CAJ | 학술논문

目的：探讨股骨头置换术治疗老年股骨粗隆间骨折的疗效。方法对38例股骨粗隆间骨折给予人工股骨头置换术及35例给予切开复位动力髋螺钉（ DHS）钢板内固定术治疗的患者进行随访观察，比较手术时间、术中出血量、术后引流量、术后卧床时间、住院时间等指标；根据Harris评分标准，评定术后随访效果。结果平均随访时间18个月（12～36个月），人工股骨头置换术相对于切开复位动力髋钢板内固定术术后下床活动时间早，并发症少，且骨折复位良好，优良率达94．7％。结论对于股骨粗隆间骨折的患者，人工股骨头置换术具有很好的疗效，可减少术后并发症的发生。
목적：탐토고골두치환술치료노년고골조륭간골절적료효。방법대38례고골조륭간골절급여인공고골두치환술급35례급여절개복위동력관라정（ DHS）강판내고정술치료적환자진행수방관찰，비교수술시간、술중출혈량、술후인류량、술후와상시간、주원시간등지표；근거Harris평분표준，평정술후수방효과。결과평균수방시간18개월（12～36개월），인공고골두치환술상대우절개복위동력관강판내고정술술후하상활동시간조，병발증소，차골절복위량호，우량솔체94．7％。결론대우고골조륭간골절적환자，인공고골두치환술구유흔호적료효，가감소술후병발증적발생。
Objective To investigate the effect of femoral head replacement for the treatment of intertrochanteric frac -tures among elderly patients .Method There were 38 cases that received intertrochanteric fracture hemiarthroplasty and 35 patients were treated with open reduction and dynamic hip screw ( DHS) plate internal fixation .After follow-up, their opera-tion duration,blood loss, postoperative drainage flow , postoperative ambulation time , hospitalization time were compared according to the Harris score to assess the effect of postoperative follow-up.Results After the mean follow-up time of 18 months (12 to 36 months),the hemiarthroplasty group was superior to the open reduction and DHS plate fixation group ,as shown by the earlier postoperative ambulation time , fewer complications , and better fracture reduction , with an excellent rate of 94 .7%.Conclusion For patients with intertrochanteric fractures , hemiarthroplasty surgery is effective and can re-duce the incidence of postoperative complications .