CAJ | 학술논문

目的：分析股骨转子间骨折手术疗效。方法：手术治疗105例股骨转子间骨折病例，探讨手术疗效情况。结果：105例获得随访，随访时间6～18月。根据Harris评分标准优良率为90.7%。患者术后有3例出现髋内翻，1例出现内固定松动，2例发生骨折不愈合，1例髓内钉切割出股骨头部，1例术后假体脱位，术后再骨折1例。手术失效率9.3%。结论：股骨转子间骨折手术治疗疗效显著，患者身体条件允许情况下尽早手术治疗。影响手术疗效的主要因素有：骨折类型、复位情况、患者全身情况、内固定选择及手术操作等。
목적：분석고골전자간골절수술료효。방법：수술치료105례고골전자간골절병례，탐토수술료효정황。결과：105례획득수방，수방시간6～18월。근거Harris평분표준우량솔위90.7%。환자술후유3례출현관내번，1례출현내고정송동，2례발생골절불유합，1례수내정절할출고골두부，1례술후가체탈위，술후재골절1례。수술실효솔9.3%。결론：고골전자간골절수술치료료효현저，환자신체조건윤허정황하진조수술치료。영향수술료효적주요인소유：골절류형、복위정황、환자전신정황、내고정선택급수술조작등。
Objective: To analyze the operation efficacy of intertrochanteric fracture.Methods: 105 cases with intertrochanteric fracture were treated and the effects were discussed. Results: 105 cases were followed up for 6~18 months.According to the Harris scores standard, the excellent rate was 90.7%.3 cases suffered with coxa adducta,1 case with internal fixation loosening,2 cases with fracture nonunion, 1 case with intramedullary nails cut out of the femoral head, 1 case with postoperative dislocation and 1 case with refracture. The failure rate was 9.3%.Conclusion: Surgical treatment of femoral intertrochanteric fracture is significant,the patient's physical conditions permit early surgical treatment.The main factors that affect the surgical treatment include:fracture type,reduction,patient's general condition, internal fixation choice and operation, etc.