The Journal of the Korean Hip Society最新文献_第8页

Two-Incision Bipolar Hemiarthroplasty for Treating Femoral Neck Fracture - Analysis of 15 Cases - 双切口双极半关节置换术治疗股骨颈骨折15例分析

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.203

Byung-Hak Kim, Young-yool Chung, S. Jun, D. Choi

{"title":"Two-Incision Bipolar Hemiarthroplasty for Treating Femoral Neck Fracture - Analysis of 15 Cases -","authors":"Byung-Hak Kim, Young-yool Chung, S. Jun, D. Choi","doi":"10.5371/JKHS.2010.22.3.203","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.203","url":null,"abstract":"Introduction: We wanted to evaluate the efficacy of bipolar hemiarthroplasty using Berger's two-incision surgical technique for patients with muscular weakness around the hip joint and/or a high risk of dislocation. Materials and Methods: We performed bipolar hemiarthroplasty for 15 femoral neck fractures using Berger's two- incision technique between December 2005 and July 2007. The mean age of the patients was 75.2 years old. Four of them had difficulty in walking due to the sequalae after stroke and five have been treated for psychoneurologic disorders. We investigated the operation time, the length of the anterior and posterior incisions, the amount of bleeding, the time untill walking after the operation, the total hospital stay, the recovery to activities of daily living and the complications such as dislocation. Results: The mean operating time was 93 minutes. The average anterior and posterior skin incision length was 6.4 cm and 7.2 cm, respectively. The mean amount of bleeding was 420 cc at the time of surgery and 230 cc postoperatively through a drain. The patients started walking at a mean of 3.3 (1 to 5) days after the operation and the mean hospitalization was 24.3 days. Fourteen patients went back to their pre-injured activities of daily living, except one case with an intraoperative periprosthetic fracture. As for complications, two cases (13.3%) of femoral fracture were intraoperatively observed and one case of skin necrosis on the anterior incision site occurred. There were not any cases of dislocation or infection. Conclusion: Two-incision bipolar hemiarthroplasty had advantages for rehabilitation in elderly patients who have a high risk of dislocation, as well as in the patients with muscle weakness. But the operation took a long time and it had a high complication rate.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124029364","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

The Tribological and Lubrication Responses of a Cobalt-Chromium Femoral Head in Total Hip Arthroplasty 钴铬股骨头在全髋关节置换术中的摩擦学和润滑反应

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.227

Seonghun Park, Duong Cong Truyen, Jaehoon Lee, Younho Cho, S. Park, K. Park, J. Chang, S. S. Lee

{"title":"The Tribological and Lubrication Responses of a Cobalt-Chromium Femoral Head in Total Hip Arthroplasty","authors":"Seonghun Park, Duong Cong Truyen, Jaehoon Lee, Younho Cho, S. Park, K. Park, J. Chang, S. S. Lee","doi":"10.5371/JKHS.2010.22.3.227","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.227","url":null,"abstract":"� Purpose: This study aimed at investigating the role of albumin as a boundary lubricant in the lubrication of the Co-Cr femoral head of artificial hip implants by measuring the tribological parameters of the Co-Cr femoral head with Atomic Force Microscope (AFM) techniques. Materials and Methods: Samples were prepared from the main wear region of a Co-Cr femoral head from revision hip surgery. Two types of solutions were prepared as lubricants: PBS (Phosphate Buffered Saline) as a control solution and BSA (Bovine Serum Albumin) as a lubricant at concentrations of 10, 20, 30 and 40 mg/ml in PBS solution. Results: There were statistically significant differences in the frictional coefficients (μ) of a Co-Cr head between the PBS control and all the concentrations of BSA (10, 20, 30, 40 mg/ml) (P<0.001). Similarly, there were statistically significant differences for the μ between the BSA concentrations of 10, 20, 30 and 40 mg/m for all the cases except between the BSA of 30 and 40 mg/ml (P<0.01). Conclusion: There exists a maximum protein concentration of BSA to play a role as an effective boundary lubricant through adsorption on the surface of Co-Cr femoral head.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114399149","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

Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail Dyna锁定转子(DLT)钉治疗股骨转子间骨折

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.216

Yong Sik Kim, J. Yoon, S. Han

{"title":"Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail","authors":"Yong Sik Kim, J. Yoon, S. Han","doi":"10.5371/JKHS.2010.22.3.216","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.216","url":null,"abstract":"Purpose: We analyzed the clinical and radiological results after treatment of intertrochanteric fracture of the femur using a Dyna locking trochanteric (DLT) nail. Materials and Methods: From March 2008 to February 2009, 36 patients (10 males and 26 females) who had at least 6 months follow-up among 43 patients were included in our study. The average age of the patients was 76.4 years (range: 65~90 years) and the average follow-up period was 13.4 months (range: 9~21 months). We evaluated the radiological results such as the neck-shaft angle and the sliding length of the lag screw at last follow-up and the clinical results such as intraoperative complications, the operation time, the postoperative blood loss and the incidence of fixation failure. Results: The average neck-shaft angle at last follow-up was 131.1 degrees and the average sliding length of lag screw was 3.6 mm. Two cases (5.6%) of femoral shaft fracture during the insertion of a lag screw or nail happened and one case of stress fracture of the femoral neck occurred. Two cases of fixation failure developed due to deep infection or varus angulation. Conclusion: Fixation using a DLT nail can be a good option for the treatment of intertrochanteric fractures of the femur.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130276410","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: 7

Revision Total Hip Arthroplasty Using a Fully Porous-Coated Long Stem - a Minimum 5 Years Follow up - 使用全多孔涂层长柄全髋关节置换术的翻修-至少5年随访

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.189

Y. Cho, S. Kwak, Y. Chun, K. Rhyu, Taeg Su Ko, M. Yoo

{"title":"Revision Total Hip Arthroplasty Using a Fully Porous-Coated Long Stem - a Minimum 5 Years Follow up -","authors":"Y. Cho, S. Kwak, Y. Chun, K. Rhyu, Taeg Su Ko, M. Yoo","doi":"10.5371/JKHS.2010.22.3.189","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.189","url":null,"abstract":"Purpose: We wanted to evaluate the mid-term results of revision total hip arthroplasty using a fully porous-coated long stem. Materials and Methods: A retrospective series of 20 hips in 19 patients who underwent stem revision with a fully porous-coated long stem were evaluated at a mean follow-up of 64.6 months. The causes of revision were aseptic loosening, periprosthetic fracture and infected arthroplasty. Four kinds of implants had previously been used and an additional bone graft procedure had been done in 17 cases. The Harris hip scores, thigh pain, limping and ROM were reported. Radiological changes of the radiolucent signs, subsidence, loosening and the stress shielding signs were evaluated. Results: The Harris hip score improved from an average of 56.5 to 91.9 and the ROMs were satisfactory. The only case with persistent thigh pain showed stable bony ingrowth. No signs of subsidence or loosening of the stem was found in all the cases. There were 2 cases of periprosthetic fracture. None of the patients experienced re-revision surgery. Conclusion: The mid-term results of revision hip arthroplasty using a fully porous coated long stem have demonstrated that it provides a reliable initial fixation with a propensity for stable longevity. It is relatively easy for the techniques, and there is the opportunity to restore the bone stock by bone-grafting procedures with diaphyseal fixation and bypassing a bone defect. Yet alternative techniques may be required for the femur with extensive diaphyseal bone loss. There are some concerns about the technique and the possibility of making a crack in the femur during the operation, which will cause thigh pain at the follow-up. So, only by employing great caution when performing this technique can successful results be guaranteed.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"257 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131793589","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

Rapidly Destructive Coxarthrosis in Patients with Rheumatoid Arthritis - Report on 3 Cases - 类风湿关节炎患者快速破坏性关节关节病3例报告

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.234

H. Yun, Jung-Ro Yoon, Deuk-Soo Lim, J. Yi

引用次数: 2

Cementless Total Hip Arthroplasty with Alumina Ceramic-on- Ceramic Articulation 氧化铝陶瓷对陶瓷关节的无骨水泥全髋关节置换术

