CAJ | 학술논문

目的：评价骨水泥加长柄人工股骨头置换治疗高龄不稳定性股骨转子间骨折的临床疗效。方法98例高龄不稳定性股骨转子间骨折患者，女性60例，男性38例，年龄75～94岁，平均83．5岁。骨折按Tronzo-Evans分型Ⅲ型56例，Ⅳ型42例。均采用骨水泥加长柄人工股骨头置换的方法治疗，观察临床治疗效果。结果所有病例术后X线片显示转子间骨折均复位固定良好，假体位置良好。术后96例获得6～24个月随访，平均15个月，按Harris评分，优良率85．4％。结论骨水泥加长柄人工股骨头置换术具有术后功能恢复快、负重活动早、可避免长期卧床、并发症少等优点，是治疗高龄不稳定性股骨转子间骨折较为合理的手术方法。
목적：평개골수니가장병인공고골두치환치료고령불은정성고골전자간골절적림상료효。방법98례고령불은정성고골전자간골절환자，녀성60례，남성38례，년령75～94세，평균83．5세。골절안Tronzo-Evans분형Ⅲ형56례，Ⅳ형42례。균채용골수니가장병인공고골두치환적방법치료，관찰림상치료효과。결과소유병례술후X선편현시전자간골절균복위고정량호，가체위치량호。술후96례획득6～24개월수방，평균15개월，안Harris평분，우량솔85．4％。결론골수니가장병인공고골두치환술구유술후공능회복쾌、부중활동조、가피면장기와상、병발증소등우점，시치료고령불은정성고골전자간골절교위합리적수술방법。
Objective To evaluate bone cement longer handle artificial femoral head replacement treatment the clinical effect of the treatment of femoral fractures between rotor-instability.Methods There were 98 patients with fracture of instability-between the femur rotor ,women 60 cases,38 cases,male,aged 75 to 94 years old,average 83.5 years.Fractured by Tronzo-Evans type III 56 cases,type IV 42 cases.All use of bone cement longer handle arti-ficial femoral head replacement therapy ,to observe clinical therapeutic effect .Results All cases of postoperative X-ray showed both fracture reduction and fixation well between the rotor and prosthesis position is good .96 cases of post-operative for 6 to 24 months followed-up,the average 15 months.Harris score was 85.4%.Conclusion Bone cement longer handle artificial femoral head replacement has quick postoperative functional recovery ,weight-bearing activities earlier,which can avoid the advantages of long-term complications in bed ,instability is treatment of older femoral frac-tures between rotor reasonable operation method .