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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
- 152 - 163 (12page)
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초록· 키워드
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Purpose: To compare the clinical and radiological results between internal fixation using the proximal femoral nail system and bipolar hemiarthroplasty (BHA) in reverse oblique intertrochanteric hip fractures in elderly patients.
Materials and Methods: From January 2005 to July 2012, we reviewed the medical records of 53 patients who had been treated surgically for reverse oblique intertrochanteric fracture and had been followed-up on for a minimum of two years. All patients were ≥70 years of age, and divided into two groups for retrospective evaluation. One group was treated with internal fixation using the proximal femoral nail system (31 cases), and the other group was treated with BHA (22 cases).
Results: Early ambulation postoperatively and less pain at postoperative three month were significantly superior in the BHA group. However, by 24 months postoperatively, the internal fixation group exhibited higher Harris scores and correspondingly less pain than the BHA group. There were no significant differences in union rate, duration of hospitalization or lateral wall fracture healing between the two groups. Four patients in the internal fixation group underwent reoperation.
Conclusion: In the treatment of intertrochanteric fracture of the reverse oblique type, open reduction and internal fixation should be considered to be the better choice for patients with good health and bone quality. However, in cases of severe comminition of fracture and poor bone quality, BHA is an alternative offering advantages including early ambulation, less pain at early stages, and a lower risk of reoperation.
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Marsh JL / 2007 / Fracture and dislocation classification compendium - 2007: Orthopaedic Trauma Association classification, database and outcomes committee / J Orthop Trauma 21(10 Suppl):S1~S133
Brammar TJ / 2005 / Reverse obliquity and transverse fractures of the trochanteric region of the femur; a review of 101 cases / Injury 36:851~857
Park MS / 2013 / Cementless bipolar hemiarthroplasty using a rectangular cross-section stem for unstable intertrochanteric fractures / Hip Int 23:316~322
Grimsrud C / 2005 / Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures / J Arthroplasty 20:337~343
Haidukewych GJ / 2001 / Reverse obliquity fractures of the intertrochanteric region of the femur / J Bone Joint Surg Am 83(A):643~650
Brammar TJ / 2005 / Reverse obliquity and transverse fractures of the trochanteric region of the femur; a review of 101 cases / Injury 36:851~857
Park MS / 2013 / Cementless bipolar hemiarthroplasty using a rectangular cross-section stem for unstable intertrochanteric fractures / Hip Int 23:316~322
Grimsrud C / 2005 / Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures / J Arthroplasty 20:337~343
Haidukewych GJ / 2001 / Reverse obliquity fractures of the intertrochanteric region of the femur / J Bone Joint Surg Am 83(A):643~650
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