지원사업
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
- 2014.1
- 수록면
- 99 - 106 (8page)
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초록· 키워드
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Purpose: The purpose of this study was to compare the outcomes of osteosynthesis using compression hip screw fixation versus bipolar hemiarthroplasty in AO type A2 intertrochanteric fractures.
Materials and Methods: From March 2003 to December 2009, 89 patients were included in this study. They were treated using compression hip screws (43 cases) or bipolar hemiarthroplasty (46 cases). The mean age of patients was 77.7 years (65-94 years) and the mean follow-up period was 5.9 years (1-8.3 years). For comparison of the outcomes in the two groups, statistical analyses were performed with parameters including anesthesia time, operation time, amount of transfusion, hospital stay, general complications, clinical outcome, time of partial weight-bearing using a walker, and radiological failure rate.
Results: Differences in the amount of transfusion, general complications, and clinical outcome (Merle d’Aubigne´ and Postel score) were not statistically significant between the two groups. The bipolar hemiarthroplasty group showed better results than the compression hip screw group for anesthesia time and the time of partial weight-bearing using a walker. Radiological failures were observed in hips in one case (2.2%) ofbipolar hemiarthroplasty, and in four cases (9.3%) of compression hip screw fixation.
Conclusion: Among elderly individuals with AO type A2 intertrochanteric fractures, patients treated with bipolar hemiarthroplasty were able to perform early ambulation. However, no significant difference in operation time, amount of postoperative transfusion, clinical results, hospital stay, and radiological failure rate was observed between the bipolar hemiarthroplasty and compression hip screw fixation groups.
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참고문헌 (24)
참고문헌 신청
Baixauli F / 1999 / A reinforced rigid fixation device for unstable intertrochanteric fractures / Clin Orthop Relat Res (361) : 205 ~ 215
Bendo JA / 1994 / Collapse of intertrochanteric hip fractures fixed with sliding screws / Orthop Rev : 30 ~ 37
Flores LA / 1990 / The stability of intertrochanteric fractures treated with a sliding screwplate / J Bone Joint Surg Br 72 : 37 ~ 40
Grimsrud C / 2005 / Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures / J Arthroplasty 20 : 337 ~ 343
Haentjens P / 1989 / Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation
Bendo JA / 1994 / Collapse of intertrochanteric hip fractures fixed with sliding screws / Orthop Rev : 30 ~ 37
Flores LA / 1990 / The stability of intertrochanteric fractures treated with a sliding screwplate / J Bone Joint Surg Br 72 : 37 ~ 40
Grimsrud C / 2005 / Cemented hip arthroplasty with a novel cerclage cable technique for unstable intertrochanteric hip fractures / J Arthroplasty 20 : 337 ~ 343
Haentjens P / 1989 / Treatment of unstable intertrochanteric and subtrochanteric fractures in elderly patients. Primary bipolar arthroplasty compared with internal fixation
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