CAJ | 학술논문

目的：探讨锁定钢板(LCP)治疗老年股骨粗隆间骨折的疗效。方法选取94例股骨粗隆间骨折患者分为两组，分别采用DHS内固定29例为DHS组，采用锁定钢板固定65例为LCP组，评价两组患者术后髋关节功能。结果两组患者手术中一般情况比较差异无统计学意义，术后并发症方面LCP组优于DHS组，术后Harris髋关节疗效方面及治疗A3型骨折时LCP组总疗效优于DHS组。结论DHS和LCP是治疗股骨粗隆间骨折的有效内固定方法，各有优缺点，后者治疗老年股骨粗隆间骨折疗效优于前者，对于A3型老年骨折应首选锁定钢板固定。
목적：탐토쇄정강판(LCP)치료노년고골조륭간골절적료효。방법선취94례고골조륭간골절환자분위량조，분별채용DHS내고정29례위DHS조，채용쇄정강판고정65례위LCP조，평개량조환자술후관관절공능。결과량조환자수술중일반정황비교차이무통계학의의，술후병발증방면LCP조우우DHS조，술후Harris관관절료효방면급치료A3형골절시LCP조총료효우우DHS조。결론DHS화LCP시치료고골조륭간골절적유효내고정방법，각유우결점，후자치료노년고골조륭간골절료효우우전자，대우A3형노년골절응수선쇄정강판고정。
Objective To discuss the curative efficacy of locking compression plate (LCP) in the treatment of elderly femoral intertrochanteric fracture. Methods A total of 94 patients with femoral intertrochanteric fracture were assigned to two groups. 29 patients were given DHS internal fixation as DHS group, and 65 patients were given LCP fixation as LCP group. Postoperative hip joint functions in the two groups of patients were assessed. Results There was no signifi-cant difference of general conditions compared between the two groups of patients during the surgery. As for the post-operative complications, LCP group was better than DHS group. As for postoperative Harris curative effects of joint hip and the treatment of A3 type of fractures, the total curative effect in LCP group was better than that in DHS group. Conclusion DHS and LCP are effective internal fixation methods in the treatment of femoral intertrochanteric fracture. They both have merits and demerits. LCP in the treatment of elderly femoral intertrochanteric fracture is better than DHS, and LCP should be the first choice for A3 type of elderly fractures.