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조립형 revision 대퇴 삽입물을 이용한 고관절 치환술의 단기 추시

short-term results of hip arthroplasty using a modular revision stem

안재훈|최원식|이항호
대한고관절학회 (The Korean Hip Society)|2005.03|Hip and Pelvis|제17권 제1호|pp. 46-51

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참고문헌

키워드

Cementless hip arthroplastyModular femoral stem무시멘트 고관절 치환술조립형 대퇴 삽입물

초록

Purpose: To evaluate the clinical and radiological short-term results of hip arthroplasty using a modular RevisionⓇ stem for deformity or bone defect in the proximal femur. Materials and Methods: Fourteen patients were followed for more than 2 years after hip arthroplasty using a modular RevisionⓇ femoral stem. The mean age was 69 years, and the mean follow-up period was 34 months.Clinically Harris hip score and postoperative hip pain were analyzed. The radiological results were assessed using various radiological indices. Results: At last follow-up, average Harris hip score was increased from preoperative 60 points to 86 points, and there was no significant hip pain. Radiologically all stems showed stable fixation. The inclination of cup was significantly changed in one out of 9 cases. Radiolucent line was observed in 2 cases around the stem, and in 1 case around the cup. Endosteal new bone formation was observed in 7 cases around the stem, and in 6 cases around the cup. There were 1 case of hip dislocation and 1 case of cup loosening as a complication. Conclusion: Hip arthroplasty using a modular RevisionⓇ femoral stem seems to be a useful option for the patients with deformity or bone defect in proximal femur.

Abstract

Purpose: To evaluate the clinical and radiological short-term results of hip arthroplasty using a modular RevisionⓇ stem for deformity or bone defect in the proximal femur. Materials and Methods: Fourteen patients were followed for more than 2 years after hip arthroplasty using a modular RevisionⓇ femoral stem. The mean age was 69 years, and the mean follow-up period was 34 months.Clinically Harris hip score and postoperative hip pain were analyzed. The radiological results were assessed using various radiological indices. Results: At last follow-up, average Harris hip score was increased from preoperative 60 points to 86 points, and there was no significant hip pain. Radiologically all stems showed stable fixation. The inclination of cup was significantly changed in one out of 9 cases. Radiolucent line was observed in 2 cases around the stem, and in 1 case around the cup. Endosteal new bone formation was observed in 7 cases around the stem, and in 6 cases around the cup. There were 1 case of hip dislocation and 1 case of cup loosening as a complication. Conclusion: Hip arthroplasty using a modular RevisionⓇ femoral stem seems to be a useful option for the patients with deformity or bone defect in proximal femur.

참고문헌 (17)

  1. "Total hiparthroplasty.A review of three hundred and thirty-threecases with long follow-up", 60-a, pp.306~313 (1978)
  2. "Treatment of Vancouver B3 periprostheticfemur fractures with a fluted tapered stem", 417, pp.224~231 (2003)
  3. "Surface analysis of the taper junctions of retrieved and invitro tested modular hip prostheses", pp.287~301 (1993), Raven Press
  4. "Concerns with modularity in total hiparthroplasty", 298, pp.27~36 (1994)
  5. "The 3-6 year results of a modularnoncemented low-bending stiffness hip implant", pp.239~243 (1993)
  6. "Modularity in total hiparthroplasty", pp.224~233 (1999), Springer-Verlag
  7. "A Biomechanical investigation of the humanhip.J Biomech", pp.75~
  8. "T e l e m e t r i cforce measurements across the hip after arthroplasty", 58-a, pp.618~ (1976)
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  10. "The rationalefor cementless revision total hip replacement withcontemporary technology", 24, pp.627~633 (1993)
  11. "Aradiographic analysis of loosening", pp.17~27 (1979)
  12. "Traumatic arthritis of the hip afterdislocation and acetabular fractures treatment by moldarthropathy", pp.51 737~755 (1969)
  13. "The role of uniform surgical fit on bone ingrowth intoporous coated canine acetabular replacements", 10, pp.167~ (1985)
  14. "Revision total hiparthroplasty with cementless proximal modular distalfixation femoral stem", 16, pp.359~365 (2004)
  15. "Cementless revision of failed aseptic cemented andcementless total hip arthroplasties", 235, pp.67~74 (1988)
  16. "Total hip revisionwith proximal modular femoral stem", 34, pp.1123~1128 (1999)
  17. "Migration of corrosion products from modular hipprostheses", pp.1345~1359 (1994)

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