Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.32
Dae-Hee Kim, Chae-Hyun Lim, Sang-ho Ahn, Min-Wook Kim, Young-yool Chung
고관절 이형성은 비교적 젊은 연령에서 퇴행성 관절염 이 발생하여 인공 고관절 전치환술이 필요한 경우가 있다. 고관절 이형성에서 인공관절치환술은 이형성의 정도에 따라 수술의 수기가 다르고 결과가 다르게 보고되고 있다. 대퇴골두의 아탈구가 50% 미만인 Crowe 1형과 75%미만 인 2형의 고관절 이형성에서 인공관절은 보통 일차 인공 관절 치환술과 같은 수술 수기로 가능하며, 하지 부동 없 이 임상적 및 방사선학적 결과도 좋은 것으로 보고되고 있 다. 그러나 아탈구가 75% 이상인 Crowe 3형이나 완전 고 도 탈구인 Crowe 4형은 수술 수기가 어렵고 많은 합병증 이 발생할 수 있으며 결과도 만족스럽지 못한 경우가 있다. 이형성 고관절에서 인공 관절 치환술을 시행하는 경우 비 구컵의 삽입 위치와 비구컵이 비구골에 의해 충분히 덮이 는 것이 장기 추시에서 삽입물의 생존에 중요하다. 비구 이형성 고관절에서 무시멘트형 삽입물을 이용한 인공 고 관절 치환술의 임상적 및 방사선학적 결과는 시멘트형 비 구컵을 사용한 인공 고관절 치환술과 비교하여 우수한 것 으로 보고되고 있다. 저자들은 고관절 이형성 환자에 서 무시멘트형 삽입물을 이용하여 인공 관절 치환술을 시 행한 후 임상적 및 방사선학적 결과에 대해 알아보고자 하 였다.
{"title":"Cementless Total Hip Arthroplasty in Dysplastic Hips","authors":"Dae-Hee Kim, Chae-Hyun Lim, Sang-ho Ahn, Min-Wook Kim, Young-yool Chung","doi":"10.5371/JKHS.2012.24.1.32","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.32","url":null,"abstract":"고관절 이형성은 비교적 젊은 연령에서 퇴행성 관절염 이 발생하여 인공 고관절 전치환술이 필요한 경우가 있다. 고관절 이형성에서 인공관절치환술은 이형성의 정도에 따라 수술의 수기가 다르고 결과가 다르게 보고되고 있다. 대퇴골두의 아탈구가 50% 미만인 Crowe 1형과 75%미만 인 2형의 고관절 이형성에서 인공관절은 보통 일차 인공 관절 치환술과 같은 수술 수기로 가능하며, 하지 부동 없 이 임상적 및 방사선학적 결과도 좋은 것으로 보고되고 있 다. 그러나 아탈구가 75% 이상인 Crowe 3형이나 완전 고 도 탈구인 Crowe 4형은 수술 수기가 어렵고 많은 합병증 이 발생할 수 있으며 결과도 만족스럽지 못한 경우가 있다. 이형성 고관절에서 인공 관절 치환술을 시행하는 경우 비 구컵의 삽입 위치와 비구컵이 비구골에 의해 충분히 덮이 는 것이 장기 추시에서 삽입물의 생존에 중요하다. 비구 이형성 고관절에서 무시멘트형 삽입물을 이용한 인공 고 관절 치환술의 임상적 및 방사선학적 결과는 시멘트형 비 구컵을 사용한 인공 고관절 치환술과 비교하여 우수한 것 으로 보고되고 있다. 저자들은 고관절 이형성 환자에 서 무시멘트형 삽입물을 이용하여 인공 관절 치환술을 시 행한 후 임상적 및 방사선학적 결과에 대해 알아보고자 하 였다.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124634832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.53
M. Cho, J. Ahn, Seungbum Chae, Sang-Wook Lee
골다공증은 가장 흔하게 나타나는 대사성 골 질환으로 고관절 골절, 척추 골절, 상완골 및 요골 원위부 골절 등 여러 부위에서 골절을 야기하는 중요한 기저 질환이며 최 근 고령인구의 증가로 노년층에서의 심각한 건강 문제로 대두되고 있다. 골다공증에 의한 골절은 부위에 따라 임상 적 예후에 차이가 많은데, 척추 골절은 높은 이환율 (morbidity)을 가지며 고관절 부위의 골절은 높은 치사율 (mortality)과 연관되기 때문에 골다공증에 대한 이해와 이에 대한 대책 및 치료가 중요하다. 골절의 원인으로는 여러 요소가 관여할 수 있겠으나 객관적으로 측정이 가능 한 골밀도가 가장 중요한 요소로 여겨지고 있다. 골절 위 험의 판단에는 부위별 골밀도가 중요한데 대체로 골밀도 는 나이가 증가함에 따라 감소하지만 신체 부위별로 소실 정도가 다르다. 특히 흔히 사용되는 척추골의 골밀도는 경 미한 골다공증으로 인한 골절이나 퇴행성 변화 등에 의해 측정 시에 차이가 있을 수 있으며 이는 실제보다 골밀도의 증가를 가져와 환자의 상태나 치료에 문제를 야기할 수 있 다. 따라서 골밀도 측정이 곤란한 부위나 여러 가지 원인 으로 인하여 측정 값에 차이가 나는 경우 실제 골밀도를 예측하고 이해하는 것이 진단과 치료에 도움이 된다. 골밀 도 측정 부위에 골절 과거력이 있는 경우, 골대사성 질환 이나 스테로이드 장기 복용력을 가진 경우, 경구 피임제 및 항경련제 복용, 신부전으로 인한 골이양증이 있는 경 우, 기타 원인으로 신체 부자유 등의 과거력이나 현재 이 완된 경우, 골다공증 치료 병력이 있는 경우, 단순 방사선 척추 사진에서 퇴행성 변화나 15% 이상의 추체 높이 감소 Submitted: May 2, 2011 1st revision: October 13, 2011 2nd revision: December 2, 2011 3rd revision: December 27, 2011 Final acceptance: March 15, 2012
