CAJ | 학술논문

目的：对比老年骨质疏松股骨颈骨折使用生物型股骨假体柄与骨水泥型股骨假体柄行全髋关节置换术治疗效果。方法对本组进行老年骨质疏松股骨颈骨折100例（100髋）进行的全髋关节置换术根据手术方式分为A组（股骨假体柄骨水泥型全髋关节置换术，60髋）， B组（股骨假体柄生物型全髋关节置换术，40髋）。对比两组髋关节功能、关节活动度、髋关节影像学特点及术后疼痛情况。结果老年骨质疏松股骨颈骨折行全髋关节置换术，采用生物型股骨假体柄与骨水泥型股骨假体柄的全髋关节置换术临床疗效对比差异显著（ P＜0.05）。结论对于老年骨质疏松股骨颈骨折行全髋关节置换术，应用骨水泥型者股骨假体柄术后近期疗效明显优于生物型，但它有诱发深静脉血栓栓塞和骨水泥危象的风险。
목적：대비노년골질소송고골경골절사용생물형고골가체병여골수니형고골가체병행전관관절치환술치료효과。방법대본조진행노년골질소송고골경골절100례（100관）진행적전관관절치환술근거수술방식분위A조（고골가체병골수니형전관관절치환술，60관）， B조（고골가체병생물형전관관절치환술，40관）。대비량조관관절공능、관절활동도、관관절영상학특점급술후동통정황。결과노년골질소송고골경골절행전관관절치환술，채용생물형고골가체병여골수니형고골가체병적전관관절치환술림상료효대비차이현저（ P＜0.05）。결론대우노년골질소송고골경골절행전관관절치환술，응용골수니형자고골가체병술후근기료효명현우우생물형，단타유유발심정맥혈전전새화골수니위상적풍험。
Objective To compare the therapeutic effects of bone-cement stem and cementless stem used in the total hip arthroplasty ( THA) for treating the osteoporotic fracture of the femoral neck in the senile patients .Methods A retrospective study was carried out to analyse 100 cases of osteoporotic femoral neck fracture in the elderly patients who underwent THA in our hospital .The patients were divided into two groups by the operation methods:group A, 60 cases applied bone-cement stem in THA;group B, 40 cases applied cementless stem in THA .The hip joint function , the motion range of the joint , the imaging characteristics of the hip and posoperative pain were all compared between the two groups . Results Therewere significant differences in the clinical therapeutic effects between the two groups ( P<0.05).Conclusions The postoperative effects of the bone-cement stem is much better than the cementless stem in THA for the osteoporotic femoral neck fracture in elderly , but it may cause the risks of deep venous thromboembolism and bone cement crisis .