CAJ | 학술논문

【目的】观察双动人工股骨头置换术治疗偏瘫患者不稳定股骨粗隆间骨折的临床疗效。【方法】对2006年1月至2012年10月收治的45例合并偏瘫的不稳定股骨粗隆间骨折患者临床资料进行回顾性分析，其中25例采用双动人工股骨头置换术治疗，20例采用闭合复位锁定钢板内固定术治疗。比较两组手术时间、出血量、负重时间、Harris关节功能评分、并发症。【结果】术后随访2年，关节置换组较内固定组手术时间短、出血量少、负重时间早、术后并发症少，Harris 关节功能评分高，恢复生活自理能力时间短、病死率低。【结论】双动人工股骨头置换术治疗合并偏瘫的不稳定性股骨粗隆间骨折具有手术时间短、出血量少、术后髋关节功能好，并发症少等优点，值得临床推广应用。
【목적】관찰쌍동인공고골두치환술치료편탄환자불은정고골조륭간골절적림상료효。【방법】대2006년1월지2012년10월수치적45례합병편탄적불은정고골조륭간골절환자림상자료진행회고성분석，기중25례채용쌍동인공고골두치환술치료，20례채용폐합복위쇄정강판내고정술치료。비교량조수술시간、출혈량、부중시간、Harris관절공능평분、병발증。【결과】술후수방2년，관절치환조교내고정조수술시간단、출혈량소、부중시간조、술후병발증소，Harris 관절공능평분고，회복생활자리능력시간단、병사솔저。【결론】쌍동인공고골두치환술치료합병편탄적불은정성고골조륭간골절구유수술시간단、출혈량소、술후관관절공능호，병발증소등우점，치득림상추엄응용。
[Objective]To observe the clinical efficacy of bipolar arthroplasty for the treatment of unstable intertrochanteric fracture in patients with hemiplegia .[Methods]Chosen from January 2006 to October 2012 , A total of 45 hemiplegic patients with unstable intertrochanteric fracture from Jan .2006 to Oct .2012 were an-alyzed retrospectively .Of them ,25 patients were treated with bipolar arthroplasty and 20 patients were trea-ted with closed reduction and locking plate internal fixation .The operation time ,blood loss ,weight-bearing time ,Harris joint function score and complication were compared between two groups .[Results] All patients were followed up for 2 years after the operation .Compared with internal fixation group ,the bipolar arthro-plasty group had shorter operation time ,less blood loss ,earlier weight-bearing time ,less postoperative com-plications group ,higher Harris joint function score ,shorter recovery time of independent living ability and lower mortality .[Conclusion]Bipolar arthroplasty for the treatment of unstable intertrochanteric fracture with hemiplegia has advantages such as shorter operation time ,less blood loss ,better hip function and less compli-cations .Therefore it is worthy of clinical promotion .