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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
- 2016.1
- 수록면
- 208 - 216 (9page)
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초록· 키워드
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Purpose: To compare and analyze clinical and radiologic outcomes of cemented versus cementless bipolar hemiarthroplasty for treatment of femur neck fractures.
Materials and Methods: A total of 180 patients aged 65 years and over older who underwent bipolar hemiarthroplasty for treatment of displaced femur neck fractures (Garden stage III, IV) from March 2009 to February 2014 were included in this study. Among the 180 patients, 115 were treated with cemented stems and 65 patients with cementless stems. Clinical outcomes assessed were: i) postoperative ambulatory status, ii) inguinal and thigh pain, and iii) complications. The radiologic outcome was femoral stem subsidence measured using postoperative simple X-ray.
Results: The cemented group had significantly lower occurrence of complications (postoperative infection, P=0.04) compared to the cementless group. There was no significant difference in postoperative ambulatory status, inguinal and thigh pain, and femoral stem subsidence.
Conclusion: For patients undergoing bipolar hemiarthroplasty, other than complications, there was no statistically significant difference in clinical or radiologic outcomes in our study. Selective use of cemented stem in bipolar hemiarthroplasty may be a desirable treatment method for patients with poor bone quality and higher risk of infections.
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Branco JC / 2009 / Epidemiology of hip fractures and its social and economic impact. A revision of severe osteoporosis current standard of care / Acta Reumatol Port 34:475~485
Cuckler JM / 1994 / An algorithm for the management of femoral neck fractures / Orthopedics 17:789~792
Dhanwal DK / 2011 / Epidemiology of hip fracture : Worldwide geographic variation / Indian J Orthop 45:15~22
Frihagen F / 2007 / Hemiarthroplasty or internal fixation for intracapsular displaced femoral neck fractures : randomised controlled trial / BMJ 335:1251~1254
Branco JC / 2009 / Epidemiology of hip fractures and its social and economic impact. A revision of severe osteoporosis current standard of care / Acta Reumatol Port 34:475~485
Cuckler JM / 1994 / An algorithm for the management of femoral neck fractures / Orthopedics 17:789~792
Dhanwal DK / 2011 / Epidemiology of hip fracture : Worldwide geographic variation / Indian J Orthop 45:15~22
Frihagen F / 2007 / Hemiarthroplasty or internal fixation for intracapsular displaced femoral neck fractures : randomised controlled trial / BMJ 335:1251~1254
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고령 환자의 상완골 근위부 3 분, 4 분 골절에서 임플란트 높이와 결절의 골성 결합에 근거하여 cementless short stem 을 이용한 반관절치환술의 기능적, 영상학적 결과
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