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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
- 65 - 77 (13page)
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The rate of acetabular cup revision arthroplasty is gradually rising along with an increased risk of osteolysis and prosthesis loosening over time and an increase in life expectancy. The goals of revision total hip arthroplasty are: i) implant stability through reconstruction of large bone defects, ii) restoration of range of motion and biomechanics of the hip joint, and iii) normalization of uneven limb lengths. In acetabular cup revision arthroplasty, stable fixation of acetabular components is difficult in the presence of severe bone loss (e.g., evidence suggests that it is challenging to achieve satisfactory results in cases of Paprosky type 3 or higher bone defects using conventional techniques). The author of this study performed acetabular revision to manage patients with large areas of defective bones by filling in with morselized impaction allografts. These allografts were irradiated frozen-stored femoral heads acquired from a tissue bank, and were applied to areas of an acetabular bone defect followed by insertion of a cementless cup. When this procedure was insufficient to obtain primary fixation, a tri-cortical or structural allograft using a femoral head was carried out. Structural stability and bone incorporation were confirmed via long-term follow-up. This study aims to review conventional surgical techniques and verify the utility of surgical procedures by analyzing the author’s surgical methods and discussing case reports.
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등록된 정보가 없습니다.
참고문헌 (57)
참고문헌 신청
Kurtz S / 2005 / Prevalence of primary and revision total hip and knee arthroplasty in the United States from 1990 through 2002 / J Bone Joint Surg Am 87:1487~1497
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part I: cementless shells / Am J Orthop (Belle Mead NJ) 38:509~514
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part II: management of major bone loss and pelvic discontinuity / Am J Orthop (Belle Mead NJ) 38:550~556
Pulido L / 2011 / Cementless acetabular revision: past, present, and future. Revision total hip arthroplasty: the acetabular side using cementless implants / Int Orthop 35:289~298
Blumenfeld TJ / 2012 / Implant choices, technique, and results in revision acetabular surgery: a review / Hip Int 22:235~247
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part I: cementless shells / Am J Orthop (Belle Mead NJ) 38:509~514
Issack PS / 2009 / Acetabular component revision in total hip arthroplasty. Part II: management of major bone loss and pelvic discontinuity / Am J Orthop (Belle Mead NJ) 38:550~556
Pulido L / 2011 / Cementless acetabular revision: past, present, and future. Revision total hip arthroplasty: the acetabular side using cementless implants / Int Orthop 35:289~298
Blumenfeld TJ / 2012 / Implant choices, technique, and results in revision acetabular surgery: a review / Hip Int 22:235~247
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