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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
- 2018.1
- 수록면
- 12 - 17 (6page)
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초록· 키워드
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Purpose: This study characterizes the short-term outcomes of ceramic coated metal-on-metal (MoM) large head total hip arthroplasty (THA) in prospectively selected patients aged 70 to 75 years. Materials and Methods: Eighteen patients (18 hips) between the ages of 70 and 75-years old with THA using ceramic-coated MoM large heads between June 2014 and December 2014 were evaluated. We prospectively selected patients younger than 70 years for bipolar hemiarthroplasty and older than 75 years for conventional THA. There were one case of osteoarthritis, 8 cases of femur neck fracture, and 9 cases of intertrochanteric fracture. All patients underwent clinical and radiological follow-up at 6 weeks, 6 and 12 months, and every year postoperatively. The mean duration of follow-up was 24.2 months (range, 18-34 months). Results: The average Harris hip score at the final follow-up was 81.0, except one case which was ultimately converted to conventional THA due to acetabular cup loosening. Radiographically, mean acetabular cup inclination was 45.8。(range, 38-56。) and anteversion was 20.1。(range, 11-25。). The average femoral head size was 48.7 mm. All stems were neutral-positioned except 1 varus-positioned stem. There was 1 case of a soft tissue infection, 3 patients complained of persistent groin pain, and no dislocations occurred. Conclusion: Ceramic coated large MOM articulation (ACCIS) have many complications: cup loosening, groin pain, which can lead to fatal outcomes in the elderly patients. Especially in patients with communicated intertrochanter fracture (AO 31-A22, 23), careful attention should be paid to the choice of surgical option.
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참고문헌 (29)
참고문헌 신청
Woo RY / 1982 / Dislocations after total hip arthroplasty / J Bone Joint Surg Am 64:1295~1306
Turner RS / 1994 / Postoperative total hip prosthetic femoral head dislocations. Incidence, etiologic factors, and management / Clin Orthop Relat Res (301):196~204
Eswaramoorthy V / 2008 / The Metasul metal-on-metal articulation in primary total hip replacement: clinical and radiological results at ten years / J Bone Joint Surg Br 90:1278~1283
Grubl A / 2007 / Long-term follow-up of metal-on-metal total hip replacement / J Orthop Res 25:841~848
Leslie I / 2008 / Effect of bearing size on the long-term wear, wear debris, and ion levels of large diameter metal-on-metal hip replacements-An in vitro study / J Biomed Mater Res B Appl Biomater 87:163~172
Turner RS / 1994 / Postoperative total hip prosthetic femoral head dislocations. Incidence, etiologic factors, and management / Clin Orthop Relat Res (301):196~204
Eswaramoorthy V / 2008 / The Metasul metal-on-metal articulation in primary total hip replacement: clinical and radiological results at ten years / J Bone Joint Surg Br 90:1278~1283
Grubl A / 2007 / Long-term follow-up of metal-on-metal total hip replacement / J Orthop Res 25:841~848
Leslie I / 2008 / Effect of bearing size on the long-term wear, wear debris, and ion levels of large diameter metal-on-metal hip replacements-An in vitro study / J Biomed Mater Res B Appl Biomater 87:163~172
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