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전위성 대퇴경부 골절에 대한 금속나사 고정의 결과

Other Titles
 Results of Screw Fixation for Displaced Femoral Neck Fracture 
 양익환  ;  박훈  ;  최종혁  ;  양규현  ;  한창동 
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.42(6) : 772-780, 2007 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
Issue Date
Femoral neck fracture ; Closed reduction ; Internal fixation
Purpose: This study retrospectively reviewed the results of a closed reduction and internal fixation with cannulated screws for a displaced femoral neck fracture. Materials and Methods: Among 631 patients between January 1991 and December 2000, 27 patients classified as Garden stage Ⅲ or Ⅳ were treated with a closed reduction and internal fixation with cannulated screws. The mean follow-up duration was 4.5 years. The mean age of the patients was 56.5 years. Results: Union and the restoration of function was observed in 15 cases (55.6%), and failure occurred in 12 cases (44.4%). The cause of failure was early stage reduction loss due to a failure to obtain anatomical reduction on the surgical field in 4 cases, reduction loss and displacement during the follow up period after an appropriate reduction at surgery in 4 cases and avascular necrosis in 4 cases. Seven cases were converted to a total hip arthroplasty, 4 cases were converted to bipolar hemiarthroplasty and 1 case is currently being followed up. Conclusion: A closed reduction and internal fixation for displaced femoral neck fracture showed a high failure rate. Therefore, an accurate anatomical reduction, firm internal fixation and efforts to prevent further unnecessary vascular injury will be needed to reduce the high failure rate and complications.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
Yang, Ick Hwan(양익환)
Choi, Chong Hyuk(최종혁) ORCID logo https://orcid.org/0000-0002-9080-4904
Han, Chang Dong(한창동)
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