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
- 2021.1
- 수록면
- 25 - 32 (8page)
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초록· 키워드
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Purpose: The current study aimed to investigate the morphology of the true acetabulum in developmental dysplasia of the hip (DDH) with high dislocation. A secondary was to evaluate the acetabular cup placement in patients with high dislocation who were treated with total hip arthroplasty (THA). Materials and Methods: Using a retrospective design, 23 hips with DDH with high dislocation in patients who were treated with THA were included in this study. We measured the depth, width and thickness of the anterior and posterior walls of the original acetabulum using preoperative computed tomography images and investigated the cup size applied in these cases. Results: The mean depth and width of the acetabulum was 18.4 and 16.2 mm proximal end, 18.4 and 24.3 mm in the middle, and 15.8 and 27.6 mm at the distal part. Mean thickness of the anterior and posterior walls was 10.9 and 23.9 mm at the proximal end, 10.3 and 22.2 mm in the middle, and 10.9 and 22.7 mm at the distal part. A 42-mm cup was using in one hip, a 46-mm cup in three hips, a 48-mm cup in 13 hips, and a 50-mm cup in six hips. Conclusion: In patients with Crowe IV DDH, the morphology of the acetabulum comprises a triangle that broadens from proximal to distal points, with a relatively thick posterior wall. Reaming the acetabulum posteriorly and inferiorly may enable the placement of a relatively larger cup to achieve stable fixation.
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참고문헌 (21)
참고문헌 신청
Dunn HK / 1976 / Total hip reconstruction in chronically dislocated hips / J Bone Joint Surg Am 58:838~845
Hartofilakidis G / 1988 / Low friction arthroplasty for old untreated congenital dislocation of the hip / J Bone Joint Surg Br 70:182~186
Paavilainen T / 1990 / Cementless total replacement for severely dysplastic or dislocated hips / J Bone Joint Surg Br 72:205~211
Jameson SS / 2011 / Lower rates of dislocation with increased femoral head size after primary total hip replacement : a five-year analysis of NHS patients in England / J Bone Joint Surg Br 93:876~880
Livermore J / 1990 / Effect of femoral head size on wear of the polyethylene acetabular component / J Bone Joint Surg Am 72:518~528
Hartofilakidis G / 1988 / Low friction arthroplasty for old untreated congenital dislocation of the hip / J Bone Joint Surg Br 70:182~186
Paavilainen T / 1990 / Cementless total replacement for severely dysplastic or dislocated hips / J Bone Joint Surg Br 72:205~211
Jameson SS / 2011 / Lower rates of dislocation with increased femoral head size after primary total hip replacement : a five-year analysis of NHS patients in England / J Bone Joint Surg Br 93:876~880
Livermore J / 1990 / Effect of femoral head size on wear of the polyethylene acetabular component / J Bone Joint Surg Am 72:518~528
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