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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
- 2020.1
- 수록면
- 148 - 155 (8page)
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Purpose: The utility of total hip arthroplasty (THA) for the treatment of displaced femoral neck fractures in elderly patients (≥80 years of age) remains controversial as a patient’s general condition is an essential factor impacting recovery. This study aims to determine if THA is a valuable option for appropriately selected elderly patients. Materials and Methods: All patients underwent cementless THA using a direct lateral approach with a rectangular stem. Eighty-two patients ≥80 years of age underwent THA due to a displaced femoral neck. Clinical frailty scale (CFS) scores <5 were indicated for THA. The modified Harris hip score (mHHS), visual analogue scale (VAS), and patient satisfaction were used to assess outcomes. Results: Nine of 82 patients died in the study period with another underlying disease. One, a 90-year-old male with pneumonia expired in the intensive care unit at 7-day postoperatively, while the other eight died due to causes unrelated to THA. Of the remaining 73 patients: (i) mean mHHS score increased to 80.57±21.36 at 1- year postoperatively; (ii) VAS was 2.3±0.9 points six-months postoperatively; and (iii) 78.7% of patients reported that they were very satisfied or satisfied 1-year postoperatively. The number of perioperative complications was 10.8% (9 hips) without the need for revision surgery. Conclusion: The use of THA in patients ≥80 years of age with low CFS scores (<5) described here yielded favorable results and a relatively low rate of complications. However, a well-controlled comparative study or randomized trial is required to further refine selection criteria for THA in this patient population.
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참고문헌 (33)
참고문헌 신청
Lofthus CM / 2001 / Epidemiology of hip fractures in Oslo, Norway / Bone 29:413~418
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Hedbeck CJ / 2011 / Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures : a concise four-year follow-up of a randomized trial / J Bone Joint Surg Am 93:445~450
Enocson A / 2009 / Dislocation of total hip replacement in patients with fractures of the femoral neck / Acta Orthop 80:184~189
Troelsen A / 2013 / A review of current fixation use and registry outcomes in total hip arthroplasty : the uncemented paradox / Clin Orthop Relat Res 471:2052~2059
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Hedbeck CJ / 2011 / Comparison of bipolar hemiarthroplasty with total hip arthroplasty for displaced femoral neck fractures : a concise four-year follow-up of a randomized trial / J Bone Joint Surg Am 93:445~450
Enocson A / 2009 / Dislocation of total hip replacement in patients with fractures of the femoral neck / Acta Orthop 80:184~189
Troelsen A / 2013 / A review of current fixation use and registry outcomes in total hip arthroplasty : the uncemented paradox / Clin Orthop Relat Res 471:2052~2059
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