- 作者： 韓毅雄
- 作者服務機構： 國立臺灣大學醫學院外科學系
- 中文摘要：
本研究的目的，在於瞭解臺灣地區長骨骨折發生的頻率，及骨折後手術內固定用器材的使用
情形，以提供我國將來發展醫學工程的資料，和製造骨折內固定用器材的參考，本研究乃以問卷
方式，調查了全省71家大型醫院，再將原始調查資料加以整理、統計並分析。
本調查所得的長骨骨折總人數為7,079人，其中1976年為3,038人，而1978年為4,041人
增加約33％，至於骨折的總次數，則由於有多發性骨折的緣故而為9,495次，其中以股骨骨折最
多，佔34.5％(3,275次），其次為脛骨及腓骨骨折，各佔21.6％及15.1％，至於上肢骨折的數
目則較少。
在全部9,495次長骨骨折中，有60.2％為（5,716次）的骨折利用手術內固定法來治療，亦即是
說有一半以上的骨折，是用開刀的方式來加以固定。骨折後施行手術治療的比率，以股骨為最
多，約佔股骨骨折總數的87.5％，其次為脛骨（59％）。所有長骨骨折的手術病例中，股骨骨折
手術的次數，約佔全部手術次數的一半以上，而股骨與脛骨骨折手術次數合起來，則約佔全部手
術次數的71％。
手術所使用的內固定器裏，以骨髓內釘使用的最多，約佔18.4％（兩年內使用了1,083次），
其次為Compression Plate，佔9％（528次），而Moore Prosthesis的使用率也相當高，約
佔7.3％（431次）。Compression Hip Screw在1978年度使用了135次，但較子間骨折的增加
率為103％，而McLaughlin, Neufeld及Jewett等過去常用的固定用骨釘，其使用增加率，
在1978年?只有50％左右，可見Compression Hip Screw的使用率，將來很可能會大大的
提高。
髖全人工關節的置換，在1976年有26次，但到了1978年?高達127次，增加了將近五
倍，因此本調查明白的顯示全人工關節的置換將有大量增多的趨勢。
p - 英文摘要： The purpose of this project is to supply avital statistical data with regards the incidenceof long bone fracture and implant usage inTaiwan for the future references in the develop-ment of orthopaedic bioengineering and techno-logy of manufacturing various implants in Tai-wan. The survey was carried out utilizing aquestionnaire form to collect information in1976 and 1978 for a comparative purpose. In-formative data were compiled from 71 hospitalswhich represent major institutions involved inthe care of trauma patients. Total number oflong bone fractures amounted to 7,079 patientsin the two years period; 3,038 patients in 1976and 4,041 in 1978 respectively, with an percent-age increment of 33%. On account of simultaneous fracture ofradius-ulna or tibia-fibula as well as multiplefractures which occurred in an individual, thenumber of long bone fractures increased to 9,495times. Among them, fracture of the femur con-stituted 34.5%（3,275 bones) followed by fractureof the tibia and fibula which accounted for21.6% and 15.1% respectively. Fracture of theupper extremity was much less compared withthat of lower extremity. Approximately 60% (5,716 bones) of theselong bone fractures were treated by openreduction and internal fixation with variousmetal devices. With regards an individual bone,87.5% of the fracture of the femur were treatedby surgery and fixation. Fifty-nine% of thetibia fracture were treated likewise. Considering total operated long bone frac-tures (5,716 bones), 50% were the femurs (2,864femurs), and 21% were the tibias（1,209 tibias).They constituted 71% of all operated bones. Of all fixation devices used for fracturetreatment, 18.4 % were intramedullary nails(altogether 1,083 nails had been used in the twoyears period). Compression plate comprised9.0% (528 plates) followed by Moore Prosthesis(7.3%). Since the introduction of CompressionHip Screw in 1978, its usage has been tremend-ously increased, replacing other devices suchas McLaughlin, Neufeld and Jewett nail.One hundred and three % of increment in theincidence of pertrochancteric fracture was obs-erved between the year 1976 and 1978. Only26 total hip replacements were done in 1976,however its usage jumped to 127 in 1978. Thisfigure strongly indicates there will be a steadyincrease in total joint replacement surgery inthe future.
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- 英文關鍵字： --
