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
- 78 - 86 (9page)
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초록· 키워드
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Purpose: This study aimed to investigate the relationship between femoral offset (FO) and clinical outcomes of patients with femoral neck fracture following bipolar hip arthroplasty (BHA). Materials and Methods: Records for a total of 520 patients who underwent BHA for a femoral neck fracture between December 1, 2003, and September 30, 2018, were reviewed retrospectively. Patients with unclear medical records, a congenital deformity and preoperative trauma history of the hip, high-energy multiple trauma, or a history of neurodegenerative disease or cerebrovascular disease were excluded. The remaining 77 patients included in the analysis had a minimum follow-up period of one year. For clinical assessment, the postoperative pain visual analogue scale (VAS) and Harris hip score (HHS) were analyzed at each follow-up period. For radiological assessment, the difference in leg length discrepancy (LLD) and FO were measured. Results: The difference in mean FO postoperatively was 6.7±4.8 mm, and the difference in mean postoperative LLD was 4.9±3.4 mm. The mean HHS was 77.1±7.7, 82.3±8.6, 83.4±7.7, and 86.4±6.7 at 1, 3, 6, and 12 months postoperative, respectively. The correlation coefficient between FO and HHS in 1-year follow-up was ?0.38, and a statistically significant outcome was found (P=0.001). For the HHS domain, the correlation coefficient for function at 1-year follow-up was ?0.42, revealing a statistically significant outcome (P=0.0001). Conclusion: There was a statistically significant correlation between clinical outcomes and FO difference at 1 year after BHA in patients over 65 years of age with femoral neck fractures.
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참고문헌 (24)
참고문헌 신청
Kanis JA / 2012 / A systematic review of hip fracture incidence and probability of fracture worldwide / Osteoporos Int 23:2239~2256
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Burgers PT / 2012 / Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly : a meta-analysis and systematic review of randomized trials / Int Orthop 36:1549~1560
Ullmark G / 2014 / Femoral head fractures: hemiarthroplasty or total hip arthroplasty? / Hip Int 24(Suppl 10):e12~e14
Hopley C / 2010 / Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review / BMJ 340:c2332
Bhandari M / 2005 / Operative management of displaced femoral neck fractures in elderly patients. An international survey / J Bone Joint Surg Am 87:2122~2130
Burgers PT / 2012 / Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fractures in the healthy elderly : a meta-analysis and systematic review of randomized trials / Int Orthop 36:1549~1560
Ullmark G / 2014 / Femoral head fractures: hemiarthroplasty or total hip arthroplasty? / Hip Int 24(Suppl 10):e12~e14
Hopley C / 2010 / Primary total hip arthroplasty versus hemiarthroplasty for displaced intracapsular hip fractures in older patients: systematic review / BMJ 340:c2332
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