CAJ | 학술논문

目的：分析研究非骨水泥型全髋关节置换（CTHA）与半髋关节置换（CTHHA）治疗老年移位型股骨颈折临床近期及中期治疗效果。方法：回顾性分析86例老年股骨颈骨折患者临床资料，行CTHA术52例为全髋组，行非骨水泥型半髋关节置换术34例为半髋组，对比手术相关项。结果：所有患者随访时间为18～42个月，随访期间无死亡病例，两组手术时间、出血量、翻修率差异均有统计学意义（P＜0.05）。全髋组术后6个月和3年疼痛发生率显著低于半髋组（P＜0.05），疼痛程度较半髋组轻。全髋组术后3年Harris评分显著高于半髋组（P＜0.05）。术后1年全髋组髋臼磨损、髋臼增生发生率均显著低于半髋组（P＜0.05）。结论：CTHA与CTHHA治疗老年移位型股骨颈折近期疗效相似，全髋组中期随访翻修率和疼痛发生率低于半髋组，髋关节功能较好。
목적：분석연구비골수니형전관관절치환（CTHA）여반관관절치환（CTHHA）치료노년이위형고골경절림상근기급중기치료효과。방법：회고성분석86례노년고골경골절환자림상자료，행CTHA술52례위전관조，행비골수니형반관관절치환술34례위반관조，대비수술상관항。결과：소유환자수방시간위18～42개월，수방기간무사망병례，량조수술시간、출혈량、번수솔차이균유통계학의의（P＜0.05）。전관조술후6개월화3년동통발생솔현저저우반관조（P＜0.05），동통정도교반관조경。전관조술후3년Harris평분현저고우반관조（P＜0.05）。술후1년전관조관구마손、관구증생발생솔균현저저우반관조（P＜0.05）。결론：CTHA여CTHHA치료노년이위형고골경절근기료효상사，전관조중기수방번수솔화동통발생솔저우반관조，관관절공능교호。
[ABSTRACT]Objective:To study the cementless total hip replacement (CTHA) and hemiarthroplasty (CTHHA) in treating senile shift effect in the treatment of femoral neck fracture near and medium term clinical.Methods:A retrospective analysis of 86 cases of femoral neck fractures in patients with clinical data, CTHA was performed in 52 patients undergoing total group, for non cemented hemiarthroplasty for 34 cases of semi hip group, contrast operation related items.Results:All patients were followed up for 18~42 months, no deaths during follow-up,two groups in operation time, bleeding volume, revision rate differences were statistically signiifcant (P<0.05).Total hip group after 6 months and 3 years of pain incidence was signiifcantly lower than that of semi hip group (P<0.05), pain degree is semi hip group. Total hip group after 3 years Harris score was signiifcantly higher than that in semi hip group (P<0.05).After 1 years of total hip acetabular wear of acetabular hyperplasia group, the incidence was signiifcantly lower than the semi hip group (P<0.05).Conclusion:CTHA and CTHHA in the treatment of elderly patients with femoral neck fracture similar therapeutic effect, total hip group follow-up revision rate and the incidence of pain less than half hip, hip function better.