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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 11 - 17 (7page)
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초록· 키워드
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Purpose: Short stems have recently become widely used; however, concerns about the initial secure fixation of a short stem in osteoporotic bone remain. The aim of this study was to evaluate the short-term clinical and radiological results of using a short cementless metaphyseal stabilizing tapered stem for senile osteoporotic femoral neck fractures. Materials and Methods: Thirty-eight arthroplasties (31 bipolar hemiarthroplasties and 7 total hip arthroplasties) were performed for osteoporotic femoral neck fractures in patients older than 65 years (10 males and 28 females). The mean age was 76.1 years and the mean follow-up was 2.9 years. We retrospectively evaluated clinical results, focusing on walking performance, thigh pain, and radiologic results, with special regard to signs of stem stability and osteointegration. Results: Mean Harris hip score was 84.3 points and 68.4% of patients regained their preoperative walking performance. No patients complained about thigh pain. No osteolysis or loosening was observed during the follow-up, and all but 1 stem showed signs of stable bone ingrowth. Conclusion: Short, metaphyseal stabilizing tapered stems could be a reliable treatment option for osteoporotic femoral neck fractures.
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참고문헌 (23)
참고문헌 신청
Cicek H / 2015 / What should be the preferred choice of hemiarthroplasty technique in American Society of Anesthesiologists(ASA)class III patients with femoral neck fractures? Cemented or cementless / Injury 46:1567~1570
이영균 / 2014 / Current Trends of Stem Use in Hemiarthroplasty for Femoral Neck Fracture in South Korea / Clinics in Orthopedic Surgery 6(3):285~289
Hossain M / 2012 / Is there a difference in perioperative mortality between cemented and uncemented implants in hip fracture surgery? / Injury 43:2161~2164
Lee YK / 2014 / Cementless bipolar hemiarthroplasty using a micro-arc oxidation coated stem in patients with displaced femoral neck fractures / J Arthroplasty 29:2388~2392
Taylor F / 2012 / Hemiarthroplasty of the hip with and without cement : a randomized clinical trial / J Bone Joint Surg Am 94:577~583
이영균 / 2014 / Current Trends of Stem Use in Hemiarthroplasty for Femoral Neck Fracture in South Korea / Clinics in Orthopedic Surgery 6(3):285~289
Hossain M / 2012 / Is there a difference in perioperative mortality between cemented and uncemented implants in hip fracture surgery? / Injury 43:2161~2164
Lee YK / 2014 / Cementless bipolar hemiarthroplasty using a micro-arc oxidation coated stem in patients with displaced femoral neck fractures / J Arthroplasty 29:2388~2392
Taylor F / 2012 / Hemiarthroplasty of the hip with and without cement : a randomized clinical trial / J Bone Joint Surg Am 94:577~583
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