CAJ | 학술논문

目的：分析比较股骨近端解剖型锁定加压钢板（ LCP）和动力髋螺钉（ DhS）治疗老年不稳定型股骨粗隆间骨折的疗效，探讨2种方法的优缺点。方法：对121例老年股骨粗隆间骨折（ EvansⅠ3、Ⅰ4 andⅡ），分别采用LCP和DhS进行治疗，从手术时间、术中出血量、骨折愈合时间、术后并发症、术后髋关节功能（ harris 评分）等方面进行分析比较。结果：LCP组与DhS 组在手术时间、术中出血量方面无统计学意义（P＞0．05）；在内固定并发症、髋关节功能方面相比差异有统计学意义（P＜0．05）。结论：LCP较DhS在治疗老年不稳定型股骨粗隆间骨折有明显优势。
목적：분석비교고골근단해부형쇄정가압강판（ LCP）화동력관라정（ DhS）치료노년불은정형고골조륭간골절적료효，탐토2충방법적우결점。방법：대121례노년고골조륭간골절（ EvansⅠ3、Ⅰ4 andⅡ），분별채용LCP화DhS진행치료，종수술시간、술중출혈량、골절유합시간、술후병발증、술후관관절공능（ harris 평분）등방면진행분석비교。결과：LCP조여DhS 조재수술시간、술중출혈량방면무통계학의의（P＞0．05）；재내고정병발증、관관절공능방면상비차이유통계학의의（P＜0．05）。결론：LCP교DhS재치료노년불은정형고골조륭간골절유명현우세。
Objective:To discuss a reasonable treatment for unstable femoral intertrochanteric fracture in elderly osteoporosis patients by comparison of effects between DhS and LCP fixation .Methods:One hundred and twenty -one elder patients with unstable femoral inter-trochanteric fracture ( EvansⅠ3 、Ⅰ4 andⅡ) were followed up .They were treated with the two kinds of operations respectively:dynamic hip screw(DhS) and Locking Compression Plate (LCP).The data of each group were collected for statistical analysis on the following as-pects:operative time,blood loss,clinical healing time of fractures,posteroperative complications and functional outcome .Results:No differ-ences of the operative time and blood loss between group LCP and DhS were statistically significant .There were significant differences in function of hip joint and the total rate of complications were found .Conclusion:The LCP might have better clinic curative effects in treat-ment of unstable femoral intertrochanteric fracture in elderly patients than DhS .