CAJ | 학술논문

目的：探讨全膝关节置换术后股骨假体周围骨折的治疗方法及疗效。方法：2007年7月！2012年6月全膝关节置换术后 Insall I／Ⅱ型股骨髁上骨折患者21例，其中18例获得随访，随访时间12～26个月（平均19．8个月）。18例患者中，5例（I 型1例、ⅡA 型2例、ⅡB 型2例）采用非手术治疗，13例（I 型1例、ⅡA 型2例、ⅡB 型10例）采用切开复位锁定钢板内固定术治疗。骨折后6个月，测量18例患者的膝关节活动范围、肢体力线，并采用美国特种外科医院膝关节评分（hospital for special surgery knee score，HSS）评定患者的膝关节功能。结果：18例患者的骨折均愈合，非手术患者的平均 HSS 评分为75．6分，手术治疗患者的平均 HSS 评分为85．08分。结论：采用切开复位锁定钢板内固定术治疗全膝关节置换术后股骨假体周围骨折的疗效较好。
목적：탐토전슬관절치환술후고골가체주위골절적치료방법급료효。방법：2007년7월！2012년6월전슬관절치환술후 Insall I／Ⅱ형고골과상골절환자21례，기중18례획득수방，수방시간12～26개월（평균19．8개월）。18례환자중，5례（I 형1례、ⅡA 형2례、ⅡB 형2례）채용비수술치료，13례（I 형1례、ⅡA 형2례、ⅡB 형10례）채용절개복위쇄정강판내고정술치료。골절후6개월，측량18례환자적슬관절활동범위、지체력선，병채용미국특충외과의원슬관절평분（hospital for special surgery knee score，HSS）평정환자적슬관절공능。결과：18례환자적골절균유합，비수술환자적평균 HSS 평분위75．6분，수술치료환자적평균 HSS 평분위85．08분。결론：채용절개복위쇄정강판내고정술치료전슬관절치환술후고골가체주위골절적료효교호。
Objective:To investigate the treatment methods and efficacy of periprosthetic femoral fractures after total knee ar-throplasty.Methods:A total of 21 patients with periprosthetic femoral fractures (Insall I or II)after total knee arthroplasty from 2007 Jul to 2012 Jun were enrolled.There were 18 patients were followed for 12-26 monthes,with an average time of 19.8 months.Among them,5 cases (Insall I 1,ⅡA 2,ⅡB 2)were treated conservatively,while the other 13 cases (Insall I 1,ⅡA 2,ⅡB 10)were treated with open reduction and internal fixation with a locking-plate.At 6 monthes after fracture,the range of motion,physical line of force were measured,and the knee function of all patients were assessed by hospital for special surgery knee score (HSS).Results:The average HSS score was 75.6 in 5 patients treated conservatively,and 85.08 in 13 patients un-dergone operation.Conclusions:Open reduction and fixation inside with locking-plate is curative for periprosthetic femoral frac-tures after total knee arthroplasty.