CAJ | 학술논문

目的:探讨前外侧入路人工双极股骨头置换治疗高龄患者股骨颈骨折的临床效果.方法:2006年11月-2011年12月笔者所在医院应用前外侧入路骨水泥人工双动股骨头置换术治疗高龄患者股骨颈骨折共30例,男11例,女19例;年龄74~90岁,平均79.6岁.Garden分型:Ⅱ型3例,Ⅲ型11例,Ⅳ型l6例.观察出血量、手术时间及Hanis关节功能评分.结果:本组出血量200~300 m1,平均252 ml,手术时间45~70 min,平均55 min;30例患者均获的1~5年随访,平均2年,Harris功能评分68~96分,平均85.7分,优13例,良13例,可3例,差1例.结论:前外侧入路骨水泥人工双动股骨头置换术具有手术出血量少、时间短、术后关节功好等优点,是治疗高龄患者股骨颈骨折的可靠方法.
목적:탐토전외측입로인공쌍겁고골두치환치료고령환자고골경골절적림상효과.방법:2006년11월-2011년12월필자소재의원응용전외측입로골수니인공쌍동고골두치환술치료고령환자고골경골절공30례,남11례,녀19례;년령74~90세,평균79.6세.Garden분형:Ⅱ형3례,Ⅲ형11례,Ⅳ형l6례.관찰출혈량、수술시간급Hanis관절공능평분.결과:본조출혈량200~300 m1,평균252 ml,수술시간45~70 min,평균55 min;30례환자균획적1~5년수방,평균2년,Harris공능평분68~96분,평균85.7분,우13례,량13례,가3례,차1례.결론:전외측입로골수니인공쌍동고골두치환술구유수술출혈량소、시간단、술후관절공호등우점,시치료고령환자고골경골절적가고방법.
Objective:To discuss the effect of cemented bipolar prosthesis in aged cases with femoral neck fracture through anterolateral approach. Methods:From November 2007 to December 2012,30 cases of femoral neck fracture were treated with cemented bipolar prosthesis through anterolateral approach.There were 11 males and 19 females.The age of the group were from 74 to 90 years old,with the average of 79.6 years.There were 3 typeⅡ,11 typeⅢ, 16 typeⅣ,according to Garden’ criteria.The clinical effect were evaluated with blood loss,operative time,Harris scale and complications.Results:The average blood loss was 252 ml(ranged from 200 to 300 ml).The average intra-operative time was 55 minutes (ranged from 45 to 70 min).30 cases were followed up from 1 to 5 years (average 2 years)after surgery,the average score was 85.7 score(ranged from 68 to 96 score),13 cases showed excellent results,13 cases good,3 cases fair,1 cases poor according to the evaluate of Harris.Conclusion:Cemented bipolar arthroplasty has good advailtages of less blood loss,shorter operative time, better articular function postoperatively through anterolateral approach.It is a effective method for aged patients with femoral neck fracture.