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
- 104 - 111 (8page)
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Purpose: We investigated the incidence and time of dislocation and other factors associated with dislocation of bipolar hemiarthroplasty related to the treatment of femoral neck fracture in old age patients.
Materials and Methods: Between January 2002 and April 2014, 498 femoral neck fractures (467 patients) were treated with bipolar hemiarthroplasty and included in this study. All surgeries were performed using the posterolateral approach. The incidence of dislocation was investigated. A comparative analysis between a control group and dislocation group was performed with respect to patient factors including age, gender, body mass index, comorbidities, the ASA (American Society of Anesthesiologists) score, mental status and center-edge angle, and surgical factors including type of femoral stem, leg length discrepancy, femoral offset and method of short external rotator (SER) reconstruction.
Results: The incidence of dislocation was 3.8%, and the dislocation occurred on average 2.2 months (range, 0.6-6.5 months) after operation. No difference in patient-related factors was observed between the two groups. However, a smaller center edge (CE) angle was observed in the dislocation group (42.1。±3.2。vs. 46.9。±5.4。, P<0.001), and significantly lower incidence of dislocation was observed in tendon to bone repair group (0.7% vs 7.8%, P<0.001).
Conclusion: SERs should be repaired using the tendon-to-bone repair method to reduce dislocation rate in elderly patients who undergo bipolar hemiarthroplasty using the postero-lateral approach due to femoral neck fracture. In addition, patients with smaller CE angle should be carefully monitored due to high incidence of dislocation.
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등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Klop C / 2014 / Mortality in British hip fracture patients, 2000-2010 : a population-based retrospective cohort study / Bone 66:171~177
Brozek W / 2014 / Mortality after hip fracture in Austria 2008-2011 / Calcif Tissue Int 95:257~266
Turner RS / 1994 / Postoperative total hip prosthetic femoral head dislocations. Incidence, etiologic factors, and management / Clin Orthop Relat Res 301:196~204
Moore AT / 1957 / The self-locking metal hip prosthesis / J Bone Joint Surg Am 39-A:811~827
Hardinge K / 1982 / The direct lateral approach to the hip / J Bone Joint Surg Br 64:17~19
Brozek W / 2014 / Mortality after hip fracture in Austria 2008-2011 / Calcif Tissue Int 95:257~266
Turner RS / 1994 / Postoperative total hip prosthetic femoral head dislocations. Incidence, etiologic factors, and management / Clin Orthop Relat Res 301:196~204
Moore AT / 1957 / The self-locking metal hip prosthesis / J Bone Joint Surg Am 39-A:811~827
Hardinge K / 1982 / The direct lateral approach to the hip / J Bone Joint Surg Br 64:17~19
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