CAJ | 학술논문

目的：探讨骨水泥型长柄双动人工股骨头置换术治疗75岁以上股骨转子间骨折的临床疗效。方法：2009年1月～2013年1月，应用骨水泥型长柄双动人工股骨头置换术治疗52例75岁以上股骨转子间骨折患者。结果：所有患者均顺利完成手术。手术时间50～100m i n，平均82m i n。所有伤口均Ⅰ期愈合，术后复查X片提示假体位置满意。随访时间1.8～5.8年，平均3年。随访期间，死亡4例，存活患者中39例获随访。末次随访时根据Harris评分，优9例，良23例，可5例，差2例，优良率达82.05%。结论：对于75岁以上的不稳定性股骨转子间骨折，术中复位困难且内固定强度差。骨水泥型长柄双动人工股骨头置换术作为一种积极、有效的方法，其优势在于能够迅速恢复患者的活动功能，避免高龄患者长期卧床带来的一系列并发症。
목적：탐토골수니형장병쌍동인공고골두치환술치료75세이상고골전자간골절적림상료효。방법：2009년1월～2013년1월，응용골수니형장병쌍동인공고골두치환술치료52례75세이상고골전자간골절환자。결과：소유환자균순리완성수술。수술시간50～100m i n，평균82m i n。소유상구균Ⅰ기유합，술후복사X편제시가체위치만의。수방시간1.8～5.8년，평균3년。수방기간，사망4례，존활환자중39례획수방。말차수방시근거Harris평분，우9례，량23례，가5례，차2례，우량솔체82.05%。결론：대우75세이상적불은정성고골전자간골절，술중복위곤난차내고정강도차。골수니형장병쌍동인공고골두치환술작위일충적겁、유효적방법，기우세재우능구신속회복환자적활동공능，피면고령환자장기와상대래적일계렬병발증。
Objective To explore the efficacy of cemented long-stem bipolar femoral head replacements for unstable femoral intertrochanteric fractures in patients over the age of 75 years. Methods Cemented long-stem bipolar femoral head was used for unstable femoral intertrochanteric fractures in 52 patients over the age of 75 years from Jan.2009 to Jan.2013. Results All patients underwent the operation successfully. The average operation time was 82 minutes(range from 50 to 100 minutes). All incisions were primary healing. Postoperative X-rays showed that all the position of prostheses were satisfactory. The follow-up time was 1.8 to 5.8 years and 3 years in average. During the period, 4 patients died and 39 cases of the survivors accepted follow-up. According to the Harris score system, the results were excellent in 9 cases, good in 23 cases, fair in 5 cases, poor in 2 cases and the excellent and good rate was 82.5%. Conclusion For unstable femoral intertrochanteric fractures in patients over the age of 75 years, reduction is difficult and internal fixation strength is poor. Bipolar femoral head replacement is a positive and effective method because the patients can recover activity function rapidly and avoid a series of complications in bed.