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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.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 98 - 103 (6page)
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초록· 키워드
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Purpose: We aimed to quantify proximal femoral shortening after operation with compression hip screws for intertrochanteric fracture in patients under the age of 60 years.
Materials and Methods: We followed 37 consecutive patients with intertrochanteric fractures treated with compression hip screws from March 2005 to February 2014. We designated the aspect of the fracture, a defect of the postero-medial wall, a defect of the lateral wall, and the degree of reduction as four potentially important factors we assumed would strongly affect proximal femoral shortening. We quantified proximal femoral shortening and compared the effects of above factors. We divided femoral shortening into two plane vectors; femoral offset in the horizontal plane and leg length discrepancy in the vertical plane. We measured shortening separately during two periods: during operation and after weight bearing (called dynamic compression).
Results: After bone union, the average femoral offset shortening was 5.45 mm. Patient groups with anatomic reduction and intact postero-medial wall showed lower femoral offset shortening than the respective opposite groups. As to functional score using modified Harris hip score, low femoral offset shortening group showed more 2.35 scores than high groups. None of the factors significantly affected leg length shortening.
Conclusion: We found that a stable medial buttress is involved in lower femoral offset shortening. Thus, surgeons need to attempt to recover the defect of the medial wall and to reduce anatomically when operating intertrochanteric fractures with compression hip screws.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Abdulkareem IH / 2012 / A review of tip apex distance in dynamic hip screw fixation of osteoporotic hip fractures / Niger Med J 53 : 184 ~ 191
Gupta RK / 2010 / Unstable trochanteric fractures : the role of lateral wall reconstruction / Int Orthop 34 : 125 ~ 129
Guven M / 2010 / Importance of screw position in intertrochanteric femoral fractures treated by dynamic hip screw / Orthop Traumatol Surg Res 96 : 21 ~ 27
Kiran Kumar GN / 2013 / Bipolar hemiarthroplasty in unstable intertrochanteric fractures in elderly : a prospective study / J Clin Diagn Res 7 : 1669 ~ 1671
Lecerf G / 2009 / Femoral offset : anatomical concept, definition, assessment, implications for preoperative templating and hip arthroplasty / Orthop Traumatol Surg Res 95 :
Gupta RK / 2010 / Unstable trochanteric fractures : the role of lateral wall reconstruction / Int Orthop 34 : 125 ~ 129
Guven M / 2010 / Importance of screw position in intertrochanteric femoral fractures treated by dynamic hip screw / Orthop Traumatol Surg Res 96 : 21 ~ 27
Kiran Kumar GN / 2013 / Bipolar hemiarthroplasty in unstable intertrochanteric fractures in elderly : a prospective study / J Clin Diagn Res 7 : 1669 ~ 1671
Lecerf G / 2009 / Femoral offset : anatomical concept, definition, assessment, implications for preoperative templating and hip arthroplasty / Orthop Traumatol Surg Res 95 :
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