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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 33 - 39 (7page)
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Purpose: The difficulty of femoral preparation with supine-position hip hemi-arthroplasty (HA) often leads to intra-operative fractures (IOFs). We aimed to clarify the incidence and types of IOFs in HA for hip fractures performed in the supine and lateral positions. Materials and Methods: We retrospectively investigated cases of HA for acute femoral neck fractures from June 2013 to May 2018. We examined the incidence and types of IOFs according to different approaches. We defined supine-position in HA as the supine and hip-hyperextended (over-range) femoral preparation position, and lateral position as the lateral and hip-flexed femoral preparation position. We used a short tapered wedged stem. Results: Supine-position HA was used in 46 patients (23.7%) and lateral-position HA in 148 patients (76.3%). IOFs in supine-position HA occurred in 8 patients (17.4%) and included five Vancouver AGT and three Vancouver B2 fractures. IOFs in lateral-position HA occurred in 3 patients (2.0%) and included one Vancouver AGT and two Vancouver B fractures. Supine-position HA was a risk factor for IOFs (adjusted odds ratio, 9.71; 95% confidence interval, 2.37-39.8; P<0.01) Conclusion: Supine-position in HA is an IOF risk factor and significantly increases the incidence of great trochanter fractures of Vancouver type A.
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참고문헌 (24)
참고문헌 신청
Nayef Aslam-Pervez / 2018 / Predictors of Intraoperative Fractures during Hemiarthroplasty for the Treatment of Fragility Hip Fractures / Clinics in Orthopedic Surgery 10(1):14~19
Duncan CP / 1995 / Fractures of the femur after hip replacement / Instr Course Lect 44:293~304
Davidson D / 2008 / Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management / J Bone Joint Surg Am 90:2000~2012
Cooper HJ / 2010 / Early post-operative periprosthetic femur fracture in the presence of a non-cemented tapered wedge femoral stem / HSS J 6:150~154
Miettinen SS / 2016 / Risk factors for intraoperative calcar fracture in cementless total hip arthroplasty / Acta Orthop 87:113~119
Duncan CP / 1995 / Fractures of the femur after hip replacement / Instr Course Lect 44:293~304
Davidson D / 2008 / Intraoperative periprosthetic fractures during total hip arthroplasty. Evaluation and management / J Bone Joint Surg Am 90:2000~2012
Cooper HJ / 2010 / Early post-operative periprosthetic femur fracture in the presence of a non-cemented tapered wedge femoral stem / HSS J 6:150~154
Miettinen SS / 2016 / Risk factors for intraoperative calcar fracture in cementless total hip arthroplasty / Acta Orthop 87:113~119
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