CAJ | 학술논문

目的：探讨应用股骨近端锁定解剖板治疗老年股骨转子周围骨折的疗效与特点。方法选择2006年1月~2010年8月收治的56例老年股骨转子周围骨折病人应用股骨近端锁定解剖板治疗。于术后1、3、6、12个月复查，通过临床检查、摄X线片了解骨折愈合情况。同时与应用DHS治疗的45例患者进行对比分析。结果LCP组56例全部获得随访，时间平均9.4个月。骨折愈合时间平均5.3个月，未发生骨折不愈合、髋内翻、内固定失效等并发症，随访期无死亡病例。两组优良率比较，差异有统计学意义(P<0.05)。结论股骨近端锁定解剖板是治疗老年股骨转子周围骨折的有效方法，有利于功能的早日恢复，降低病死率。
목적：탐토응용고골근단쇄정해부판치료노년고골전자주위골절적료효여특점。방법선택2006년1월~2010년8월수치적56례노년고골전자주위골절병인응용고골근단쇄정해부판치료。우술후1、3、6、12개월복사，통과림상검사、섭X선편료해골절유합정황。동시여응용DHS치료적45례환자진행대비분석。결과LCP조56례전부획득수방，시간평균9.4개월。골절유합시간평균5.3개월，미발생골절불유합、관내번、내고정실효등병발증，수방기무사망병례。량조우량솔비교，차이유통계학의의(P<0.05)。결론고골근단쇄정해부판시치료노년고골전자주위골절적유효방법，유리우공능적조일회복，강저병사솔。
Objective To observe the effects and traits of applying locking anatomic plates to the proximal femur for the old-aged aroundtrochanteric fractures. Methods From January 2006 to August 2010, 56 cases with old-aged aroundtrochanteric fractures were selected as samples. Clinical and radiographic data were retrospectively reviewed at the 1st, 3rd, 6th, 12th month after operations. In the meantime, analysis of comparison between them and ones with the DHS treatment was conducted. Results All of the operations were successful. Altogether 56 patients were followed up, average 9.4 months. All of their fractures were healed in a mean time of 5.3 months without delayed union, nonunion, hip equinovarus, failure of screws and plates or death. Comparison of the excellent and goodrate of two groups, the dif-ferences was significant (P<0.05). Conclusion Applying locking anatomic plates to the proximal femur can provide sta-ble fixation with a good functional outcome, which is an effective method for the old-ageed aroundtrochanteric fractures and reducing death rate.