CAJ | 학술논문

目的：探讨股骨距重建并骨水泥型加长柄人工股骨头置换治疗高龄不稳定型股骨转子间骨折的疗效。方法高龄患者股骨转子间不稳定骨折，术中首先行股骨转子间骨折复位固定，重建股骨距，后行人工股骨头置换术，术后依照髋关节置换术后常规治疗。结果随访6～53个月，期间除1例住院期间死于肺部感染、4例死于其他内科疾病、1例假体周围感染，根据Harris评分，优28例、良7例、差2例。结论股骨距重建后应用骨水泥型加长柄人工股骨头置换治疗高龄股骨转子间骨折并发症少，疗效满意。
목적：탐토고골거중건병골수니형가장병인공고골두치환치료고령불은정형고골전자간골절적료효。방법고령환자고골전자간불은정골절，술중수선행고골전자간골절복위고정，중건고골거，후행인공고골두치환술，술후의조관관절치환술후상규치료。결과수방6～53개월，기간제1례주원기간사우폐부감염、4례사우기타내과질병、1례가체주위감염，근거Harris평분，우28례、량7례、차2례。결론고골거중건후응용골수니형가장병인공고골두치환치료고령고골전자간골절병발증소，료효만의。
ObjectiveTo study the efficacy of femoral reconstruction after extended handle femoral head replacement in the treatment of senile femoral intertrochanteric fracture.Methods Patients with unstable senile femoral intertrochanteric fracture were treated by reposition and fixation,and reconstructed of the femur,after artificial femoral head replacement,according to the conventional treatment after hip replacement.ResultsFolowed up 6~53 months,except for 1 case during hospitalization died of lung infection,4 cases died of other medical disease,1 period of infection of the body,according to harris score,28 cases,7 cases,2 cases “good”. Conclusion From the femoral reconstruction using bone cement type longer handle artificial femoral head replacement for senile femoral fractures between rotor fewer complications,curative effect is satisfied.