지원사업
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
- 2016.1
- 수록면
- 24 - 28 (5page)
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초록· 키워드
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Purpose: Patients with aplastic anemia (AA) are now living longer and therefore are at increased risk for the development of osteonecrosis of the hip. However, studies on the results of total hip arthroplasty (THA) are lacking. The purpose of this study is to present the result of THA in patients with AA.
Materials and Methods: We retrospectively reviewed the data for a group of 29 patients (45 hips) with AA who presented to our institution for THA between May 2008 and May 2012. All hips were replaced because of osteonecrosis of the femoral head. A specific prospective protocol was followed for the perioperative transfusion of platelets and blood. The clinical and radiographic evaluations were done, and the minimum follow-up period was 3 years (mean, 49.2 months; range, 36 to 84 months).
Results: Three hips had excessive perioperative bleeding and hematoma formation, and then hematoma evacuations were done; one hip was finally revised because of infection of acetabular component. One patient with poorly controlled AA died due to delayed infection on the hip joint. All hips showed stable fixation, and the mean Harris hip score was improved from 54.2 points (range, 42 to 69 points) preoperatively to 90.8 points (range, 73 to 97 points) at the time of the latest follow-up.
Conclusion: In the present study, the durability of implant fixation was maintained and the clinical results demonstrated a sustained increase in function of the hip. Postoperatively, paying attention to bleeding and infection should be needed.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Ades L / 2004 / Long-term outcome after bone marrow transplantation for severe aplastic anemia / Blood 103:2490~2497
Konopacki J / 2012 / Long-term follow up after allogeneic stem cell transplantation in patients with severe aplastic anemia after cyclophosphamide plus antithymocyte globulin conditioning / Haematologica 97:710~716
Sharma S / 2011 / Prevalence of osteonecrosis and associated risk factors in children before allogeneic BMT / Bone Marrow Transplant 46:813~819
Kim YS / 2000 / Arthroplasty of the hip in patients with aplastic anemia / J Bone Joint Surg Am 82:1231~1239
Torii Y / 2001 / Osteonecrosis of the femoral head after allogeneic bone marrow transplantation / Clin Orthop Relat Res 382:124~132
Konopacki J / 2012 / Long-term follow up after allogeneic stem cell transplantation in patients with severe aplastic anemia after cyclophosphamide plus antithymocyte globulin conditioning / Haematologica 97:710~716
Sharma S / 2011 / Prevalence of osteonecrosis and associated risk factors in children before allogeneic BMT / Bone Marrow Transplant 46:813~819
Kim YS / 2000 / Arthroplasty of the hip in patients with aplastic anemia / J Bone Joint Surg Am 82:1231~1239
Torii Y / 2001 / Osteonecrosis of the femoral head after allogeneic bone marrow transplantation / Clin Orthop Relat Res 382:124~132
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