CAJ | 학술논문

目的：探讨股骨近端防旋髓内钉、动力髋螺钉与人工关节置换3种方法对高龄股骨转子间骨折治疗的疗效差异。方法：2012年9月～2014年3月，分别选择髓外固定组、髓内固定组与人工关节置换组各30例，分别接受DHS、PFNA、人工关节置换术后比较3组的手术时间、术中出血量、住院时间、术后并发症、下地承重所需时间、Harris功能评分等结果。结果：髓外固定组、髓内固定组患者的手术时间，术中出血量均优于人工关节置换组，但下地承重所需时间比置换组较长，3组住院时间、Harris功能评分比较差异无统计学意义。结论：3种方法治疗高龄患者股骨转子间骨折疗效均较满意，但股骨近端防旋髓内钉手术更适合于高龄患者。
목적：탐토고골근단방선수내정、동력관라정여인공관절치환3충방법대고령고골전자간골절치료적료효차이。방법：2012년9월～2014년3월，분별선택수외고정조、수내고정조여인공관절치환조각30례，분별접수DHS、PFNA、인공관절치환술후비교3조적수술시간、술중출혈량、주원시간、술후병발증、하지승중소수시간、Harris공능평분등결과。결과：수외고정조、수내고정조환자적수술시간，술중출혈량균우우인공관절치환조，단하지승중소수시간비치환조교장，3조주원시간、Harris공능평분비교차이무통계학의의。결론：3충방법치료고령환자고골전자간골절료효균교만의，단고골근단방선수내정수술경괄합우고령환자。
Objective:To study the curative effect of proximal femoral n1ail anti-rotation,dynamic hip screw,and artificial joint re-placement in the treatment of senile patients with intertrochanterie fractures .Methods:ninety senile patients of intertrochanterie fractures in our hospital from September 2012 to March 2014 were divided into three groups , PFNA group(n=30,treated with PFNA),DHS group(n=30,treated with DHS) ,and artificial joint replacement group(n=30,treated with artificial joint replacement).The operation time,mean intra operative blood loss,postoperative complications,and the Harris hip function scores were observed.Results: All pa-tients were followedupfor12months,which all obtained complete union.The operative time,blood loss,and preoperative complications of PFNA group were significantly less than those of the other two groups ( p<0.05) .The modified Harris hip score of PFNA group and arti-ficial joint replacement group was superior to the DHS group (P<0.05).Conclus ion:The method of PFNA,DHS,and the artificial joint replacement all might have good clinic curative effect in the treatment of intertrochanterie fractures .PFNA should be recommended to treat intertro-chanterie fractures in senile patients for its advantages of simple operation,less bleeding,short operative time,and reli-able fixation.