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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
- 2017.1
- 수록면
- 262 - 269 (8page)
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초록· 키워드
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Purpose: Bipolar hemiarthroplasty (HA) is an option for the treatment of unstable intertrochanteric fracture in elderly patients. There is a raising concern regarding cable-grip related complications for the fixation of trochanteric fragments. Therefore, the aim of this study was to evaluate outcome of cementless HA with fixation for the trochanteric fragments using monofilament wires in unstable intertrochanteric fracture.
Materials and Methods: We reviewed 92 cementless bipolar HAs using a grit-blasted long stem design for unstable intertrochanteric fractures in 91 elderly patients with a mean age of 81.7 years. During the arthroplasty, trochanteric fracture fragments were fixed using 1 or 2 vertical wires and transverse wires. We evaluated the clinical outcomes such as abductor power, ambulatory ability and wire-related complications, and radiologic outcomes including the union of the trochanteric fragment and subsidence of stem.
Results: Sixty-two patients were followed for a minimum of 2 years (mean, 59 months) postoperatively. The mean abductor power and Koval category was 4.1 (range, 3 to 5) and 4.6 (range, 1 to 6). The wire was broken in 3 hips (4.8%) and the nonunion of the greater trochanter occurred in 1 hips (1.6%). Two stems subsided by 3 mm and 8 mm, respectively, during postoperative 6 weeks, after which the subsidence was not progressive.
Conclusion: Cerclage wiring of the trochanter using monofilament wire leads to acceptable outcome in cementless HA for senile patients with unstable intertrochanteric fracture. Cerclage wiring using a monofilament wire is recommended for the fixation of trochanteric fragments.
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참고문헌 (22)
참고문헌 신청
Abdelkhalek M / 2013 / Cemented bipolar hemiarthroplasty with a cerclage cable technique for unstable intertrochanteric hip fractures in elderly patients / Eur J Orthop Surg
Brooker AF / 1973 / Ectopic ossification following total hip replacement. Incidence and a
Capello WN / 2009 / Late remodeling around a proximally HAcoated tapered titanium femoral component / Clin Orthop Relat Res 467 : 155 ~ 165
Cha YH / 2017 / Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture / Arch Orthop Trauma Surg 137 : 625 ~ 630
Charnley J / 1970 / Total hip replacement by low-friction arthroplasty / Clin Orthop Relat Res 72 : 7 ~ 21
Brooker AF / 1973 / Ectopic ossification following total hip replacement. Incidence and a
Capello WN / 2009 / Late remodeling around a proximally HAcoated tapered titanium femoral component / Clin Orthop Relat Res 467 : 155 ~ 165
Cha YH / 2017 / Effect of causes of surgical delay on early and late mortality in patients with proximal hip fracture / Arch Orthop Trauma Surg 137 : 625 ~ 630
Charnley J / 1970 / Total hip replacement by low-friction arthroplasty / Clin Orthop Relat Res 72 : 7 ~ 21
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