CAJ | 학술논문

目的比较加长柄双极双动股骨头置换与动力加压螺钉(DHS)内固定术治疗高龄患者粗隆间不稳定骨折(EvansⅢ、Ⅳ、Ⅴ型)的疗效.方法将101例高龄粗隆间不稳定骨折患者随机分为两组,关节置换组45例,采用加长柄双极双动股骨头置换治疗,内固定组56例,采用DHS螺钉内固定,比较两组患者手术时间、术中出血量、术中X线暴露次数、术后恢复负重时间、术后再手术率及术后关节功能恢复情况等.结果股骨头置换组与内固定组在手术时间、术中出血量、关节功能恢复比较差异无统计学意义(P＞0.05),但两组在术后康复时间、手术失败再手术X线暴露次数方面比较差异有统计学意义(P＜0.05).结论治疗高龄股骨粗隆间不稳定骨折加长柄股骨头置换术优于DHS螺钉内固定术.
목적 비교가장병쌍겁쌍동고골두치환여동력가압라정(DHS)내고정술치료고령환자조륭간불은정골절(EvansⅢ、Ⅳ、Ⅴ형)적료효.방법 장101례고령조륭간불은정골절환자수궤분위량조,관절치환조45례,채용가장병쌍겁쌍동고골두치환치료,내고정조56례,채용DHS라정내고정,비교량조환자수술시간、술중출혈량、술중X선폭로차수、술후회복부중시간、술후재수술솔급술후관절공능회복정황등.결과 고골두치환조여내고정조재수술시간、술중출혈량、관절공능회복비교차이무통계학의의(P＞0.05),단량조재술후강복시간、수술실패재수술X선폭로차수방면비교차이유통계학의의(P＜0.05).결론 치료고령고골조륭간불은정골절가장병고골두치환술우우DHS라정내고정술.
Objective To compare efficacy of plus skillet bipolar double-action femoral head replacement and the DHS screw fixation in elderly patients with intertrochanteric unstable fracture (Evans Ⅲ,Ⅳ,Ⅴ type).Methods One hundred and one patients with intertrochanteric fractures were randomly divided into two groups:45 patients in femoral head replacement group were treated with plus skillet bipolar double-action femoral head replacement treatment,56 patients in the internal fixation group with DHS screw fixation treatment,to compare the differences of the operative time,blood loss,intraoperative X-ray exposure times,the postoperative recovery load time,postoperative reoperation rate and postoperative joint function recovery between the two groups.Results The difference was not statistically significant (P ＞ 0.05) in operative time,blood loss,joint function recovery between femoral head replacement group and internal fixation group,but the difference was statistically significant (P ＜ 0.05) in postoperative recovery time,surgery fails,surgical X-ray exposure times between the two groups.Conclusions Plus skillet femoral head arthroplasty is better than DHS screw internal fixation for elderly patients with intertrochanteric unstable fracture.