CAJ | 학술논문

目的探讨双极人工股骨头置换术对于高龄股骨颈骨折患者的临床治疗效果.方法对我院2009年3月至2011年2月收治的77例76岁以上的高龄股骨颈骨折的患者采用双极人工股骨头置换术治疗进行回顾性分析,总结其手术过程、术前术后的注意事项,并依据Harris评分评定髋关节功能标准对患者的临床治疗效果予以评测.结果 77例高龄患者手术之后的切口愈合情况均为一期愈合,主要并发症包括骨质疏松10例,异位骨化1例,髋臼磨损5例,假体松动5例,肺部感染2例,发生静脉栓塞5例.平均随访1年以上,基本恢复伤前活动,生活自理.Harris评分骨水泥组24例平均得分(86.10±4.21)分；非骨水泥组53例平均得分(83.23 ±2.46)分.结论采用双极人工股骨头置换术治疗高龄患者股骨颈骨折疗效较好,明显降低高龄股骨颈骨折患者的病死率,并能大大提高其生活质量,严格术前评估和正确的手术操作是取得良好疗效的关键.
목적 탐토쌍겁인공고골두치환술대우고령고골경골절환자적림상치료효과.방법 대아원2009년3월지2011년2월수치적77례76세이상적고령고골경골절적환자채용쌍겁인공고골두치환술치료진행회고성분석,총결기수술과정、술전술후적주의사항,병의거Harris평분평정관관절공능표준대환자적림상치료효과여이평측.결과 77례고령환자수술지후적절구유합정황균위일기유합,주요병발증포괄골질소송10례,이위골화1례,관구마손5례,가체송동5례,폐부감염2례,발생정맥전새5례.평균수방1년이상,기본회복상전활동,생활자리.Harris평분골수니조24례평균득분(86.10±4.21)분；비골수니조53례평균득분(83.23 ±2.46)분.결론 채용쌍겁인공고골두치환술치료고령환자고골경골절료효교호,명현강저고령고골경골절환자적병사솔,병능대대제고기생활질량,엄격술전평고화정학적수술조작시취득량호료효적관건.
Objective To investigate the clinical application of bipolar prosthetic replacement of aged patients with femoral neck fracture.Methods A retrospective study was conducted and 77 hospitalized patients of aged over 76-years-old with femoral neck fracture hospitalized from March 2009 to February 2011 were selected as our subject,who underwent bipolar prosthetic replacement for the treatment.The information related to the operation procedures,preoperative and postoperative announcements were collected.The hips function by Harris Hip Score was used to assess clinical effectiveness of treatment.Results All subjects were showed with primary stage healing.The main complications included osteoporosis (10 cases),heterotopic ossification (1 case),acetabulum wear(5 cases),prosthesis looseness (5 cases),pulmonary infection (2 cases) and deep vein thrombosis(5 cases).All patients were follow-up for more than one year and all were showed in basic recovery activities compared with that of before the injury.The average score of Harris score in bone cement group 24 cases was (86.10 ±4.21),non bone cement group 53 cases was (83.23 ± 2.46).Conclusion Bipolar prosthetic replacement for femoral neck fracture was an effective method in aged patients,which could significantly reduce the mortality of aged patients with femoral neck fracture,and improve life quality obviously.Strict preoperative evaluation and exact microsurgical techniques were the key point regarding of obtaining excellent outcomes.