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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
- 2016.1
- 수록면
- 142 - 147 (6page)
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초록· 키워드
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Purpose: This study aimed to investigate the outcomes of modular neck-utilization in primary total hip arthroplasty (THA).
Materials and Methods: Thirty patients (34 hips) who had modular stem THA between April 2011 and January 2013 were evaluated. There were 19 men and 11 women with a mean age of 61.2 years at the time of surgery. There were 20 cases of osteonecrosis of femoral head, 7 cases of osteoarthritis, 6 cases of femur neck fracture, and 1 case of rheumatoid arthritis. No patients presented with anatomical deformity of hip. Patients were operated on using a modified Watson-Jones anterolateral approach. All patients underwent clinical and radiological follow-up at 6 weeks, 3, 6, and 12 months, and every year postoperatively. The mean duration of follow-up was 48.2 months (range, 39 to 59 months).
Results: The average Harris hip score improved from 63.7 to 88.1 at the final follow-up. Radiographically, mean acetabular cup inclination was 45.3。(range, 36。-61。) and anteversion was 21.7。(range, 11。-29。). All were neutral-positioned stems except 5 which were varus-positioned stems. In only 3 cases (8.8%), varus or valgus necks were required. A case of linear femoral fracture occurred intraoperatively and 1 case of dislocation occurred at postoperative 2 weeks. No complications at modular junction were occurred.
Conclusion: Our study shows that the use of modular necks had favorable clinical and radiographic results. This suggests that the use of modular neck in primary THA without anatomical deformity is safe at a follow-up of 39 months.
목차
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참고문헌 (29)
참고문헌 신청
Toni A / 2001 / Cementless hip arthroplasty with a modular neck / Chir Organi Mov 86:73~85
Dunbar MJ / 2010 / The proximal modular neck in THA : a bridge too far : affirms / Orthopedics 33:640
Gill IP / 2012 / Corrosion at the neck-stem junction as a cause of metal ion release and pseudotumour formation / J Bone Joint Surg Br 94:895~900
Murugappan KS / 2012 / Outcome after modular neck hip arthroplasty: lessons from the registry / J Bone Joint Surg Br 94-B:112
Harris WH / 1969 / Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation / J Bone Joint Surg Am 51:737~755
Dunbar MJ / 2010 / The proximal modular neck in THA : a bridge too far : affirms / Orthopedics 33:640
Gill IP / 2012 / Corrosion at the neck-stem junction as a cause of metal ion release and pseudotumour formation / J Bone Joint Surg Br 94:895~900
Murugappan KS / 2012 / Outcome after modular neck hip arthroplasty: lessons from the registry / J Bone Joint Surg Br 94-B:112
Harris WH / 1969 / Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation / J Bone Joint Surg Am 51:737~755
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