骨质疏松症是最常见的代代性骨疾病，是导致骨关节骨折、脊椎骨折、上腕骨及桡骨原胃骨折等多个部位骨折的重要基底疾病，随着最高龄人口的增加，正在成为老年层严重的健康问题。骨质疏松症引起的骨折根据部位的不同，在临床预后有很大的差异。脊椎骨折具有较高的双重汇率(morbidity)，骨关节部位的骨折与较高的死亡率(mortality)有关，因此对骨质疏松症的理解和对策及治疗非常重要。骨折的原因可能有很多因素，但可以客观测定的骨密度被认为是最重要的因素。在骨折危险的判断中，不同部位的骨密度很重要，大体上骨密度会随着年龄的增加而减少，但不同部位的消失程度不同。特别是经常使用的脊椎骨的骨密度，由于轻度骨质疏松症引起的骨折或退行性变化等，测定时可能会有差异，这比实际骨密度增加，会对患者的状态和治疗造成问题。因此，在骨密度测定困难的部位或因各种原因测定值出现差异时，预测和理解实际骨密度会对诊断和治疗有所帮助。进球小麦也测量部位骨折过去历史的;骨代谢性疾病或长期服用类固醇,拥有历史的、口服避孕及服用抗痉挛、肾衰引起的进球有证的,移交、因其他原因身体不自由等的过去历史和现在完整的;骨质疏松症的治疗病历的;单纯放射线脊椎照片的退行性变化或减少15%以上的椎体高度Submitted: May 2, 2011 1st revision: October 13, 2011 2nd revision: December 2, 2011 3rd revision: December 27, 2011 Final acceptance: March 15, 2012
{"title":"Coincidence of Diagnosis of Osteoporosis at the Site of the Proximal Femur, Lumbar Spine and Distal Radius","authors":"M. Cho, J. Ahn, Seungbum Chae, Sang-Wook Lee","doi":"10.5371/JKHS.2012.24.1.53","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.53","url":null,"abstract":"골다공증은 가장 흔하게 나타나는 대사성 골 질환으로 고관절 골절, 척추 골절, 상완골 및 요골 원위부 골절 등 여러 부위에서 골절을 야기하는 중요한 기저 질환이며 최 근 고령인구의 증가로 노년층에서의 심각한 건강 문제로 대두되고 있다. 골다공증에 의한 골절은 부위에 따라 임상 적 예후에 차이가 많은데, 척추 골절은 높은 이환율 (morbidity)을 가지며 고관절 부위의 골절은 높은 치사율 (mortality)과 연관되기 때문에 골다공증에 대한 이해와 이에 대한 대책 및 치료가 중요하다. 골절의 원인으로는 여러 요소가 관여할 수 있겠으나 객관적으로 측정이 가능 한 골밀도가 가장 중요한 요소로 여겨지고 있다. 골절 위 험의 판단에는 부위별 골밀도가 중요한데 대체로 골밀도 는 나이가 증가함에 따라 감소하지만 신체 부위별로 소실 정도가 다르다. 특히 흔히 사용되는 척추골의 골밀도는 경 미한 골다공증으로 인한 골절이나 퇴행성 변화 등에 의해 측정 시에 차이가 있을 수 있으며 이는 실제보다 골밀도의 증가를 가져와 환자의 상태나 치료에 문제를 야기할 수 있 다. 따라서 골밀도 측정이 곤란한 부위나 여러 가지 원인 으로 인하여 측정 값에 차이가 나는 경우 실제 골밀도를 예측하고 이해하는 것이 진단과 치료에 도움이 된다. 골밀 도 측정 부위에 골절 과거력이 있는 경우, 골대사성 질환 이나 스테로이드 장기 복용력을 가진 경우, 경구 피임제 및 항경련제 복용, 신부전으로 인한 골이양증이 있는 경 우, 기타 원인으로 신체 부자유 등의 과거력이나 현재 이 완된 경우, 골다공증 치료 병력이 있는 경우, 단순 방사선 척추 사진에서 퇴행성 변화나 15% 이상의 추체 높이 감소 Submitted: May 2, 2011 1st revision: October 13, 2011 2nd revision: December 2, 2011 3rd revision: December 27, 2011 Final acceptance: March 15, 2012","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133502038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.65
H. Kim, Sung Soo Kim, C. Kim, Hyo Jong Kim
Ostehochondroma is a common primary benign bone tumor, and is mostly asymptomatic. Symptoms are related complications due to compression on the adjacent nerve. The sciatic nerve compression secondary to osteochondroma has rarely been reported. A 21 year-old man had right hip pain radiated to the right lower extremity. In a radiological evaluation, bone mass was detected at the right ischial tuberosity. After dynamic ultrasonography, we excised the bone mass and decompressed the sciatic nerve. The bone mass was diagnosed as osteochondroma by pathologic evaluation. We report the case with a review of the literature.
