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
- 2011.1
- 수록면
- 231 - 237 (7page)
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초록· 키워드
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Objectives: To analyze the surgical results of distal femur fracture in patients over 65 years old with osteoporosis using locking compression plate.
Materials and Methods: From July 2004 to June 2010, among the patients over 65 years old with osteoporosis who underwent internal fixation using locking compression plate for distal femur fracture, 21 patients that were able to follow up for at least 2 year (mean; 19 months, range; 13～35 months) were included in this study. The mean age was 75.6 (range, 65～88), mean T-score on BMD was -4.1 (range, -3～-6.1), and sex ratio was 4 to 17, male to female. The interval from surgery to bone union and complications such as infection, nonunion, shortening, angulation, and metal failure were investigated. Neer functional scoring was used for evaluation parameter of clinical function.
Results: Mean duration until bone union was 19 weeks (range, 16～24) and nonunion occurred in 1 case. Complications such as infection or shortening, angulation, or metal failure did not occur. No significant relationship was found between the degree of osteoporosis (T-score) and duration until bone union (P>0.05). Neer score was 76.5 points (range, 58～94) on average, which consisted of 4 cases of excellent, 13 cases of satisfactory, and 4 cases of unsatisfactory.
Conclusions: Distal femur fracture in elderly patients with osteoporosis, which bone union is difficult to achieve, locking compression plate shows less complication and excellent osteosythesis. Since on the final follow up, mostly, clinical results were satisfactory, so that it is considered a effective surgical treatment.
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참고문헌 (25)
참고문헌 신청
Aglietti P / 1993 / Fractures of the femoral condyles, in Surgery of the knee / Churchill Livingstone
Arazi M / 2001 / Ilizarov external fixator for severely comminuted supracondylar and intercondylar fractures of the distal femur / J
Bliuc D / 2009 / Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women / JAMA 301 (5) : 513 ~ 521
Bolland MJ / 2010 / Effect of osteoporosis treatment on mortality: a meta-analysis / J Clin Endocrinol Metab 95 (3) : 1174 ~ 1181
Buckwalter JA / 1996 / Bone biology 1: structure, blood supply, cells, matrix and mineralization / AAOS instructional Course Lectures 45 : 371 ~ 386
Arazi M / 2001 / Ilizarov external fixator for severely comminuted supracondylar and intercondylar fractures of the distal femur / J
Bliuc D / 2009 / Mortality risk associated with low-trauma osteoporotic fracture and subsequent fracture in men and women / JAMA 301 (5) : 513 ~ 521
Bolland MJ / 2010 / Effect of osteoporosis treatment on mortality: a meta-analysis / J Clin Endocrinol Metab 95 (3) : 1174 ~ 1181
Buckwalter JA / 1996 / Bone biology 1: structure, blood supply, cells, matrix and mineralization / AAOS instructional Course Lectures 45 : 371 ~ 386
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