CAJ | 학술논문

目的：观察和分析人工关节置换治疗脑卒中患者偏瘫侧股骨颈骨折的疗效和方法。方法：自2010年6月～2012年6月，我院采用人工关节置换术治疗老年人脑卒中患者偏瘫侧股骨颈骨折 GardenⅢ、Ⅳ型37例，随访10个月-34个月，平均20个月，观察手术前后harris评分，同时按其内容分为疼痛、功能、关节活动度、肢体畸形四方面分别进行评分。结果：患者harris评分由术前的（14．61±6．51）分恢复到术后末次随访时的（81．13±8．76）分。患者术后评分明显高于前者，而且疼痛、功能、关节活动度、肢体畸形各项目术前术后评定均差异显著。结论：人工关节置换治疗老年人卒中后偏瘫侧股骨颈骨折是安全有效的方法，在缓解疼痛、改善功能等各方面效果显著。
목적：관찰화분석인공관절치환치료뇌졸중환자편탄측고골경골절적료효화방법。방법：자2010년6월～2012년6월，아원채용인공관절치환술치료노년인뇌졸중환자편탄측고골경골절 GardenⅢ、Ⅳ형37례，수방10개월-34개월，평균20개월，관찰수술전후harris평분，동시안기내용분위동통、공능、관절활동도、지체기형사방면분별진행평분。결과：환자harris평분유술전적（14．61±6．51）분회복도술후말차수방시적（81．13±8．76）분。환자술후평분명현고우전자，이차동통、공능、관절활동도、지체기형각항목술전술후평정균차이현저。결론：인공관절치환치료노년인졸중후편탄측고골경골절시안전유효적방법，재완해동통、개선공능등각방면효과현저。
Objective:To study the curative of prosthetic replacement in the elderly with femoral neck fracture of the hemiplegic ex -tremity.Methods:From June 2010 to June 2012,37 cases of the femoral neck fracture (Garden typeⅢand typeⅣ) of the hemiplegic ex-tremity were treated by prosthetic replacement .All the cases were followed up , the follow-up time was from 10 months to 34 months, av-eraging 20 months.The curative effects were evaluated by harris hip score .The harris hip scores before and after operation was observed , at the same time, according to its content was divided into pain , function, degree of motion, limb deformities four aspects to rate respec-tively.Resulst :The average harris hip score improved from 14.61 ±6.51 point preoperatively to 81.13 ±8.76 point at the last follow -up.Patients with postoperative scores were significantly higher than the former , and pain, function, degree of motion, limb deformities preoperative postoperative evaluation of the project were significant difference .Conclusion:Prosthetic replacement in the treatment of the elderly with femoral neck fracture of the hemiplegic extremity might be safe and effective method .