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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
- 2015.1
- 수록면
- 164 - 172 (9page)
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초록· 키워드
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Purpose: People with dementia have poor mobility and discharge outcomes following hip fractures. The purpose of this study was to evaluate the clinical and radiological results of internal fixation of undisplaced femur neck fractures (Garden types 1 and 2) by proximal femoral nail antirotation (PFNA) in dementia patients.
Materials and Methods: We studied retrospectively 19 patients with undisplaced femur neck fracture. All patients were over 70 years of age, walked independently with a cane or crutches and suffered moderate-tosevere dementia. Patients were treated with PFNA and followed-up for more than 2 years. Revision, loss of fixation, complications, and walking ability outcomes were measured.
Results: In walking-ability evaluation, patients showed an average decrease of just 0.2 points at the final followup. Walking ability was evaluated from before injury to 4 weeks after surgery and decreased by less than 0.5 points. Radiological bone union was achieved in 17 cases; the average time to bone union was 4.14 months (range, 2.5-7 months). Complications included non-union in two cases and femoral head avascular necrosis in one case of non-union.
Conclusion: We found that for patients with osteoporotic bone tissues in their femoral heads or patients (e.g.,those suffering dementia) for whom cooperating with medical workers for postoperative walking control or rehabilitation exercises is difficult, implanting a mechanically stable spiral blade for fixation of femoral neck fractures could facilitate walking after surgery.
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참고문헌 (24)
참고문헌 신청
Alho A / 1999 / Internally fixed femoral neck fractures. Early prediction of failure in 203 elderly patients with displaced fractures / Acta Orthop Scand 70 : 141 ~ 144
Arnold WD / 1974 / Treatment of intracapsular fractures of the femoral neck. With special reference to percutaneous Knowles pinning / J Bone Joint Surg Am 56 : 254 ~ 262
Asnis SE / 1994 / Intracapsular fractures of the femoral neck. Results of cannulated screw fixation / J Bone Joint Surg Am 76 : 1793 ~ 1803
Baumgaertner MR / 1995 / The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip / J Bone Joint Surg Am 77 : 1058 ~ 106
Bliemel C / 2015 / Effect of preexisting cognitive impairment on in-patient treatment and discharge management among elderly patients with hip fractures / Dement Geriatr Cog
Arnold WD / 1974 / Treatment of intracapsular fractures of the femoral neck. With special reference to percutaneous Knowles pinning / J Bone Joint Surg Am 56 : 254 ~ 262
Asnis SE / 1994 / Intracapsular fractures of the femoral neck. Results of cannulated screw fixation / J Bone Joint Surg Am 76 : 1793 ~ 1803
Baumgaertner MR / 1995 / The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip / J Bone Joint Surg Am 77 : 1058 ~ 106
Bliemel C / 2015 / Effect of preexisting cognitive impairment on in-patient treatment and discharge management among elderly patients with hip fractures / Dement Geriatr Cog
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