{"title":"Sciatic Nerve Compression Secondary Due to Ischial Tuberosity Osteochondroma","authors":"H. Kim, Sung Soo Kim, C. Kim, Hyo Jong Kim","doi":"10.5371/JKHS.2012.24.1.65","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.65","url":null,"abstract":"Ostehochondroma is a common primary benign bone tumor, and is mostly asymptomatic. Symptoms are related complications due to compression on the adjacent nerve. The sciatic nerve compression secondary to osteochondroma has rarely been reported. A 21 year-old man had right hip pain radiated to the right lower extremity. In a radiological evaluation, bone mass was detected at the right ischial tuberosity. After dynamic ultrasonography, we excised the bone mass and decompressed the sciatic nerve. The bone mass was diagnosed as osteochondroma by pathologic evaluation. We report the case with a review of the literature.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130407854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.25
Y. Lim, Kee-Haeng Lee, S. Bae, S. Kwon
Purpose: We compared the clinical and radiological outcomes of total hip arthroplasty (THR) using Summit and Bencox stems. Materials and Methods: The patients who underwent cementless total hip arthroplasty were recruited with a satisfactory condition of a minimum three years of follow-ups after THR. Those patients were divided into two groups, those with Summit stems and those with Bencox stems. Summit stems were in 36 patients(40 hips), and Bencox stems in 36 patients(48 hips). Summit and Bencox stems had 78 months and 42.2 months as a mean follow- up, respectively. The clinical and radiological evaluations of femoral components were performed. Results: There was no difference in clinical results between the two groups. Under the radiological findings, there were no osteolytic changes or loosening. Osseointegration was detected at an average of 6.4 months(3-12 months) in the Bencox stem on the distal portion of the femoral stem, and cortical hypertrophy was detected on 6 hips with a Summit stem. Conclusion: The clinical and radiological evaluations in both systems showed excellent outcomes at the three year follow-ups, and there was no statistical difference on the clinical and radiological results between the two groups. Thigh pain and cortical hypertrophy were not detected in the Bencox stem, and that wound would be caused by surface treatment methods of the femoral stem, and morphological differences.
