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
- 2018.1
- 수록면
- 254 - 259 (6page)
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초록· 키워드
오류제보하기
Purpose: Internal fixation using compression hip screws (CHS) and traction tables placing patients in the supine position is a gold standard option for treating intertrochanteric fractures; however, at our institution, we approach this treatment with patients in a lateral decubitus position. Here, the results of 100 consecutive elderly (i.e., ≥45years of age) patients who underwent internal fixation with CHS in lateral decubitus position are analyzed. Materials and Methods: Between March 2009 and May 2011, 100 consecutive elderly patients who underwent internal fixation with CHS for femoral intertrochanteric fracture were retrospectively reviewed. Clinical outcomes (i.e., Koval score, Harris hip score [HHS]) and radiographic outcomes (i.e., bone union time, amount of sliding of lag screw, tip-apex distance [TAD]) were evaluated. Results: Clinical assessments revealed that the average postoperative Koval score decreased from 1.4 to 2.6 (range, 0-5; P<0.05); HHS was 85 (range, 72-90); and mean bone union time was 5.0 (range, 2.0-8.2) months. Radiographic assessments revealed that anteroposterior average TAD was 6.95 (range, 1.27-14.63) mm; lateral average TAD was 7.26 (range, 1.20-18.43) mm; total average TAD was 14.21 (range, 2.47-28.66) mm; average lag screw sliding was 4.63 (range, 0-44.81) mm; and average angulation was varus 0.72。(range, –7.6。-12.7。). There were no cases of screw tip migration or nonunion, however, there were four cases of excessive screw sliding and six cases of varus angulation at more than 5。. Conclusion: CHS fixation in lateral decubitus position provides favorable clinical and radiological outcomes. This technique is advisable for regular CHS fixation of intertrochanteric fractures.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Ferrari S / 2016 / Unmet needs and current and future approaches for osteoporotic patients at high risk of hip fracture / Arch Osteoporos 11:37
Steinberg GG / 1988 / The intertrochanteric hip fracture. A retrospective analysis / Orthopedics 11:265~273
Morris AH / 2002 / National Consensus Conference on improving the continuum of care for patients with hip fracture / J Bone Joint Surg Am 84-A:670~674
Doppelt SH. / 1980 / The sliding compression screw--today’s best answer for stabilization of intertrochanteric hip fractures / Orthop Clin North Am 11:507~523
Halder SC. / 1992 / The Gamma nail for peritrochanteric fractures / J Bone Joint Surg Br 74:340~344
Steinberg GG / 1988 / The intertrochanteric hip fracture. A retrospective analysis / Orthopedics 11:265~273
Morris AH / 2002 / National Consensus Conference on improving the continuum of care for patients with hip fracture / J Bone Joint Surg Am 84-A:670~674
Doppelt SH. / 1980 / The sliding compression screw--today’s best answer for stabilization of intertrochanteric hip fractures / Orthop Clin North Am 11:507~523
Halder SC. / 1992 / The Gamma nail for peritrochanteric fractures / J Bone Joint Surg Br 74:340~344
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