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.183

Dong Hui Kim, Sang Hong Lee, J. You, Sungyoon Cho

{"title":"Cementless Total Hip Arthroplasty with Alumina Ceramic-on- Ceramic Articulation","authors":"Dong Hui Kim, Sang Hong Lee, J. You, Sungyoon Cho","doi":"10.5371/JKHS.2010.22.3.183","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.183","url":null,"abstract":"대퇴골두 무혈성 괴사는 허혈성 손상이 발생하여 대퇴 골두의 붕괴와 고관절의 변성을 초래하는 질환으로 이차 적인 관절염을 발생시키는 경우 인공 고관절 전 치환술이 주된 치료로 사용되고, 현재 사용되는 관절면의 종류로는 금속-폴리에틸렌, 금속-금속, 세라믹-세라믹, 세라믹-폴리 에틸렌이 있다. Bozic 등에 의하면 NIS (nationwide inpatient sample)의 자료를 인용하여 2005년 10월부터 2006년 12월까지 인공 고관절 전 치환술을 시행받은 112,094명의 환자를 조사한 결과 금속-폴리에틸렌 51%, 금속-금속 35%, 세라믹-세라믹 14%였고, 나이가 젊은 환 자에서는 금속-금속이나 세라믹-세라믹 같은 hard on hard bearing의 사용이 높다고 하였다. 특히 1970년 이후 Boutin에 의하여 보고된 세라믹-세라믹 관절면은 생산 기술 및 디자인의 발전으로 낮은 마모율과 생체 적합성을 가지게 되어 사용이 점차 확대되고 있다. 이에 저자들은 대퇴골 두 무혈성 괴사가 비교적 젊은 연령에서 주로 발생 하는 점을 감안하여 본원에서 세라믹-세라믹 관절면을 이 용한 무시멘트 고관절 전 치환술을 시행한 환자들에 있어 임상적, 방사선학적인 결과를 분석하고자 한다. Submitted: June 11, 2010 1st revision: August 16, 2010 2nd revision: August 26, 2010 3rd revision: September 1, 2010 Final acceptance: September 1, 2010","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115412061","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

Cemented Bipolar Hemiarthroplasty for Intertrochanter Fracture in Elderly Patients - Minimum 2-Years Follow-up Results - 骨水泥双极半关节置换术治疗老年患者转子间骨折-至少2年随访结果

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.209

S. Hwang, Dong-hyun Kang, Tae Yeon Cho, Chang-Ho Yi

{"title":"Cemented Bipolar Hemiarthroplasty for Intertrochanter Fracture in Elderly Patients - Minimum 2-Years Follow-up Results -","authors":"S. Hwang, Dong-hyun Kang, Tae Yeon Cho, Chang-Ho Yi","doi":"10.5371/JKHS.2010.22.3.209","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.209","url":null,"abstract":"기존의 근위 대퇴골의 골절의 수술적 치료에 사용되었던 역동적 기구들은 환자의 불량한 골질 및 골다공증으로 인하 여 견고한 고정이 어려워 고관절 반치환술에 비하여 전 체 중부하까지의 시기가 지연되어 수술 후 보행이 늦어질 수 있다. 또한 불유합이나 무혈성 괴사 등 불량한 결과를 보인 경우 재수술이 필요하나, 대부분 환자가 고령이며 전신상태 가 재수술의 위험도가 높아 허용되지 않는 경우가 많다. 반면 고관절 인공관절 치환술은 골질에 관계없이 초기 에 안정된 고정이 된다면 조기 보행이 가능하여 고령의 환 자에서 성공적인 일차적 치료로 받아들여지고 있다. Haentjens 등은 고령의 불안정성 대퇴 전자간부 골절 환 자에서 골시멘트를 사용한 양극성 대퇴 골두 치환술을 시 행하여 조기에 체중 부하를 얻을 수 있었고, 조기 보행으 로 인하여 욕창, 폐렴, 무기폐 등의 합병증이 적게 발생하 여 만족할만한 결과를 보고 하였다. 국내에서도 Kim 등 은 고령의 환자에서 발생한 불안정성 대퇴 전자간 분쇄 골 절에 대해 골시멘트를 사용한 양극성 대퇴골두 치환술을 시행하여 최소 2년간 추시 결과에서 대부분 만족할만한 임상적, 방사선적 결과를 보고하였다. 이에 본 연구에서는 고령 환자에서 발생한 전자간부 골 절에 대하여 시멘트 대퇴 주대를 이용한 양극성 고관절 반 Submitted: February 23, 2010 1st revision: May 20, 2010 2nd revision: June 9, 2010 3rd revision: June 15, 2010 Final acceptance: June 16, 2010","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115638470","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

