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
- 2015.1
- 수록면
- 146 - 151 (6page)
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초록· 키워드
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Purpose: We aimed to evaluate the results of surgical treatment of periprosthetic femoral fractures in cementless total hip arthroplasty (THA).
Materials and Methods: From June 2002 to May 2012, 40 patients who could be followed-up for more than 1 year after surgery were enrolled in this study. The mean duration of follow-up was 28.5 months (range, 15-97 months) and the average age at the time of surgery was 71.5 years (range, 38-89 years). The fracture types were determined by using the Vancouver classification. Among intraoperative fractures, there were type A in 3 hips, type B2 in 2 hips and type B3 in one. Among postoperative fractures, type AG was present in 5 hips, type AL in 2 hips, type B1 in 15 hips, type B2 in 6 hips, type B3 in 3 hips, and type C in 3 hips. Evaluation of the results was based on bony union, stability of the prosthesis, postoperative complications, and Harris hip score at the final follow-up.
Results: Bony union was achieved in all but one case and the average time for bony union was 21 weeks. The mean Harris hip score was 86 at the final follow-up. Clinical results were above good in 34 of 40 hips (85.0%). Stem loosening occurred in one patient with a type B1 fracture treated with open reduction and plate fixation. Nonunion was observed in 1 patient with an AG type fracture.
Conclusion: Open reduction and fixation using a plate with a screw and cerclage wiring provided good results for periprosthetic fractures in patients who had a stable femoral stem without bone defects. Revision surgery with a cementless long stem should be considered in patients with an unstable stem or suspected stability in B1 type of THA using a proximal fixation type.
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참고문헌 (25)
참고문헌 신청
Beals RK / 1996 / Periprosthetic fractures of the femur. An analysis of 93 fractures / Clin Orthop Relat Res (327) : 238 ~ 246
Berend ME / 2006 / Long-term outcome and risk factors of proximal femoral fracture in uncemented and cemented total hip arthroplasty in 2551 hips / J Arthroplasty 21 (6 Suppl
Bethea JS 3rd / 1982 / Proximal femoral fractures following total hip arthroplasty / Clin Orthop Relat Res (170) : 95 ~ 106
Campbell P / 2002 / Periprosthetic femoral fractures / Curr Orthop 16 : 126 ~ 132
Capello WN / 2014 / Periprosthetic fractures around a cementless hydroxyapatite-coated implant : a new fracture pattern is described / Clin Orthop Relat Res 472 : 604 ~ 610
Berend ME / 2006 / Long-term outcome and risk factors of proximal femoral fracture in uncemented and cemented total hip arthroplasty in 2551 hips / J Arthroplasty 21 (6 Suppl
Bethea JS 3rd / 1982 / Proximal femoral fractures following total hip arthroplasty / Clin Orthop Relat Res (170) : 95 ~ 106
Campbell P / 2002 / Periprosthetic femoral fractures / Curr Orthop 16 : 126 ~ 132
Capello WN / 2014 / Periprosthetic fractures around a cementless hydroxyapatite-coated implant : a new fracture pattern is described / Clin Orthop Relat Res 472 : 604 ~ 610
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