CAJ | 학술논문

目的对全髋关节置换治疗老年股骨颈骨折的疗效进行研究.方法对42例(43髋)65岁以上股骨颈骨折患者行全髋关节置换术后功能恢复情况跟踪随访,平均随访2.8年,随访内容包括术后近、远期并发症,功能评价及影像检查结果.结果 43髋中按Harris评分平均为90.2分,优良率占89%(37例),其中28例无疼痛及功能障碍,4例术后出现脑血并发症,1例股骨近端劈裂骨折行翻修.切口均Ⅰ期愈合.结论全髋关节置换对老年股骨颈骨折是有效的手术方法,严格掌握手术适应证,规范手术操作及术后的后续治疗,对手术成功及防止并发症的发生是至关重要的.
목적 대전관관절치환치료노년고골경골절적료효진행연구.방법 대42례(43관)65세이상고골경골절환자행전관관절치환술후공능회복정황근종수방,평균수방2.8년,수방내용포괄술후근、원기병발증,공능평개급영상검사결과.결과 43관중안Harris평분평균위90.2분,우량솔점89%(37례),기중28례무동통급공능장애,4례술후출현뇌혈병발증,1례고골근단벽렬골절행번수.절구균Ⅰ기유합.결론 전관관절치환대노년고골경골절시유효적수술방법,엄격장악수술괄응증,규범수술조작급술후적후속치료,대수술성공급방지병발증적발생시지관중요적.
Objective To observe the outcomes of total hip replacement therapy in elderly femoral neck fracture. Methods Forty-two cases of 43 hip femoral neck fracture patients who were older than 65-year-old were enrolled. Mean follow-up period was 2.8 years. Long-term complications and functional evaluation of the inspec-tion images were analyzed. Results Fourty-three hips had an average of 90.2 points of Harris score. 28 of them (89%) didnt have pain or dysfunction. After the operation, 4 cases had cerebral vascular complications and 1 case of proximal femoral fracture had a revision. The average time of operation was 1.2-1.5 hours. All cases had a heal-ing of first intension. Conclusion Total hip replacement is an effective therapy for femoral neck fractures in the elderly. It's important to follow strict surgery indications and to apply standard therapies, which is of vital impor-tance for a successful operation and complication-avoidance.