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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 232 - 240 (9page)
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초록· 키워드
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Purpose: The current study aims to evaluate the clinical and the radiological outcome of bipolar hemiarthroplasty using cementless cone stem to treat osteoporotic femoral neck fracture and compare the results according to the proximal femur geometry.
Materials and Methods: Seventy-five hips (75 patients) that underwent bipolar hemiarthroplasty with cementless cone stem between September 2006 and December 2011 were analyzed. The minimum follow-up period was 3 years. Thirty-three hips were classified as type B and 41 as type C. The clinical outcome was assessed using Harris hip score and the walking ability score. Radiographic evaluation was performed to evaluate the stability of the prosthesis.
Results: At the most recent follow up, the mean Harris hip score was 86 (range, 70-92) and 65% recovered to preoperative ambulatory status. In the radiographic exam, stable stem fixation was achieved in all cases. For the complications, eight hips developed deep vein thrombosis while three hips showed heterotopic ossification.
Dislocation and delayed deep infection occurred in one hip resepectively. There were no significance differences in Harris hip score and walking ability score when the type B group was compare with the type C.
Conclusion: Bipolar hemiarthroplasty with cementless cone stem showed an excellent early outcome both clinically and radiographically regardless of the shape of the proximal femur. We believe this prosthesis can provide early stability to the Dorr type B and C femur and is an effective treatment for treating osteoporotic femoral neck fracture.
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참고문헌 (30)
참고문헌 신청
Engh CA / 1986 / Principles, techniques, results, and complications with a porous-coated sintered metal system / Instr Course Lect 35:169~183
Wong M / 1995 / Effect of surface topology on the osseointegration of implant materials in trabecular bone / J Biomed Mater Res 29:1567~1575
Zhang J / 2010 / Characterization of indentation response and stiffness reduction of bone using a continuum damage model / J Mech Behav Biomed Mater 3:189~202
Bezwada HP / 2004 / Cementless bipolar hemiarthroplasty for displaced femoral neck fractures in the elderly / J Arthroplasty 19 (7 Suppl 2) : 73 ~ 77
Brooker AF / 1973 / Ectopic ossification following total hip replacement. Incidence and a method of classification / J Bone Joint Surg Am 55 : 1629 ~ 1632
Wong M / 1995 / Effect of surface topology on the osseointegration of implant materials in trabecular bone / J Biomed Mater Res 29:1567~1575
Zhang J / 2010 / Characterization of indentation response and stiffness reduction of bone using a continuum damage model / J Mech Behav Biomed Mater 3:189~202
Bezwada HP / 2004 / Cementless bipolar hemiarthroplasty for displaced femoral neck fractures in the elderly / J Arthroplasty 19 (7 Suppl 2) : 73 ~ 77
Brooker AF / 1973 / Ectopic ossification following total hip replacement. Incidence and a method of classification / J Bone Joint Surg Am 55 : 1629 ~ 1632
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