CAJ | 학술논문

目的：探讨采用双极人工股骨头置换术治疗高龄股骨颈骨折的临床疗效。方法采用双极人工股骨头置换术治疗高龄股骨颈骨折32例，观察疗效。结果32例患者手术切口均Ⅰ期愈合，2周后下地活动。随访6～36个月，2例脱位，2例术后疼痛，3例下肢深静脉血栓，1例髋关节功能受限。功能评定按Harris评分：优24例（74％），良5例（16％），可3例（10％）。结论双极人工股骨头置换是治疗高龄股骨颈骨折的有效方法，具有手术时间短、创伤小、可早期下地活动、减少并发症、降低病死率等优点。
목적：탐토채용쌍겁인공고골두치환술치료고령고골경골절적림상료효。방법채용쌍겁인공고골두치환술치료고령고골경골절32례，관찰료효。결과32례환자수술절구균Ⅰ기유합，2주후하지활동。수방6～36개월，2례탈위，2례술후동통，3례하지심정맥혈전，1례관관절공능수한。공능평정안Harris평분：우24례（74％），량5례（16％），가3례（10％）。결론쌍겁인공고골두치환시치료고령고골경골절적유효방법，구유수술시간단、창상소、가조기하지활동、감소병발증、강저병사솔등우점。
Objective To explore the clinical curative effect of the bipolar artificial femoral head replace-ment in the treatment of advanced aged patients with femoral neck fracture .Methods 32 advanced aged patients with femoral neck fracture were treated with the bipolar artificial femoral head replacement ,the effect was observed . Results 32 patients were stage Ⅰincision healing ,and after two weeks all could ambulate .Followed up for 6 to 36 months,two cases of dislocation ,two cases of postoperative pain ,3 cases of deep venous thrombosis ,one case of hip limited functionality.Harris score function assessment:excellent 24 cases(74%),good in 5 cases(16%),3 cases (10%).Conclusion Bipolar artificial femoral head replacement is the effective treatment of advanced aged patients with femoral neck fracture,with shorter operation time,small trauma,early and activities,and reduce the complications and reduce mortality rate etc .