Hip & pelvis

  • 제22권1호
  • /
  • Pages.13-19
  • /
  • 2010
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
권호 표지

대퇴 경부 골절

Femoral Neck Fracture

  • 윤형구 (차의과학대학교 분당차병원 정형외과학교실) ;
  • 단진명 (구미차병원 정형외과학교실)
  • Yoon, Hyung-Ku (Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University) ;
  • Dan, Jin-Myong (Department of Orthopaedic Surgery, CHA Gumi Medical Center, CHA University)
  • 발행 : 2010.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

대퇴 경부 골절은 최근 들어 증가하는 추세이며, 이에 따른 관심이 높아지고 있다. 젊은 인구와 노령 인구에서 손상 기전이 다른데, 젊은 인구에서는 주로 고에너지 손상 후 일어나며, 노령 인구에서는 골다공증으로 인해 속발한다. 치료로는 젊은 인구군에서는 합병증을 줄이기 위해 다발성 유관 나사를 이용한 정확한 해부학적 정복 및 견고한 고정이 필수이며, 노령 인구군에서는 빠른 재활을 가능하게 하여 합병증을 예방할 수 있는 인공관절 치환술이 추천 된다.

The incidence of the femoral neck fracture is increasing, and the mechanism of the injuries is quite different in the young and elderly groups (high energy injury and osteoporosis, respectively). In the young group, early anatomical reduction and rigid fixation by such measures as multiple cannulated screws are mandatory to decrease the complications. In the elderly group, hip arthroplasty is recommended to decrease the complications due to early mobilization.

키워드

참고문헌

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