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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 269 - 275 (7page)
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초록· 키워드
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Purpose: The purpose of this study is to describe a method of inserting cement in the femoral head before fixation with dynamic hip screw to prevent screw cut out due to osteoporosis and to evaluate its clinical outcome in these patients. Materials and Methods: In this prospective study, 30 patients aged 60 years and older with intertrochanteric fracture were included. Bone mineral density was measured. After reaming of the femoral head and neck with a triple reamer and polymethyl methacrylate, bone cement was introduced into the femoral head using a customized nozzle and a barrel fitted on a cement gun. A Richard screw was inserted and the plate was fixed over the femoral shaft. Patients were mobilized and clinical outcomes were rated using the Salvati and Wilson’s scoring system. Results: More patients included in this study were between 66 and 70 years old than any other age group. The most common fracture according to the Orthopaedic Trauma Association classification was type 31A2.2 (46.7%). The T-score was found to be –2.506±0.22 (mean±standard deviation); all patients were within the range of –2.0 to –2.8. The duration of radiological union was 13.67±1.77 weeks. Salvati and Wilson’s scoring at 12 months of follow up was 30.96±4.97. The majority of patients were able to perform their normal routine activities; none experienced implant failure or screw cut out. Conclusion: Bone cement augmentation may effectively prevent osteoporosis-related hardware complications like screw cut out in elderly patients experiencing intertrochanteric fractures.
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참고문헌 (14)
참고문헌 신청
Kaufer H. / 1980 / Mechanics of the treatment of hip injuries / Clin Orthop Relat Res (146):53~61
Broderick JM / 2013 / Osteoporotic hip fractures : the burden of fixation failure / Scientific World Journal 2013:515197
Giannoudis PV / 2006 / Principles of fixation of osteoporotic fractures / J Bone Joint Surg Br 88:1272~1278
Choueka J / 1995 / Biomechanical comparison of the sliding hip screw and the dome plunger. Effects of material and fixation design / J Bone Joint Surg Br 77:277~283
Giannoudis PV / 2007 / AO Principles of fracture management / Thieme :469~482
Broderick JM / 2013 / Osteoporotic hip fractures : the burden of fixation failure / Scientific World Journal 2013:515197
Giannoudis PV / 2006 / Principles of fixation of osteoporotic fractures / J Bone Joint Surg Br 88:1272~1278
Choueka J / 1995 / Biomechanical comparison of the sliding hip screw and the dome plunger. Effects of material and fixation design / J Bone Joint Surg Br 77:277~283
Giannoudis PV / 2007 / AO Principles of fracture management / Thieme :469~482
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