CAJ | 학술논문

背景：陶瓷对陶瓷全髋关节置换适用于活动量较大、生活质量要求较高的年轻患者。 　　目的：分析陶瓷对陶瓷全髋关节置换治疗青壮年患者股骨颈骨折近期治疗效果。 　　方法：使用陶瓷对陶瓷全髋关节置换治疗的年龄在50岁以下的中青年股骨颈骨折患者51例，评估患者治疗后髋关节功能及并发症。 　　结果与结论：所有患者均获随访，随访时间6个月至3年8个月。末次随访时，Harris 评分为(92.0±3.4)分，优良率94.1%。置换后无关节脱位病例发生，3例轻度跛行，均未作特殊处理。至随访结束影像学检查结果显示，未见假体松动、下沉及碎裂发生，假体周围无透亮线形成。陶瓷对陶瓷人工髋关节置换治疗活动量相对较大的青壮年患者股骨颈骨折能有效减少因磨损碎屑造成的骨溶解，减少假体的松动及下沉，延长关节的使用寿命，改善患者的生活质量。
배경：도자대도자전관관절치환괄용우활동량교대、생활질량요구교고적년경환자。 　　목적：분석도자대도자전관관절치환치료청장년환자고골경골절근기치료효과。 　　방법：사용도자대도자전관관절치환치료적년령재50세이하적중청년고골경골절환자51례，평고환자치료후관관절공능급병발증。 　　결과여결론：소유환자균획수방，수방시간6개월지3년8개월。말차수방시，Harris 평분위(92.0±3.4)분，우량솔94.1%。치환후무관절탈위병례발생，3례경도파행，균미작특수처리。지수방결속영상학검사결과현시，미견가체송동、하침급쇄렬발생，가체주위무투량선형성。도자대도자인공관관절치환치료활동량상대교대적청장년환자고골경골절능유효감소인마손쇄설조성적골용해，감소가체적송동급하침，연장관절적사용수명，개선환자적생활질량。
BACKGROUND:Ceramic-on-ceramic total hip arthroplasty can be applied to young patients requiring frequent activity and high quality of life. OBJECTIVE:To explore the short-term efficiency of ceramic-on-ceramic total hip arthroplasty in young and middle-aged patients of femoral neck fractures. METHODS:Fifty-one young and middle-aged patients under 50 years old with ceramic-on-ceramic total hip arthroplasty were selected to analyze the function of hip joints and the complication after operation. RESULTS AND CONCLUSION:Al the patients were fol owed up for 6 months to 44 months. At the last fol ow-up, the average Harris score was 92.0±3.4 points with an excellent and good rate of 94.1%. No dislocation was observed and three cases exhibited mild limping. Imaging examination showed that, no prosthesis loosing, broken, sinking or radiolucent line around prosthesis was observed. Ceramic-on-ceramic total hip arthroplasty in young patients with femoral neck fractures can effectively decrease the osteolysis, prosthesis loosing and sinking caused by the debris of wearing, prolong the working life of the prosthesis, and improve the patient’s quality of life.