CAJ | 학술논문

目的：研究影响股骨颈骨折术后股骨头坏死的相关危险因素。方法入选2008年1月～2012年1月在我院行股骨颈骨折内固定治疗的患者120例，对其年龄、性别、骨折类型、手术方式、手术时间、术前牵引治疗、术后下地时间、内固定是否取出等因素进行回顾性分析。结果患者平均随访时间43月（16～60月），股骨头坏死患者15例（12.5%），单因素分析显示患者年龄、性别、手术时间、术后下地时间以及手术方式与股骨头坏死无相关性，而骨折类型、术前牵引治疗、内固定未取出对股骨头坏死有显著的影响。结论骨折类型、术前牵引是股骨颈骨折术后患者股骨头坏死的危险因素。
목적：연구영향고골경골절술후고골두배사적상관위험인소。방법입선2008년1월～2012년1월재아원행고골경골절내고정치료적환자120례，대기년령、성별、골절류형、수술방식、수술시간、술전견인치료、술후하지시간、내고정시부취출등인소진행회고성분석。결과환자평균수방시간43월（16～60월），고골두배사환자15례（12.5%），단인소분석현시환자년령、성별、수술시간、술후하지시간이급수술방식여고골두배사무상관성，이골절류형、술전견인치료、내고정미취출대고골두배사유현저적영향。결론골절류형、술전견인시고골경골절술후환자고골두배사적위험인소。
ObjectiveTo study the efects of fracture of neck of femur head necrosisafter operation of femoral related risk factors.MethodsSelected from 2008 January to 2012 January in our hospital for treatment of 120 cases of internal fixation for femoral neck fracture patients,the age,gender,fracture type,operation method, operationtime,preoperative traction treatment,postoperative ambulation time,fixation removal,and other factors were retrospectively analyzed.Results The mean folow-up time was 43 months in patients(16~60 months),avascular necrosis of the femoral head in 15 patients(12.5%),the single factor analysis showed no correlation between patient age,gender,operation time,postoperative ambulation time and operation mode andavascular necrosis of the femoral head,and fracture type,preoperative traction treatment,internal fixation take out has a significant efect on avascular necrosis of the femoral head.Conclusion Fracture type,preoperative traction is a risk in patients withfemoral head necrosis factor after the operation of femoral neck fracture.