CAJ | 학술논문

回顾性分析比较水泥型髋关节置换与股骨近端锁定钢板内固定治疗老年股骨粗隆间骨折的临床疗效。方法收集该院老年股骨粗隆间骨折病例，采用水泥型髋关节置换18例，股骨近端锁定钢板内固定25例，通过比较两组患者手术时间，术中出血量，下地负重时间及Harris评分评价其术后疗效。结果两组患者手术时间，术中出血量，Harris评分性差异无统计学意义，但关节置换组下地负重时间早于内固定组，两者差异有统计学意义(P<0.05)。结论水泥型髋关节置换与股骨近端锁定钢板内固定治疗老年股骨粗隆间骨折均能获得满意疗效，但关节置换能明显提前下地负重时间，减少术后并发症。
회고성분석비교수니형관관절치환여고골근단쇄정강판내고정치료노년고골조륭간골절적림상료효。방법수집해원노년고골조륭간골절병례，채용수니형관관절치환18례，고골근단쇄정강판내고정25례，통과비교량조환자수술시간，술중출혈량，하지부중시간급Harris평분평개기술후료효。결과량조환자수술시간，술중출혈량，Harris평분성차이무통계학의의，단관절치환조하지부중시간조우내고정조，량자차이유통계학의의(P<0.05)。결론수니형관관절치환여고골근단쇄정강판내고정치료노년고골조륭간골절균능획득만의료효，단관절치환능명현제전하지부중시간，감소술후병발증。
Objective To retrospectively analyze and compare the clinical efficacy of cemented hip arthroplasty and proximal femoral locking plate fixation in the treatment of intertrochanteric fractures in elderly patients. Methods The cases of senile femoral intertrochanteric fracture admitted in our hospital from December, 2011 to February, 2013 were selected, including 18 cas-es treated by cemented hip arthroplasty and 25 cases treated by proximal femoral locking plate fixation. The postoperative effect of both groups was evaluated by operation time, intraoperative blood loss, weight bearing time and Harris score. Results There was no significant differences between the two groups in operation time, intraoperative blood loss and Harris score, but the weight bearing time of hip arthroplasty group was earlier than that of the internal fixation group with statistically significant difference ( P<0.05). Conclusion Both cemented hip arthroplasty and proximal femoral locking plate fixation in the treatment of intertrochanteric frac-tures in elderly patients can obtain satisfactory results, but weight bearing time of the former is much earlier, and postoperative complications are less.