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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 30 - 35 (6page)
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초록· 키워드
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Purpose: In comminuted intertrochanteric fractures, various operative options have been introduced. The purpose of this study was to determine whether there were differences in clinical and radiologic outcomes among bipolar hemiarthroplasty (BH), compression hip screw (CHS) and proximal femur nail antirotation (PFNA) in treating comminuted intertrochanteric fractures (AO/OTA classification, A2 [22, 23])Materials and Methods: We retrospectively evaluated total 150 patients (BH, 50; CHS, 50; PFNA, 50) who were operated due to intertrochanteric fractures from March 2010 to December 2012 and were older than 65 years at the time of surgery. We compared these three groups for radiologic and clinical outcomes at 12 months postoperatively, including Harris Hip Score, mobility (Koval stage), visual analogue scale and radiologic limb length discrepancy (shortening).
Results: There was no statistical significance among three groups in clinical outcomes including Harris Hip Score, mobility (Koval stage), visual analogue scale. However, there was significant differences in radiologic limb discrepancy in plain radiographs at 12 months postoperatively (radiologic shortening: BH, 2.3 mm; CHS, 5.1 mm; PFNA, 3.0 mm; P=0.000).
Conclusion: There were no clinical differences among BH, PFNA, and CHS in this study. However, notable limb length shortening could be originated during fracture healing in osteosynthesis, compared to arthroplasty (BH<PFNA<CHS).
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참고문헌 (21)
참고문헌 신청
Anglen JO / 2008 / Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. A review of the American Board of Orthopaedic Surgery Database / J
Baumgaertner MR / 1995 / The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip / J Bone Joint Surg Am 77 : 1058 ~ 106
Carpentier K / 2012 / Internal fixation of an intertrochanteric femoral fracture after Birmingham hip resurfacing arthroplasty / Acta Orthop Belg 78 : 275 ~ 278
Chen YT / 2008 / Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures / J Arthroplasty 23 : 241 ~ 246
Cole PA / 2006 / What’s n
Baumgaertner MR / 1995 / The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip / J Bone Joint Surg Am 77 : 1058 ~ 106
Carpentier K / 2012 / Internal fixation of an intertrochanteric femoral fracture after Birmingham hip resurfacing arthroplasty / Acta Orthop Belg 78 : 275 ~ 278
Chen YT / 2008 / Diaphyseal locking hip arthroplasty for treatment of failed fixation of intertrochanteric hip fractures / J Arthroplasty 23 : 241 ~ 246
Cole PA / 2006 / What’s n
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