{"title":"Comparative Analysis of Two Cementless Stems in Total Hip Arthroplasties in Patients with Osteonecrosis of Femoral Head - Summit® Stem and Bencox® Stem -","authors":"Y. Lim, Kee-Haeng Lee, S. Bae, S. Kwon","doi":"10.5371/JKHS.2012.24.1.25","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.25","url":null,"abstract":"Purpose: We compared the clinical and radiological outcomes of total hip arthroplasty (THR) using Summit and Bencox stems. Materials and Methods: The patients who underwent cementless total hip arthroplasty were recruited with a satisfactory condition of a minimum three years of follow-ups after THR. Those patients were divided into two groups, those with Summit stems and those with Bencox stems. Summit stems were in 36 patients(40 hips), and Bencox stems in 36 patients(48 hips). Summit and Bencox stems had 78 months and 42.2 months as a mean follow- up, respectively. The clinical and radiological evaluations of femoral components were performed. Results: There was no difference in clinical results between the two groups. Under the radiological findings, there were no osteolytic changes or loosening. Osseointegration was detected at an average of 6.4 months(3-12 months) in the Bencox stem on the distal portion of the femoral stem, and cortical hypertrophy was detected on 6 hips with a Summit stem. Conclusion: The clinical and radiological evaluations in both systems showed excellent outcomes at the three year follow-ups, and there was no statistical difference on the clinical and radiological results between the two groups. Thigh pain and cortical hypertrophy were not detected in the Bencox stem, and that wound would be caused by surface treatment methods of the femoral stem, and morphological differences.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"142 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116555915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.1
Young-Min Kim
{"title":"The Aim of Medicine","authors":"Young-Min Kim","doi":"10.5371/JKHS.2012.24.1.1","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.1","url":null,"abstract":"","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116511451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.37
M. Cho, Sang-Hwa Lee, Dae Won Cho, Sangbong Ko
Purpose: This study evaluated the result of fixation of unstable intertrochanteric fractures using an anti-hypersliding compressive hip screw and a trochanter stabilizing plate. Materials and Methods: One hundred patients with unstable intertrochanteric fractures who were given an anti- hypersliding compressive hip screw (Group A) or conventional compressive hip screw (Group B) were analyzed. The mean follow-up period was 23.5 months. Radiographic evaluation included the changes of neck-shaft angle, lateral displacement of proximal fragment, distal migration of the lag screw, fixation failure, and union time using plain radiographs taken at postoperative and last follow-up time. Results: Lateral displacement of the proximal fragment averaged 1.62 mm in Group A and 3.97 mm in Group B, which was statistically significant (p<0.05). The neck-shaft angle was increased in Group B, but has no significance. The average of the Harris hip score and walking ability after surgery is higher in Group A than B, but there was no significant difference. The complication rate was significantly lower in Group A. But union time showed no difference in each group. Conclusion: Anti-hypersliding compression hip screw with a TSP, which reduces sliding of the lag screw and extreme change of the moment arm, is a another good option for the treatment of intertrochanteric femoral fractures against an increase of the failure rate from the hypersliding of the lag screw.
