CAJ | 학술논문

目的探讨经皮加压钢板治疗老年股骨转子间骨折的方法和疗效。方法2012年3月至2013年1月17例股骨粗隆间骨折患者,骨折分型：A1.2型3例,A1.3型4例,A2.1型6例,A2.2型3例,A2.3型1例,均利用经皮加压钢板内固定,术后早期进行功能锻炼,观察疗效和分析结果。结果手术时间30~80 min,平均50 min,术中出血量40~100 mL,平均60 mL,放射投照时间为12~22 s,平均20 s。17例患者均获得随访,时间为3~18个月,参照 Harris 髋关节功能评分标准评价术后功能,优15例(88%),良2例(12%),优良率达100%。结论经皮加压钢板治疗股骨转子间骨折手术创伤小,手术时间短,术中出血量少,固定牢靠,并发症少,尤其适用于老年患者。
목적탐토경피가압강판치료노년고골전자간골절적방법화료효。방법2012년3월지2013년1월17례고골조륭간골절환자,골절분형：A1.2형3례,A1.3형4례,A2.1형6례,A2.2형3례,A2.3형1례,균이용경피가압강판내고정,술후조기진행공능단련,관찰료효화분석결과。결과수술시간30~80 min,평균50 min,술중출혈량40~100 mL,평균60 mL,방사투조시간위12~22 s,평균20 s。17례환자균획득수방,시간위3~18개월,삼조 Harris 관관절공능평분표준평개술후공능,우15례(88%),량2례(12%),우량솔체100%。결론경피가압강판치료고골전자간골절수술창상소,수술시간단,술중출혈량소,고정뢰고,병발증소,우기괄용우노년환자。
Objective To explore the therapeutic efficacy of percutaneous compression plate internal fixation in the treatment for elder-ly patients with interchanteric fractures. Methods All 17 patients with interchanteric fractures from March 2012 to January 2013 were trea-ted with percutaneous compression plate internal fixation(Fracture classification:type A1. 2 with 3cases,A1. 3 with 4cases,A2. 1 with 6 ca-ses,A2. 2 with 3 cases,A2. 3 with 1 case). After operation,the patients did functional exercises at the early stage. Then the efficacy were e-valuated and analyzed. Results Operation time was 30~80 min,with average time 50 min, blood loss was (40~100) mL,with average volume 60 mL,time of X-ray exposure was 12~22 s,with average time 20 s. All 17 patients were followed up for 3~18 months. Postoperative function were evaluated according to Harris Hip Score,15 cases were excellent,and 2 cases were good,the excellent and good rate was 100%. Conclusion Percutaneous compression plate internal fixation is suitable for the elderly patients of interchanteric fractures,with shorter oper-ation time,less blood loss,reliable fixation and less complications.