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
- 2019.1
- 수록면
- 87 - 94 (8page)
이용수
초록· 키워드
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Purpose: Cup-cage construct technique was developed to address the massive acetabular defects during revision hip arthroplasty. Indications have extended to complex acetabular fractures with pelvic discontinuity necessitating acute total hip arthroplasty. However, its use is constrained in low socioeconomic countries due to non-availability of the original cages from Trabecular Metal Acetabular Revision System and high cost. We used a novel technique using the less expensive Burch-Schneider (BS) cage and Trabecular Metal Revision Shell (TMRS) to address the problem. Materials and Methods: We reviewed a consecutive series of 8 cases of acetabular fractures reconstructed using a ‘cup-cage construct’ technique using a BS cage along with a TMRS. The mean age of the patients was 61.4 years. Patients were followed up for a mean period of 50.5 months (24 to 72 months). The patients were assessed clinically with Harris Hip Score and radiologically with serial X-rays. Results: All the patients were available at the latest follow up. The mean Harris Hip Score was 87.2. There was no radiological evidence of failure. One patient had dislocation two months following the surgery, which was treated by closed reduction and hip abduction brace. One patient developed an infection at 3 weeks necessitating debridement. The same patient had sciatic nerve palsy that recovered after 4 months. Conclusion: This novel technique of the cup-cage construct seems to provide a stable construct at short to midterm follow-up. However, a long-term follow up would be required.
목차
등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Matta JM / 1988 / Displaced acetabular fractures / Clin Orthop Relat Res (230):83~97
Anglen JO / 2003 / The"Gull Sign" : a harbinger of failure for internal fixation of geriatric acetabular fractures / J Orthop Trauma 17:625~634
Bhandari M / 2006 / Predictors of clinical and radiological outcome in patients with fractures of the acetabulum and concomitant posterior dislocation of the hip / J Bone Joint Surg Br 88:1618~1624
Kreder HJ / 2006 / Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall / J Bone Joint Surg Br 88:776~782
Mears DC / 1999 / Surgical treatment of acetabular fractures in elderly patients with osteoporotic bone / J Am Acad Orthop Surg 7:128~141
Anglen JO / 2003 / The"Gull Sign" : a harbinger of failure for internal fixation of geriatric acetabular fractures / J Orthop Trauma 17:625~634
Bhandari M / 2006 / Predictors of clinical and radiological outcome in patients with fractures of the acetabulum and concomitant posterior dislocation of the hip / J Bone Joint Surg Br 88:1618~1624
Kreder HJ / 2006 / Determinants of functional outcome after simple and complex acetabular fractures involving the posterior wall / J Bone Joint Surg Br 88:776~782
Mears DC / 1999 / Surgical treatment of acetabular fractures in elderly patients with osteoporotic bone / J Am Acad Orthop Surg 7:128~141
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