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
- 2017.1
- 수록면
- 54 - 61 (8page)
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초록· 키워드
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Purpose: Hip fractures in hemodialysis patients are accompanied by high rates of complications and morbidities. Previous studies have mainly reported on nonunion and avascular necrosis of femoral neck fractures in this patient group. In this study the complication and clinical results of hemodialysis patients with intertrochanteric fractures treated with proximal femoral intramedullary nailing have been investigated through comparison with patients with normal kidney function.
Materials and Methods: Forty-seven patients were included; the hemodialysis group (n=17) and the control group with normal kidney function (n=30). The medical history and clinical findings including preoperative and postoperative blood examinations, radiological examinations and ambulatory status (measured using the Koval score). The rate of complications and morbidities were also investigated and compared.
Results: Preoperative hemoglobin/hematocrit was lower but a significant increase in partial thromboplastin time was observed in the hemodialysis group. The amount of bleeding/transfusions were higher and operative time was longer in the hemodialysis group. Upon radiologic examination, there was no significant difference in rate of unstable fracture and nonunion between the two groups. However the postoperative Koval score was significantly worse and the odds ratio of inability to walk after surgery was 13.5 times higher in the hemodialysis group.
Conclusion: There was no significant difference in radiological results, but the risk of inability to walk after surgery was 13.5 times higher in the hemodialysis group. Hemodialysis patients have more morbidities and are hemodynamically unstable therefore require special attention. Accurate reduction and firm fixation is required and attentive postoperative rehabilitation is needed.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Alem AM / 2000 / Increased risk of hip fracture among patients with end-stage renal disease / Kidney Int 58 : 396 ~ 399
Altner PC / 1982 / Reasons for failure in treatmen
Buckwalter J / 2010 / Rockwood and Green’s fractures in adults / Lippincott Williams & Wilkins
Chen CY / 2008 / Surgical treatment of basicervical fractures of femur--a prospective evaluation of 269 patients / J Trauma 64 : 427 ~ 429
Coco M / 2000 / Increased incidence of hip fractures in dialysis patients with low serum parathyroid hormone / Am J Kidney Dis 36 : 1115 ~ 1121
Altner PC / 1982 / Reasons for failure in treatmen
Buckwalter J / 2010 / Rockwood and Green’s fractures in adults / Lippincott Williams & Wilkins
Chen CY / 2008 / Surgical treatment of basicervical fractures of femur--a prospective evaluation of 269 patients / J Trauma 64 : 427 ~ 429
Coco M / 2000 / Increased incidence of hip fractures in dialysis patients with low serum parathyroid hormone / Am J Kidney Dis 36 : 1115 ~ 1121
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