Metal-on-Metal Bearing in Total Hip Arthroplasty 全髋关节置换术中的金属对金属轴承

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.171

Youn-Soo Park, Seung-Jae Lim

引用次数: 3

Revision Total Hip Arthroplasty with a Strut Allograft and an Extensively Porous-Coated Femoral Stem 支架异体移植物和广泛多孔包膜股干翻修全髋关节置换术

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.197

Kyung-Jae Lee, B. Min, K. Bae, C. Cho, Dong-Hu Kim

{"title":"Revision Total Hip Arthroplasty with a Strut Allograft and an Extensively Porous-Coated Femoral Stem","authors":"Kyung-Jae Lee, B. Min, K. Bae, C. Cho, Dong-Hu Kim","doi":"10.5371/JKHS.2010.22.3.197","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.197","url":null,"abstract":"Purpose: We wanted to report on the outcomes of using a strut allograft and extensively porous-coated femoral stems in revision total hip arthroplasty that was performed due to extensive femoral bone loss. Materials and Methods: Between 1998 and 2005, we performed 167 consecutive revision total hip arthroplasties. Among them, twelve cementless femoral revision surgeries with a strut allograft and extensively porous-coated stems were retrospectively reviewed. The average follow up was 4.6 years. The average age at the time of the index revision was 55.9 years. The reasons for the revisions were periprosthetic fracture due to extensive osteolysis in 5 hips and aseptic loosening in 7 hips. Results: The Harris hip score improved from a mean of 40.8 points before revision surgery to a mean of 85.1 points at the latest follow up. Radiographic evidence of bony stable stems were present in 11 hips and a fibrous stable stem was present in 1 hip. Moderate stress-shielding was noticed in one hip. Nonunion of the allograft was observed in 1 hip due to deep infection. To date, no significant wear or osteolysis has been observed. Conclusion: Revision total hip arthroplasty with a strut allograft and an extensively porous-coated femoral stem for treating cases of extensive femoral bone loss seems to be a reasonable choice. However, the concerns related to stress shielding, the difficulties in re-revisions and the complications associated with an allograft will require longer term follow up.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127596391","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

Clinical Results of Femoral Subtrochanteric Fractures 股骨粗隆下骨折的临床结果

The Journal of the Korean Hip Society Pub Date : 2010-09-01 DOI: 10.5371/JKHS.2010.22.3.222

Ji Wan Kim, J. Chang, Hee-Sang Lee, J. Bae, Jung Jae Kim

{"title":"Clinical Results of Femoral Subtrochanteric Fractures","authors":"Ji Wan Kim, J. Chang, Hee-Sang Lee, J. Bae, Jung Jae Kim","doi":"10.5371/JKHS.2010.22.3.222","DOIUrl":"https://doi.org/10.5371/JKHS.2010.22.3.222","url":null,"abstract":"Purpose: This study examined the clinical course of subtrochanteric fractures of the femur as well as the risk factors of complications. Materials and Methods: A retrospective study was performed on 56 patients with femoral subtrochanteric fractures who were treated at our hospital from 2004 to 2008. Risk factors, such as the type of fracture, type of implant, soft tissue dissection at the fracture site, communition of the medial cortex and degree of fracture displacement after the reduction, were compared to determine their effect on the rate of complications, such as nonunion and implant failure. Open reduction with a soft tissue dissection at the fracture site was performed in 34 cases, and a closed reduction was performed in 22 cases. Thirty five cases had medial cortex communition and 21 cases did not. Results: There were 8 cases of nonunion(14.3%). There was a positive correlation between the degree of fracture displacement after the reduction and the union time (P=0.017). The union time was longer when there was communition of the medial cortex. A subtrochanteric fracture using an open reduction tended to have a long union time but this was not statistically significant. There was no correlation between the type of implant and union time. Conclusion: The union time is longer in subtrochanteric fractures with communition of the medial cortex. Therefore, it is important to preserve the blood supply at the fracture site using a closed reduction and restore the fracture reduction accurately.","PeriodicalId":410202,"journal":{"name":"The Journal of the Korean Hip Society","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125234317","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: 6