CAJ | 학술논문

目的：探讨应用股骨头干三维互动闭合复位内固定治疗老年嵌插型股骨颈骨折的临床疗效。方法2011年1月至2012年3月对收治的老年嵌插型股骨颈骨折患者进行髋关节CT三维重建，筛选出股骨头有后倾移位的嵌插型骨折患者23例，其中男18例，女5例；年龄65~84岁，平均(71.5±3.9)岁；所有骨折均采用股骨头干三维互动闭合复位技术复位，复位满意后行内固定治疗。术中利用Garden对线指数对股骨颈骨折复位质量进行评价，对骨折愈合率、术后股骨头缺血坏死率及患者髋关节功能情况进行总结分析。结果术中所有病例均达到Ⅰ级复位，所有患者术后均获随访，随访时间11~26个月，平均(14.5±2.8)个月，骨折愈合22例，占95.65%(22/23)，其中1例出现股骨头缺血性坏死，占4.35%(1/23)。Harris髋关节评分为89~100分。结论应用股骨头干三维互动闭合复位技术可以将嵌插型股骨颈骨折更好的复位，术后髋关节功能恢复良好。
목적：탐토응용고골두간삼유호동폐합복위내고정치료노년감삽형고골경골절적림상료효。방법2011년1월지2012년3월대수치적노년감삽형고골경골절환자진행관관절CT삼유중건，사선출고골두유후경이위적감삽형골절환자23례，기중남18례，녀5례；년령65~84세，평균(71.5±3.9)세；소유골절균채용고골두간삼유호동폐합복위기술복위，복위만의후행내고정치료。술중이용Garden대선지수대고골경골절복위질량진행평개，대골절유합솔、술후고골두결혈배사솔급환자관관절공능정황진행총결분석。결과술중소유병례균체도Ⅰ급복위，소유환자술후균획수방，수방시간11~26개월，평균(14.5±2.8)개월，골절유합22례，점95.65%(22/23)，기중1례출현고골두결혈성배사，점4.35%(1/23)。Harris관관절평분위89~100분。결론응용고골두간삼유호동폐합복위기술가이장감삽형고골경골절경호적복위，술후관관절공능회복량호。
Objective To evaluate the therapeutic efficacy of three dimensional (3D) interactive close reduc-tion and internal fixation of femoral head-shaft for the elderly patients with interposed type femoral neck fracture. Methods From January 2011 to March 2012, twenty three elderly patients suffering from interposed type femoral neck fracture were treated in our departtment. They were 18 men and 5 women. Aging 65~84 [mean (71.5 ± 3.9) years)], All the fractures were close reduction and internal fixation with 3D interactive technique. To evaluate the re-duction quality of femoral neck fracture by Garden line index in operation and summarize and analyze the fracture healing rate, avascular necrosis rate and hip function after operation. Results All patients achieved an anatomical reduction . The patients were followed up 11~26 months [mean (14.5 ± 2.8) months] with the fracture union rate of 95.65%(22/23), with the incidence of femoral head necrosis was4.35%(1/23). The Harris hip score for them ranged from 89 to 100. Conclusions In treatment of elderly patients with the interposed tyoe femoral neck fracture,the 3D interactive close reduction and internal fixation technique, which can achieve satisfactory anatomic reduction and re-turn to good function after hip operation.