目的:本研究评估使用抗滑脱压缩髋关节螺钉和转子稳定钢板固定不稳定转子间骨折的效果。材料与方法:对100例不稳定股骨粗隆间骨折患者应用抗滑脱压缩螺钉(A组)或常规压缩螺钉(B组)进行分析。平均随访时间为23.5个月。影像学评价包括颈轴角度变化、近端碎片外侧移位、拉力螺钉远端移位、固定失败以及术后和最后一次随访时的平片愈合时间。结果:A组近端碎片侧移平均为1.62 mm, B组为3.97 mm，差异有统计学意义(p<0.05)。B组颈轴角增加，但无统计学意义。术后Harris髋关节评分和行走能力的平均值A组高于B组，但差异无统计学意义。a组并发症发生率明显低于对照组，但两组间愈合时间差异无统计学意义。结论:TSP抗滑脱加压螺钉可减少拉力螺钉的滑动和力臂的剧烈变化，是治疗股骨粗隆间骨折的另一种良好选择，但拉力螺钉的滑脱会增加失败率。
{"title":"Treatment of Unstable Intertrochanteric Fractures of the Femur Using an Anti-Hypersliding Compression Hip Screw and TSP","authors":"M. Cho, Sang-Hwa Lee, Dae Won Cho, Sangbong Ko","doi":"10.5371/JKHS.2012.24.1.37","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.37","url":null,"abstract":"Purpose: This study evaluated the result of fixation of unstable intertrochanteric fractures using an anti-hypersliding compressive hip screw and a trochanter stabilizing plate. Materials and Methods: One hundred patients with unstable intertrochanteric fractures who were given an anti- hypersliding compressive hip screw (Group A) or conventional compressive hip screw (Group B) were analyzed. The mean follow-up period was 23.5 months. Radiographic evaluation included the changes of neck-shaft angle, lateral displacement of proximal fragment, distal migration of the lag screw, fixation failure, and union time using plain radiographs taken at postoperative and last follow-up time. Results: Lateral displacement of the proximal fragment averaged 1.62 mm in Group A and 3.97 mm in Group B, which was statistically significant (p<0.05). The neck-shaft angle was increased in Group B, but has no significance. The average of the Harris hip score and walking ability after surgery is higher in Group A than B, but there was no significant difference. The complication rate was significantly lower in Group A. But union time showed no difference in each group. Conclusion: Anti-hypersliding compression hip screw with a TSP, which reduces sliding of the lag screw and extreme change of the moment arm, is a another good option for the treatment of intertrochanteric femoral fractures against an increase of the failure rate from the hypersliding of the lag screw.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129852325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.59
M. Park, Sun-jung Yoon, M. Yoo
Early generation ceramic articulations were problematic in terms of ceramic implant fracture and wear. Although the mechanical properties of ceramic material have improved during the last three decades, ceramic component fracture remains an issue. Many authors have reported fractures of the ceramic head, and a few have described ceramic acetabular insert fracture. However, these complications are only encountered rarely, and all cases reported to date involve a history of minor trauma. Here, we describe a case that required 2ndrevision with a CoCr metal head and conventional polyethylene liner due to a recurrent fracture of the ceramic head.
{"title":"Repeated Ceramic Head Fracture after Ceramic-on-ceramic Total Hip Arthroplasty","authors":"M. Park, Sun-jung Yoon, M. Yoo","doi":"10.5371/JKHS.2012.24.1.59","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.59","url":null,"abstract":"Early generation ceramic articulations were problematic in terms of ceramic implant fracture and wear. Although the mechanical properties of ceramic material have improved during the last three decades, ceramic component fracture remains an issue. Many authors have reported fractures of the ceramic head, and a few have described ceramic acetabular insert fracture. However, these complications are only encountered rarely, and all cases reported to date involve a history of minor trauma. Here, we describe a case that required 2ndrevision with a CoCr metal head and conventional polyethylene liner due to a recurrent fracture of the ceramic head.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124406920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.45
S. Kim, Soo-Won Lee, G. Kong, Mid-Um JeaGal
Results: The volume of blood loss during the operation was statistically lesser in the PFNA group (P<0.05) and operation time was not statistically different between the two groups (p=0.73). The bipolar hemiarthroplasty group showed a statistically better outcome than the PFNA group in the beginning of weight bearing (p<0.05), the hospital stay (p<0.05). The degradations of Koval score and modified Harris hip score of the bipolar hemiarthroplasty group were statistically better than those of the PFNA group (p=0.03, p=0.02). The bipolar hemiarthroplasty group showed a statistically lower incidence of mechanical(9.1%, p=0.01) and general(12.1%, p=0.00) complications than the PFNA group. Conclusion: In elderly patients, bipolar hemiarthroplasty is thought to be one of the effective treatments for unstable femoral intertrochanteric fracutures when considering complications and clinical outcomes.
