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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.
초록· 키워드
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Purpose: The purpose of this study was to introduce our method of stabilizing unstable intertrochanteric fractures by using the dynamic hip screw (DHS) with a beta-tricalcium phosphate (β-TCP) graft and to compare the outcomes of this procedure with those of the conventional DHS without β-TCP.Materials and Methods: Patients who underwent surgery by using DHS between March 2002 and January 2016 were retro-spectively reviewed for analysis of the outcomes. The inclusion criteria were: 1) age of 60 years and older; 2) low-energy fracture resulting from a fall from no greater than the standing height; 3) multifragmentary pertrochanteric fracture (AO classification 31-A2.2, 2.3); and 4) follow-up of over 3 months. We compared 29 patients (29 hips) who underwent surgery, using DHS without β-TCP, with 29 age-sex matched patients (29 hips) who underwent surgery using DHS with grafted β-TCP granules to empty the trochanter area after reaming. We investigated the fracture union rate, union time, and length of lag screw sliding.Results: Bone union was achieved in all cases. The mean union time was 7.0 weeks in the β-TCP group and 8.8 weeks in the non-β-TCP group. The length of lag screw sliding was 3.6 mm in the β-TCP group and 5.5 mm in the non-β-TCP group. There were no implant failure cases in both groups.Conclusion: The β-TCP graft for reinforcement DHS acquired satisfactory clinical outcomes for treating unstable intertrochan-teric fractures.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
National Health Insurance Service / NHIS statistical information system
Jensen JS / 1980 / Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation / Acta Orthop Scand 51:949~962
Koval KJ / 1994 / Hip fractures: II. Evaluation and treatment of intertrochanteric fractures / J Am Acad Orthop Surg 2:150~156
Sambandam SN / 2016 / Intertrochanteric fractures: a review of fixation methods / Eur J Orthop Surg Traumatol 26:339~353
Laros GS / 1974 / Complications of fixation in intertrochanteric fractures / Clin Orthop Relat Res 101:110~119
Jensen JS / 1980 / Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation / Acta Orthop Scand 51:949~962
Koval KJ / 1994 / Hip fractures: II. Evaluation and treatment of intertrochanteric fractures / J Am Acad Orthop Surg 2:150~156
Sambandam SN / 2016 / Intertrochanteric fractures: a review of fixation methods / Eur J Orthop Surg Traumatol 26:339~353
Laros GS / 1974 / Complications of fixation in intertrochanteric fractures / Clin Orthop Relat Res 101:110~119
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