The Journal of the Korean Hip Society最新文献_第5页

Comparative Results of Acetabular Both Column Fracture According to the Fixation Method 不同固定方法治疗髋臼双柱骨折的疗效比较

The Journal of the Korean Hip Society Pub Date : 2011-06-01 DOI: 10.5371/JKHS.2011.23.2.131

Kyung-Jae Lee, B. Min, Eun-Seok Son, H. Seo, Jin-hyun Park

{"title":"Comparative Results of Acetabular Both Column Fracture According to the Fixation Method","authors":"Kyung-Jae Lee, B. Min, Eun-Seok Son, H. Seo, Jin-hyun Park","doi":"10.5371/JKHS.2011.23.2.131","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.2.131","url":null,"abstract":"Purpose: We wanted to compare the clinical and radiological results of surgical treatment of acetabular both column fracture according to the fixation method. Materials and Methods: Between 1986 and 2008, 55 patients who underwent surgical treatment for acetabular both column fracture were clinically and radiologically evaluated after a minimum follow-up of one year. Of 55 patients, 29 cases were operated with a cerclage wire or cable (group I) and 26 cases were operated with a plate and screw (group II). The surgical approach, the intra- and post-operative complications and the reduction quality were compared between the two groups. The clinical and radiological results were analyzed according to the criteria reported by Matta. Results: There were 14 (48.3%)/20 (76.9%) cases of anatomical reduction, 12 (41.4%)/6 (23.1%) cases of imperfect reduction, 1/0 case of poor reduction and 2/0 cases of surgical secondary incongruence, respectively. Thirty three patients of 34 anatomically reduced patients showed excellent clinical results and the anterior and posterior combined approach was frequent in group I. There were no differences between the two groups for the complications, although intraoperative complication was more frequent in group II and postoperative complication was more frequent in group I. Conclusion: The clinical and radiological results of surgical treatment in patients with both column fracture were satisfactory in both groups. However, the concerns related to the surgical approach and complications will require a randomized prospective study.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125577087","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}

引用次数: 1

Dislocation as a Complication after Total Hip Arthroplasty 全髋关节置换术后脱位的并发症

The Journal of the Korean Hip Society Pub Date : 2011-06-01 DOI: 10.5371/JKHS.2011.23.2.89

Jun-Shik Kim

引用次数: 0

One-Year Mortality Rate of Patients over 65 Years Old with a Hip Fracture 65岁以上髋部骨折患者一年死亡率

The Journal of the Korean Hip Society Pub Date : 2011-06-01 DOI: 10.5371/JKHS.2011.23.2.137

P. Chung, Suk Kang, Jong Pil Kim, Y. S. Kim, H. M. Lee, Young Hwa Choi

引用次数: 2

Comparison of the Gamma Nail and the Dynamic Hip Screw for Peritrochanteric Fracture Gamma钉与动力髋螺钉治疗股骨转子周围骨折的比较

The Journal of the Korean Hip Society Pub Date : 2011-06-01 DOI: 10.5371/JKHS.2011.23.2.124

S. Kweon

{"title":"Comparison of the Gamma Nail and the Dynamic Hip Screw for Peritrochanteric Fracture","authors":"S. Kweon","doi":"10.5371/JKHS.2011.23.2.124","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.2.124","url":null,"abstract":"대퇴골 전자부 골절은 대부분의 경우 골다공증을 동반한 고령층에서 많이 발생하며, 평균 수명의 증가로 그 발생 빈 도가 증가 추세에 있다. 골절 치료의 목적은 정확한 정복 및 견고한 내고정을 통해 조기 보행을 시행함으로서 고령 환자에서 흔한 술 후 합병증을 예방하고 조기에 골유합을 얻는데 있다. 그러나 골다공증이 심하여 골절 양상이 분쇄 상이거나 불안정성을 보이는 전자부 골절의 경우 정복 및 내고정이 어려우며 술 후에도 내고정물의 실패와 골절부 위의 심한 함몰이 발생하는 합병증이 문제라고 할 수 있다. 지금까지 대퇴골 전자부 골절의 치료에 많은 기구들이 고안되어 왔다. 특히 골절 부위의 압박력을 얻을 수 있는 활강 압박 고나사와 생체 역학적인 장점이 있는 골수강 내 고정술이 대표적이다. 활강 압박 고나사는 전자부 골절의 치료에서 양호한 결과를 보고하고 있으나 불안정성 골절 에서는 과도한 활강으로 인한 정복 소실, 내반 및 외회전 변형, 지연 나사의 골두 내 천공 등 여러 가지 문제를 보고 하고 있다. 그래서 짧은 지렛대로 인한 생역학적 안정성 Submitted: Januarry 7, 2011 1st revision: February 11, 2011 2nd revision: April 13, 2011 3rd revision: April 26, 2011 Final acceptance: April 26,2011","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123684159","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}

