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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 182 - 189 (8page)
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Purpose: Long-term fixation of cemented acetabular components can be problematic in younger active patients. Our technique is put forward to improve outcomes and maximize implant survivorship in this particular patient population. Materials and Methods: We report on a cohort of young adult patients (less than 55 years old) with cemented total hip replacement (THR) using a novel technique in preparing and cementing the acetabulum with a minimum follow-up of 10 years (mean follow-up, 14 years). Retrospectively collected data on clinical and radiological outcomes were reviewed. Results: Sixty-five THRs were performed with the minimum study follow-up period. Average age for patients was 44 years old (range, 19-55 years). The mean Hip Disability and Osteoarthritis Outcome Score for patients at final appointment was 92.7. Radiographs taken at an average of 14 years after operation showed 63 of 65 hips showed no evidence of any radiological loosening. Cup survivorship was 100% at the end of the study period. Conclusion: Our technique of preparing the acetabulum in combination with cement fixation is reproducible with excellent results in a cohort of patients prone to early aseptic loosening of the acetabular component.
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참고문헌 (36)
참고문헌 신청
Clarke A / 2015 / Total hip replacement and surface replacement for the treatment of pain and disability resulting from end-stage arthritis of the hip (review of technology appraisal guidance 2 and 44): systematic review and economic evaluation / Health Technol Assess 19:1~668
Malchau H / 1993 / Prognosis of total hip replacement in Sweden. Follow-up of 9,675 operations performed 1978-1990 / Acta Orthop Scand 64:497~506
Timperley AJ / 2009 / The influence of a suction device on fixation of a cemented cup using RSA / Clin Orthop Relat Res 467:792~798
Havelin LI / 2009 / The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280, 201 THRs / Acta Orthop 80:393~401
Kynaston-Pearson F / 2013 / Primary hip replacement prostheses and their evidence base: systematic review of literature / BMJ 347:f6956
Malchau H / 1993 / Prognosis of total hip replacement in Sweden. Follow-up of 9,675 operations performed 1978-1990 / Acta Orthop Scand 64:497~506
Timperley AJ / 2009 / The influence of a suction device on fixation of a cemented cup using RSA / Clin Orthop Relat Res 467:792~798
Havelin LI / 2009 / The Nordic Arthroplasty Register Association: a unique collaboration between 3 national hip arthroplasty registries with 280, 201 THRs / Acta Orthop 80:393~401
Kynaston-Pearson F / 2013 / Primary hip replacement prostheses and their evidence base: systematic review of literature / BMJ 347:f6956
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