{"title":"Comparison between the Results of Internal Fixation Using Proximal Femur Nail Anti-rotation and Bipolar Hemiarthroplasty in Treatment of Unstable Intertrochanteric Fractures of Elderly Patients","authors":"S. Kim, Soo-Won Lee, G. Kong, Mid-Um JeaGal","doi":"10.5371/JKHS.2012.24.1.45","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.45","url":null,"abstract":"Results: The volume of blood loss during the operation was statistically lesser in the PFNA group (P<0.05) and operation time was not statistically different between the two groups (p=0.73). The bipolar hemiarthroplasty group showed a statistically better outcome than the PFNA group in the beginning of weight bearing (p<0.05), the hospital stay (p<0.05). The degradations of Koval score and modified Harris hip score of the bipolar hemiarthroplasty group were statistically better than those of the PFNA group (p=0.03, p=0.02). The bipolar hemiarthroplasty group showed a statistically lower incidence of mechanical(9.1%, p=0.01) and general(12.1%, p=0.00) complications than the PFNA group. Conclusion: In elderly patients, bipolar hemiarthroplasty is thought to be one of the effective treatments for unstable femoral intertrochanteric fracutures when considering complications and clinical outcomes.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132882636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.5371/JKHS.2012.24.1.18
Y. Sung, J. Choi, Su-Chan Oh
Purpose: This study evaluated the clinical and radiologic results of total hip arthroplasty and bipolar hemiarthroplasty using collarless polished tapered femoral stem. Materials and Methods: We retrospectively reviewed the results of 33 patients who underwent THA and BHA using cemented CPT femoral stem from November 2006 to April 2009. The mean follow-up period was 33 months. The clinical results were evaluated with a Harris Hip Score (HSS), and radiographic results were assessed with cement grade, osteolysis, loosening, stress shielding and subsidence methods. Results: Mean HSS improved with 91 points. Postoperative cement grade was A in 14 cases, B in 14 cases, C1 in 5 cases and D in none. Aseptic loosening was not found, while focal radiolucency in zone 8 was found. 70% of stems showed grade 1 and 2 stress shielding according to Engh’s criteria. Subsidence of the femoral stem was less than 1 mm in 32 cases, and was 1.47 mm in another case. Ectopic ossification was observed in 13 cases, class I in 11 cases, and class II in 2 cases, using Brooker’s classification. Conclusion: This study showed the good clinical and radiographic results of THA and BHA with a cemented CPT femoral stem at the mid-term follow-up. However, a long-term follow-up study will be needed to evaluate the more precise clinical and radiographic outcomes.
目的:本研究评估全髋关节置换术和双极半髋关节置换术使用无环磨光锥形股骨干的临床和放射学结果。材料和方法:我们回顾性分析了2006年11月至2009年4月间33例采用骨水泥CPT股骨干行THA和BHA的患者的结果。平均随访时间为33个月。临床结果采用Harris髋关节评分(HSS)进行评估，影像学结果采用水泥分级、骨溶解、松动、应力屏蔽和沉降法进行评估。结果:平均HSS提高91分。术后水泥等级A 14例，B 14例，C1 5例，无D例。无菌性松动未见，8区有病灶性透光。根据engs标准，70%的杆为1级和2级应力屏蔽。32例股骨下陷小于1 mm, 1例小于1.47 mm。异位骨化13例，ⅰ级11例，ⅱ级2例，采用Brooker分类。结论:本研究在中期随访中显示THA和BHA联合CPT股骨干有良好的临床和影像学结果。然而，需要长期随访研究来评估更精确的临床和影像学结果。
{"title":"Hip Arthroplasty Using Collarless Polished Tapered Stem -Minimum 2 Years Follow-up Results-","authors":"Y. Sung, J. Choi, Su-Chan Oh","doi":"10.5371/JKHS.2012.24.1.18","DOIUrl":"https://doi.org/10.5371/JKHS.2012.24.1.18","url":null,"abstract":"Purpose: This study evaluated the clinical and radiologic results of total hip arthroplasty and bipolar hemiarthroplasty using collarless polished tapered femoral stem. Materials and Methods: We retrospectively reviewed the results of 33 patients who underwent THA and BHA using cemented CPT femoral stem from November 2006 to April 2009. The mean follow-up period was 33 months. The clinical results were evaluated with a Harris Hip Score (HSS), and radiographic results were assessed with cement grade, osteolysis, loosening, stress shielding and subsidence methods. Results: Mean HSS improved with 91 points. Postoperative cement grade was A in 14 cases, B in 14 cases, C1 in 5 cases and D in none. Aseptic loosening was not found, while focal radiolucency in zone 8 was found. 70% of stems showed grade 1 and 2 stress shielding according to Engh’s criteria. Subsidence of the femoral stem was less than 1 mm in 32 cases, and was 1.47 mm in another case. Ectopic ossification was observed in 13 cases, class I in 11 cases, and class II in 2 cases, using Brooker’s classification. Conclusion: This study showed the good clinical and radiographic results of THA and BHA with a cemented CPT femoral stem at the mid-term follow-up. However, a long-term follow-up study will be needed to evaluate the more precise clinical and radiographic outcomes.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126560554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-12-01DOI: 10.5371/JKHS.2011.23.4.290
