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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 136 - 143 (8page)
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초록· 키워드
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Purpose: We analyzed the surgical outcomes at two institutions after internal fixation using multiple screws in femoral neck fractures with valgus impaction to determine independent predictors and their cut-off values for nonunion and reoperation. Materials and Methods: Between January 2006 and December 2016, 104 femoral neck fractures with valgus impaction that underwent internal fixation using multiple screws from two institutions were enrolled. The multiple logistic regression model and receiver operating characteristics analysis were used to determine the independent predictors and cut-off values for nonunion and reoperation. Results: There were 20 reoperations (19.2%) due to 11 nonunions (10.6%) and nine cases of femoral head osteonecrosis (8.7%). Multiple logistic regression analysis revealed that independent predictors of nonunion and reoperation were age and posterior tilt angle (P<0.05). The cut-off value for age and the posterior tilt angle for reoperation were 72.5 years and 12.2。, respectively. The patients with a posterior tilt angle of greater than 13。had poorer radiological and clinical outcomes compared with those with a posterior tilt angle of less than 13。, even though they did achieve bone union. Conclusion: Primary hip arthroplasty should be considered in patients older than 73 years of age with a posterior tilt angle greater than 13。.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Hoelsbrekken SE / 2017 / The influence of the hips position on measurements of posterior tilt in a valgusimpacted femoral neck fracture / Injury 48:2184~2188
김윤정 / 2014 / The Result of In Situ Pinning for Valgus Impacted Femoral Neck Fractures of Patients over 70 Years Old / Hip and Pelvis 26(4):263~268
Rodríguez-Merchán EC / 2002 / In situ fixation of nondisplaced intracapsular fractures of the proximal femur / Clin Orthop Relat Res (399):42~51
Palm H / 2009 / A new measurement for posterior tilt predicts reoperation in undisplaced femoral neck fractures : 113 consecutive patients treated by internal fixation and followed for 1year / Acta Orthop 80:303~307
Song HK / 2013 / Clinical implication of subgrouping in valgus femoral neck fractures: comparison of 31-B1.1 with 31-B1.2 fractures using the OTA/AO classification / J Orthop Trauma 27:677~682
김윤정 / 2014 / The Result of In Situ Pinning for Valgus Impacted Femoral Neck Fractures of Patients over 70 Years Old / Hip and Pelvis 26(4):263~268
Rodríguez-Merchán EC / 2002 / In situ fixation of nondisplaced intracapsular fractures of the proximal femur / Clin Orthop Relat Res (399):42~51
Palm H / 2009 / A new measurement for posterior tilt predicts reoperation in undisplaced femoral neck fractures : 113 consecutive patients treated by internal fixation and followed for 1year / Acta Orthop 80:303~307
Song HK / 2013 / Clinical implication of subgrouping in valgus femoral neck fractures: comparison of 31-B1.1 with 31-B1.2 fractures using the OTA/AO classification / J Orthop Trauma 27:677~682
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