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
- 2016.1
- 수록면
- 35 - 42 (8page)
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초록· 키워드
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Purpose: This study aims to determine the correlation between the fracture patterns and the complications in patients with femoral neck fracture treated with internal fixation.
Materials and Methods: The study comprises 45 patients with femoral neck fracture treated with multiple screws or compression hip screw between May 2008 and April 2012. The mean age was 48 years at the time of the surgery and the mean duration from initial injury to surgery was 20 hours. The fracture patterns were identified according to the anatomical location, the Garden classification and the Pauwels classification. The occurrence of nonunion and avascular necrosis were reviewed with clinical results including Harris hip score and Lunceford hip function test. The correlation between the fracture pattern and occurrence of complications were analyzed.
Results: Fracture site union was achieved in 40 hips with the average union time of 17 weeks. Five nonunions occurred which showed high likelihood to occur in subcapital type, displaced (Garden stage III or IV) and Pauwels type III fractures (P<0.05). Avascular necrosis was developed in 10 hips which was mostly in subcapital type and Pauwels type III fracture but no statistical significance was found (P>0.05). The mean Harris hip score was 91 points, and Lunceford functional results were excellent in 15 hips, good in 24, fair in 4 and poor in 2.
Conclusion: There was high risk of nonunion in subcapital type fracture, displaced fracture (Garden stage III and IV) and vertically oriented fracture (Pauwels type III). Careful attention is needed in these fracture types.
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참고문헌 (20)
참고문헌 신청
Kaplan T / 2012 / Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures / Ulus Travma Acil Cerrahi Derg 18:65~70
Pauyo T / 2014 / Management of femoral neck fractures in the young patient : A critical analysis review / World J Orthop 5:204~217
Yang JJ / 2013 / Risk factors for nonunion in patients with intracapsular femoral neck fractures treated with three cannulated screws placed in either a triangle or an inverted triangle configuration / J Bone Joint Surg Am 95:61~69
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Huang TW / 2011 / Effect of integrity of the posterior cortex in displaced femoral neck fractures on outcome after surgical fixation in young adults / Injury 42:217~222
Pauyo T / 2014 / Management of femoral neck fractures in the young patient : A critical analysis review / World J Orthop 5:204~217
Yang JJ / 2013 / Risk factors for nonunion in patients with intracapsular femoral neck fractures treated with three cannulated screws placed in either a triangle or an inverted triangle configuration / J Bone Joint Surg Am 95:61~69
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Huang TW / 2011 / Effect of integrity of the posterior cortex in displaced femoral neck fractures on outcome after surgical fixation in young adults / Injury 42:217~222
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