지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 214 - 219 (6page)
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초록· 키워드
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Purpose: Patients who have secondary hip osteoarthritis as sequelae of Legg-Calve´-Perthes disease (LCPD) are severe deformities of femoral head and acetabulum. A few studies have presented that the clinical results and risks associated with total hip arthroplasty (THA) for patients with a history of LCPD were not satisfactory. Inthis study, we reported the radiographic and clinical outcomes of THA in patients with sequelae of LCPD.
Materials and Methods: Between March 2007 and May 2012, 23 hips (23 patients) underwent cementless THA and were followed up at least 2 years after surgery. There were 11 male patients and 12 female patients with an average age of 49.2 years old (range, 25 to 69 years old), and the average follow up period was 40.8 months (range, 24 to 84 months). The clinical and radiological evaluations were performed.
Results: The Harris hip score improved from 48.3 points preoperatively to 92.4 points at the time of the last follow-up. The shortening of affected limb was improved from –1.6 cm to 0.2 cm. The complications included one case of sciatic nerve palsy that developed after extensive lengthening of lower extremity, three cases of intraoperativefemur fractures. There was no component loosening.
Conclusion: Fractures and motor nerve palsies may be more frequent in this population. Careful preoperative planning should be performed to overcome the technical pitfalls. If overcoming this early complication, the clinical and radiological evaluations showed excellent outcomes at average 40-month follow-ups.
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참고문헌 (25)
참고문헌 신청
Al-Khateeb H / 2014 / Custom cementless THA in patients with Legg-Calve´-Perthes Disease / J Arthroplasty 29 : 792 ~ 796
Baghdadi YM / 2013 / Total hip arthroplasty for the sequelae of Legg-Calve´-Perthes disease / Clin Orthop Relat Res 471 : 2980 ~ 2986
Bargar WL / 1989 / Shape the implant to the patient. A rationale for the use of custom-fit cementless total hip implants / Clin Orthop Relat Res 249 : 73 ~ 78
Callaghan JJ / 1985 / Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to fiveyear follow-up / J Bone Joint Surg Am 67 :
Catterall A / 1971 / The natural history of Perthes’ disease / J Bone Joint Surg Br 53 : 37 ~ 53
Baghdadi YM / 2013 / Total hip arthroplasty for the sequelae of Legg-Calve´-Perthes disease / Clin Orthop Relat Res 471 : 2980 ~ 2986
Bargar WL / 1989 / Shape the implant to the patient. A rationale for the use of custom-fit cementless total hip implants / Clin Orthop Relat Res 249 : 73 ~ 78
Callaghan JJ / 1985 / Results of revision for mechanical failure after cemented total hip replacement, 1979 to 1982. A two to fiveyear follow-up / J Bone Joint Surg Am 67 :
Catterall A / 1971 / The natural history of Perthes’ disease / J Bone Joint Surg Br 53 : 37 ~ 53
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