引用次数: 0

Undetected Incomplete Stress Fracture in the Proximal Femur of a Patient with Paget's Disease - A Case Report - Paget病患者股骨近端未被发现的不完全性应力性骨折1例报告

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.60

H. Kim, J. Yoo, Y. Park, Jin soo Park, K. Noh, K. Chung, Min-Young Jo, J. Hwang

引用次数: 0

Arthroscopic Analysis of the Radiologic Abnormalities of the Hip Associated with Anterior Femoroacetabular Impingement 髋关节与股髋臼前撞击相关放射学异常的关节镜分析

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.15

Pil-Sung Kim, D. Hwang, Chan Kang, Jung Bum Lee, Jun Yeong Park

{"title":"Arthroscopic Analysis of the Radiologic Abnormalities of the Hip Associated with Anterior Femoroacetabular Impingement","authors":"Pil-Sung Kim, D. Hwang, Chan Kang, Jung Bum Lee, Jun Yeong Park","doi":"10.5371/JKHS.2011.23.1.15","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.1.15","url":null,"abstract":"� Purpose: We wanted to arthroscopically analyze the femoral osseous abnormalities (bumps) in hips with anterior femoroacetabular impingement (FAI) and the other radiologic abnormalities of the hip joint associated with this. Materials and Methods: We retrospectively reviewed the radiographs of 45 patients (51 hips) who underwent arthroscopic treatment under the impression of FAI from January to August, 2008. The indications for surgery included persistent hip pain, the absence of advanced osteoarthritis, physical examination or MRA findings consistent with an acetabualr labral tear. Preoperative and postoperative plain radiographs (pelvis AP, frog-leg lateral, cross table lateral and the false profile view) were taken. As the occasion demanded, 3D-CT or MRA were performed. Results: For the radiologic findings, a decreased head-neck offset (<8 mm) was seen in 15 hips. Femoral bumps were seen in 26 hips and among them, 11 hips were associated with acetabular retroversion, 5 hips were associated with a prominent acetabular rim and 13 hips were located on the flattening of the neck due to a decreased offset. Pistol grip deformity was found in 21 hips and acetabular retroversion was done in 32 hips. Regarding the secondary changes, spurs on the acetabulum of the femur were found in 14 hips and femoral bony cysts were found in 23 hips. Arthroscopically, all the hips had acetabular degenerative labral tear and the acetabular cartilage was injured in 32 hips (62.7%). Among them, 25 hips underwent acetabular retroversion. Conclusion: Femoral osseous abnormalities are seen in various locations and these abnormalities have various shapes. A considerable number were associated with pincer impingement and they could produce a 'kissing lesion' between the acetabulum and femur. Identification of these abnormalities on radiographs aids confirming FAI in hips with symptomatic early osteoarthritis.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126215356","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}

引用次数: 0

Results of Operative Treatment for a Bone Cyst in the Proximal Femur 股骨近端骨囊肿的手术治疗结果

