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전위성 대퇴경부 골절에 대한 금속나사 고정의 결과

Other Titles
 Results of Screw Fixation for Displaced Femoral Neck Fracture 
Authors
 양익환  ;  박훈  ;  최종혁  ;  양규현  ;  한창동 
Citation
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.42(6) : 772-780, 2007 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
ISSN
 1226-2102 
Issue Date
2007
Keywords
Femoral neck fracture ; Closed reduction ; Internal fixation
Abstract
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.
Files in This Item:
T200701560.pdf Download
DOI
10.4055/jkoa.2007.42.6.772
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)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96648
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