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
- 2020.1
- 수록면
- 78 - 87 (10page)
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초록· 키워드
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Purpose: To determine if it is feasible and safe for a surgeon to transition from using the posterolateral approach to direct anterior approach (DAA) by evaluating the first 53 cases of total hip arthroplasty using a DAA. Materials and Methods: A retrospective review of 52 patients who underwent THA using a DAA between July 2017 and December 2018. Reasons for THA were: femoral neck fracture (n=34), avascular necrosis (n=13), and arthritis (n=6). The mean age was 70 years old. An assessment of feasibility was made by analyzing mean operative time and blood loss. Cup inclination, anteversion, and leg length discrepancy (LLD) were measured using postoperative radiology. Safety of the DAA was judged using the incidence and nature of all complications. Results: The mean operative time was 112 minutes. 135 minutes for the 1st 10 cases, 100 minutes for 2nd 10 cases, 113 minutes for 3rd 10 cases, 119 minutes for 4th 10 cases, and 91 minutes for the final 13 cases. The mean blood loss was 724 mL. Average cup inclination was 40.27。; 2 cases were out of safety angle. Mean anteversion was 16.18。. No intraoperative fractures or infections were observed. LLD was detected in 3 cases, one of which underwent revision due to walking difficulty. Dislocation occurred in 3 cases, all within the first 20 cases, however, there was no recurrent dislocation. Conclusion: DAA for THA was deemed to be feasible and safe based on an assessment of operative time, blood loss and complications.
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참고문헌 (24)
참고문헌 신청
Kurtz S / 2007 / Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 / J Bone Joint Surg Am 89:780~785
De Geest T / 2013 / Direct anterior total hip arthroplasty : complications and early outcome in a series of 300 cases / Acta Orthop Belg 79:166~173
Mears DC / 2003 / Development of a two-incision minimally invasive total hip replacement / J Bone Joint Surg Am 85:2238~2240
Chechik O / 2013 / Surgical approach and prosthesis fixation in hip arthroplasty world wide / Arch Orthop Trauma Surg 133:1595~1600
Kennon RE / 2003 / Total hip arthroplasty through a minimally invasive anterior surgical approach / J Bone Joint Surg Am 4:39~48
De Geest T / 2013 / Direct anterior total hip arthroplasty : complications and early outcome in a series of 300 cases / Acta Orthop Belg 79:166~173
Mears DC / 2003 / Development of a two-incision minimally invasive total hip replacement / J Bone Joint Surg Am 85:2238~2240
Chechik O / 2013 / Surgical approach and prosthesis fixation in hip arthroplasty world wide / Arch Orthop Trauma Surg 133:1595~1600
Kennon RE / 2003 / Total hip arthroplasty through a minimally invasive anterior surgical approach / J Bone Joint Surg Am 4:39~48
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