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.54

M. Park, Do-Hyun Kim, Hong-Man Cho, Woochull Chung

{"title":"Results of Operative Treatment for a Bone Cyst in the Proximal Femur","authors":"M. Park, Do-Hyun Kim, Hong-Man Cho, Woochull Chung","doi":"10.5371/JKHS.2011.23.1.54","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.1.54","url":null,"abstract":"� Purpose: We retrospectively evaluated performing curettage and bone grafting for the treatment of simple bone cyst in 21 patients with cysts in the proximal femur. The purpose of this study was to review the results with a minimum follow up of 24 months. Materials and Methods: We treated 21 cases of simple bone cysts with curettage and a bone graft from June 1995 to July 2008. 4 male and 17 female patients (age range: 14~62 years (mean age: 39.8 years) volunteered for this study. The range of the follow-up period was from 24 months to 6 years (mean follow-up: 63.7 months). We evaluated the effect of treatment by examining the simple follow-up radiographs according to Oppenheim's classification. We retrospectively reviewed the site of the cysts, the patients' ages at the time of the diagnosis, the incidence of pathologic fracture, the association with femoro-acetabular impingement (FAI) and the type of bone graft. Results: The investigation revealed that 20 out of 21 patients had better than improved results. 14 patients of the 15 patients who were treated with an autogenous bone graft had better than improved results and all 6 patients who received an autogenous and allergenic bone graft had better than improved results. Two patients had associated FAI. These cases were managed with arthroscopic labral trimming and curettage. There were no specific complications related to the bone cyst and the operative procedure. Conclusion: We believe curettage and bone grafting and stabilization with compression hip screws is a reasonable treatment for simple bone cysts in the proximal femur. The bone cyst in the femoral head neck junction in patients older than 50 years old is related with femoroacetabular impingement.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"156 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122612000","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}

引用次数: 0

Surgical Management of Repeated Low-Energy Periprosthetic Femur Fractures - A Case Report - 重复低能量股骨假体周围骨折的手术治疗- 1例报告

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.66

T. Yoon, Kyung-Soon Park, K. Thevarajan, N. Cho

引用次数: 0

Joint Preserving Operations for Femoral Head Osteonecrosis 股骨头坏死的保关节手术

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.7

Ki-Choul Kim, Young-Kyun Lee, Y. Ha, K. Koo

引用次数: 1

The Result of Osteosynthesis for Femur Neck Fracture in Old Age Patients 老年股骨颈骨折的植骨效果分析

The Journal of the Korean Hip Society Pub Date : 2011-03-01 DOI: 10.5371/JKHS.2011.23.1.32

S. Choo, H. Oh, Jong-In Kim, H. Lee, G. Jang

{"title":"The Result of Osteosynthesis for Femur Neck Fracture in Old Age Patients","authors":"S. Choo, H. Oh, Jong-In Kim, H. Lee, G. Jang","doi":"10.5371/JKHS.2011.23.1.32","DOIUrl":"https://doi.org/10.5371/JKHS.2011.23.1.32","url":null,"abstract":"Purpose: We wanted to investigate the radiographic and clinical results of internal fixation with cannulated screws in elderly patients with femoral neck fracture. Materials and Methods: We reviewed the results of 47 cases of elderly patients with femoral neck fractures that were treated by osteosynthesis from May 2000 and March 2009 and these patients could be followed up for more than one year. There were 11 males and 36 females with a median age of 72 years (65~85 years). They were classified by the Garden stage. The number of stage I and II fractures was 34 and 16, respectively. The postoperative follow up period was 24 months (12~84 months). The union time, horizontal shortening and complications were investigated. Walking ability was evaluated by Koval’s scoring system and the quality of life was measured by the Korean EQ-5D. Results: The average union time was 4.4 months. The complications were one case of nonunion, 6 cases of avascular necrosis and one case of subtrochanteric fracture. The average of the horizontal shortening was 6.815 mm (0~20 mm) in the fracture site. The walking ability was on average 1 step down and it was possible to walk independently using a walker for 69% of the patients. The Korean EQ-5D quality of life was reduced from 0.856 to 0.561 (P <0.01). Conclusion: In elderly patients with femur neck fracture, the decreased abductor moment arm may reduce the quality of life and walking ability after cannulated screw fixation.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134638359","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}

引用次数: 2