K. J. Rhee, Eun Sang Lee, T. Kim, Y. Woo, S. Kwon
Purpose: We analyzed the radiologic and clinical outcomes of osteosynthesis using a Richard compression hip screw (RCHS) alone or RCHS with a trochanteric stabilizing plate (TSP) in patients with an intertrochanteric fracture. Materials and Methods: From January 2006 to December 2008, 23 patients (23 cases) underwent osteosynthesis using only RCHS and 24 patients (25 cases) underwent osteosynthesis using RCHS and TSP. We evaluated the classification of fractures, the amount of collapse and shortening, and the duration of fracture union. We used a Koval classification for the evaluation of clinical outcomes. Results: The amount of collapse and shortening in the RCHS-only group was statistically greater than the amount in the RCHS-with-TSP group. The union duration of fracture was 5.3 months in the RCHS-only group and 6.6 months in the RCHS-with-TSP group. The clinical outcomes in the RCHS-with TSP-group were better than the RCHS-only group. We had one case of fixation failure in the RCHS-only group and none in the RCHS-with-TSP group. There were no perioperative systemic complications or death. Conclusion: In patients with unstable intertrochanteric fractures, we can prevent the cut out of the lag screw or screw loosening with the use of pressurized PMMA-augmented RCHS. However, we cannot prevent excessive collapse and shortening, especially in patients with severe osteoporosis, a small diameter of the femur neck, or concealed fractures. In the case of these patients, we recommend you to use RCHS with TSP for the prevention of excessive collapse and shortening.
{"title":"The Clinical Results of Pressurized Cement-Augmented Richard Compression Hip Screw with Trochanteric Stabilizing Plate for Intertrochanteric Fracture Compared with Pressurized Cement-Augmented Richard Compression Hip Screw Only","authors":"K. J. Rhee, Eun Sang Lee, T. Kim, Y. Woo, S. Kwon","doi":"10.5371/JKHS.2011.23.4.290","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.4.290","url":null,"abstract":"Purpose: We analyzed the radiologic and clinical outcomes of osteosynthesis using a Richard compression hip screw (RCHS) alone or RCHS with a trochanteric stabilizing plate (TSP) in patients with an intertrochanteric fracture. Materials and Methods: From January 2006 to December 2008, 23 patients (23 cases) underwent osteosynthesis using only RCHS and 24 patients (25 cases) underwent osteosynthesis using RCHS and TSP. We evaluated the classification of fractures, the amount of collapse and shortening, and the duration of fracture union. We used a Koval classification for the evaluation of clinical outcomes. Results: The amount of collapse and shortening in the RCHS-only group was statistically greater than the amount in the RCHS-with-TSP group. The union duration of fracture was 5.3 months in the RCHS-only group and 6.6 months in the RCHS-with-TSP group. The clinical outcomes in the RCHS-with TSP-group were better than the RCHS-only group. We had one case of fixation failure in the RCHS-only group and none in the RCHS-with-TSP group. There were no perioperative systemic complications or death. Conclusion: In patients with unstable intertrochanteric fractures, we can prevent the cut out of the lag screw or screw loosening with the use of pressurized PMMA-augmented RCHS. However, we cannot prevent excessive collapse and shortening, especially in patients with severe osteoporosis, a small diameter of the femur neck, or concealed fractures. In the case of these patients, we recommend you to use RCHS with TSP for the prevention of excessive collapse and shortening.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116898894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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