CAJ | 학술논문

目的：分析高龄(>75岁)股骨粗隆间骨折患者采用人工股骨头置换术的疗效。方法：对2004.1～2013.10我院103例高龄股骨粗隆间骨折患者采用人工股骨头假体置换治疗。其中女性67例，男性36例，最大年龄102岁，最小年龄75岁，平均83岁。结果：术中、术后死亡2例，余患者均得到随访，随访时间1～9年（平均3.5年），参照Harris法评分[1]优65例，良26例，可6例，差4例。疗效优良率达88.34%。所有随访患者无发生脱位，经复查X片，假体、髋臼完好无松动93例，髋臼磨损5例，假体周围骨折2例，假体松动1例。结论：证实人工股骨头置换术治疗高龄股骨粗隆间骨折具有减少患者卧床时间，早日下地负重功能锻炼，减少术后并发症等优点。
목적：분석고령(>75세)고골조륭간골절환자채용인공고골두치환술적료효。방법：대2004.1～2013.10아원103례고령고골조륭간골절환자채용인공고골두가체치환치료。기중녀성67례，남성36례，최대년령102세，최소년령75세，평균83세。결과：술중、술후사망2례，여환자균득도수방，수방시간1～9년（평균3.5년），삼조Harris법평분[1]우65례，량26례，가6례，차4례。료효우량솔체88.34%。소유수방환자무발생탈위，경복사X편，가체、관구완호무송동93례，관구마손5례，가체주위골절2례，가체송동1례。결론：증실인공고골두치환술치료고령고골조륭간골절구유감소환자와상시간，조일하지부중공능단련，감소술후병발증등우점。
Objective: to the curative effect of using artificial femoral head replacement treated of the age (>75 years) intertrochanteric fracture patients. Methods: For the elderly which over 75-years-old of intertrochanteric fractures 103 patients were treated with artificial femoral head replacement from January 2004 to October 2013.In the 103 patients which have 67 women, 36 men, the ages between 75 years and 102 years, average 83 years old. Results: Intraoperative and postoperative had death 2 cases, others patients all follow-up, follow-up time of 101 cases are 1 year to 9 years, which averages 3.5 years. Under Harris score [1], 65 cases had excellence, 26 good, 6 mediate, 4 bad, the excellence rate was 88.34%; All the follow-up of patients were no dislocation. Reviewing X-ray films, 93 cases artificial femoral head and acetabulum are good and no loose;5 cases had acetabulum attrition rate;2 cases had prosthesis around fracture;5 cases had prosthesis loose. Conclusion:Application of artificial femoral head replacement in the treatment of elderly intertrochanteric femoral fractures, have shorten patients stay in bed time, early do functional exercise, reduce postoperative complications etc.