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대퇴골경부 골절의 수술적 치료 방법의 비교
Comparative Analysis of the Surgical Treatment in the Fracture of Femoral Neek
최기홍(Ki Hong Choi),강충남(Chung Nam Kang),왕진만(Jin Man Wang),노권재(Kwon Jae Roh),오진록(Jin Rok Oh)
UCI I410-ECN-0102-2009-510-005275177

We analyzed eighty-four fractures of femoral neck treated with surgery aml followed over 9 months at Ewha Womans LJniversity Hospital. from April 1983 to Febrary 1990. Of these, fourty-four patients were treated with internal fixation (multiple pinning or compression hip screw), Thirty-three patients with primary endoprosthesis or bipalar endoprosthesis, eight patients with total hip replacement arthrophasty. We analyzed clinically the postoperative results of the treatment group in asepect of age of patients, degrees of osteoposis and type of the fracture. Following results were obtained. l. In our series, the highest incidence age was 7th decade. 2. The most common cause was slip down. 3 The common fracture types were transcervical anatomically, stage III in Garden's classification, type II in Pauwel's classification. 4. According to the analysis of result, in the patient above 65-year old with osteoporosis and in case of the fracture type of subcapital, stage IV in Garden's classification, type III in Pauwel's classication, the endoprosthesis or total hip replacement arthroplasty in surgical treatment resulted in satisfaction.

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