留股骨大小粗隆动力系统.结果 43例患者均完整随访,随访6 ～36个月,平均24个月,术后早期感染1例,假体周围骨折1例.按照Harris评分,优32例,良6例,优良率为88.4％.结论采用保留大小粗隆动力系统的双动人工股骨头置换治疗高龄股骨粗隆间骨折可减少卧床时间,降低并发症,提高患者的生活质量,是一种有效的治疗方法.
목적 탐토응용쌍동인공고골두치환술치료고령고골조륭간골절적림상료효.방법 선택43례고령고골조륭간골절환자,기중Evans분형Ⅲ형32례；Ⅳ형11례.채용골수니형쌍동인공고골두치환술,보류고골대소조륭동력계통.결과 43례환자균완정수방,수방6 ～36개월,평균24개월,술후조기감염1례,가체주위골절1례.안조Harris평분,우32례,량6례,우량솔위88.4％.결론 채용보류대소조륭동력계통적쌍동인공고골두치환치료고령고골조륭간골절가감소와상시간,강저병발증,제고환자적생활질량,시일충유효적치료방법.
Objective To evaluate the clinical effect of bipolar femoral head prosthetic replacement for the treatment of intertrochanteric fractures in the elderly.Methods Forty - three cases of intertrochanteric fractures in elderly,Type Ⅲ of the fracture by Evans classification was in 32 cases,Ⅳ in 11 cases.Obtain cemented bipolar femoral head prosthetic replacement with retain trochanter.Results All the cases were followed up for 6 to 36 months ( averagely 24 mouths),post - operative infection in 1 case and the fracture of around the prosthesis in 1 case.According to Harris score,excellent in 32 cases,good cases in 6 cases,the excellent rate was 88.4％.Conclusions The merits of bipolar prosthetic with retainted trochanter for the treatment of intertrochanteric fractures in the elderly are reducing bedridden time and complications.It's a satisfactory and safe choice.