CAJ | 학술논문

目的：研究探讨股骨粗隆间骨折行人工关节置换术、股骨近端防旋髓内针（PFNA）、动力髋钢板（DHS）、非手术治疗的疗效进行数据化比较，为临床高龄股骨粗隆间骨折的提供治疗参考。方法通过对130例的粗隆间骨折用人工关节置换术、PFNA内固定术、DHS、非手术治疗关节功能并发症及死亡率的对比进行随访总结。结果保守治疗逐渐被淘汰，DHS由于偏心固定对于粉碎性内侧皮质缺损的患者易于出现内固定材料断裂，螺钉切割股骨头。PFNA及伽马钉配合牵引床术前复位，以其适用范围广，半闭合复位及固定，损伤小，出血少。结论故根据相应医院不同的治疗条件及患者的经济及身体状况，通过对不同材料优缺点的分析，并根据病人的骨质、年龄及骨折分型选择适合的治疗及固定方式。
목적：연구탐토고골조륭간골절행인공관절치환술、고골근단방선수내침（PFNA）、동력관강판（DHS）、비수술치료적료효진행수거화비교，위림상고령고골조륭간골절적제공치료삼고。방법통과대130례적조륭간골절용인공관절치환술、PFNA내고정술、DHS、비수술치료관절공능병발증급사망솔적대비진행수방총결。결과보수치료축점피도태，DHS유우편심고정대우분쇄성내측피질결손적환자역우출현내고정재료단렬，라정절할고골두。PFNA급가마정배합견인상술전복위，이기괄용범위엄，반폐합복위급고정，손상소，출혈소。결론고근거상응의원불동적치료조건급환자적경제급신체상황，통과대불동재료우결점적분석，병근거병인적골질、년령급골절분형선택괄합적치료급고정방식。
Objective To study the femoral intertrochanteric fracture line of artificial joint replacement, proximal femoral rotation intramedullary pin (PFNA), dynamic hip steel plates (DHS), the curative effect of non-operative treatment are compared, and digital age for clinical treatment of intertrochanteric fractures. Methods based on 1 3 0 cases of intertrochanteric fractures with artificial joint replacement, PFNA fixation, DHS, non-surgical treatment of joint function of complications and mortality compared to follow-up. Results conservative treatment to be being washed out gradually, DHS medial cortical defect due to eccentric fixation for comminuted fracture internal fixation materials, patients are prone to make the screw cutting head. PFNA and gamma nail with preoperative traction bed, with its applicability is wide and half closed reduction and fixation, less injury, less bleeding. Conclusion it is according to the corresponding hospital patients with different treatment conditions and economic and health, through the analysis on the advantages and disadvantages of the different materials, and according to the patient's bone, age and fracture classification select appropriate treatment and fixed mode.