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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
- 2016.1
- 수록면
- 76 - 81 (6page)
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초록· 키워드
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Purpose: We evaluated the clinical and radiographic midterm results of primary total hip arthroplasty (THA) using a 36 mm diameter femoral head on 1st generation highly cross-linked polyethylene (HXLPE) in patients 50 years and less with minimum five year follow-up.
Materials and Methods: We retrospectively reviewed 31 patients (41 hips) aged 50 years and less underwent primary THA with a 36 mm diameter femoral head on HXLPE between 2004 and 2010. Clinical follow-ups included specific measurements like modified Harris hip scores (HHS) and Merle d’Aubigne and Postel score. For radiologic evaluations, together with position of acetabular cup at six weeks later of postoperation, we separately calculated the penentrations of femoral head into polyethylene liners during postoperation and one year later check-ups, and during one year later check-ups and final check-ups.
Results: There were no major complications except for one case of dislocation. Average modified HHS at final follow-up was 88 (81-98), and Merle d’Aubigne and Postel scores were more than 15. Mean acetabular cup inclination and anteversion were 45.81。(36.33。-54.91。) and 13.26。(6.72。-27.71。), respectively. Average femoral head penetration of steady-state wear rate determined using radiographs taken at one-year postoperatively and at latest follow-up was 0.042±0.001 mm/year.
Conclusion: Based on minimum 5 years clinical results, we think 36 mm metal head coupling with HXLPE as the good alternate articulation surface when planning THA for patients aged 50 years and less.
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참고문헌 (27)
참고문헌 신청
Schmalzried TP / 1992 / Periprosthetic bone loss in total hip arthroplasty. Polyethylene wear debris and the concept of the effective joint space / J Bone Joint Surg Am 74:849~863
Babovic N / 2013 / Total hip arthroplasty using highly cross-linked polyethylene in patients younger than 50 years with minimum 10-year follow-up / J Arthroplasty 28:815~817
Delasotta LA / 2012 / What are young patients doing after hip reconstruction? / J Arthroplasty 27:1518~1525
Heisel C / 2003 / Bearing surface options for total hip replacement in young patients / J Bone Joint Surg Am 85:1366~1379
Yoo JJ / 2005 / Alumina-on-alumina total hip arthroplasty. A five-year minimum follow-up study / J Bone Joint Surg Am 87:530~535
Babovic N / 2013 / Total hip arthroplasty using highly cross-linked polyethylene in patients younger than 50 years with minimum 10-year follow-up / J Arthroplasty 28:815~817
Delasotta LA / 2012 / What are young patients doing after hip reconstruction? / J Arthroplasty 27:1518~1525
Heisel C / 2003 / Bearing surface options for total hip replacement in young patients / J Bone Joint Surg Am 85:1366~1379
Yoo JJ / 2005 / Alumina-on-alumina total hip arthroplasty. A five-year minimum follow-up study / J Bone Joint Surg Am 87:530~535
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