불안정성 대퇴 전자간 골절에서 양극성 고관절 반치환술 시 대전자부 골편 고정 방법의 비교
- Alternative Title
- Comparison between the Methods for Fixation of Greater Trochanteric Fragment in Cemented Bipolar Hemiarthroplasty for Unstable Intertrochanteric Fracture
- Abstract
- Purpose: To evaluate clinical and roentgenographic outcomes after bipolar hemiarthroplasty utilizing three different greater trochanteric fragment fixation methods for intertrochanteric fracture repair. Materials and Methods: Forty-six hips (Boyd-Griffin type II: 44, type IV: 2) that had undergone greater trochanteric fragment fixation through bipolar hemiarthroplasty were evaluated at a minimum of 1 year following surgery. The fixation groups were: 1) figure of 8 wiring (18 cases), 2) cerclage wiring (23 cases), and 3) tension band wiring (11 cases). The roentgenographic results were evaluated in terms of fragment migration and wire breakage. The functional results were evaluated according to the hip rating scale of Merle d’Aubigne. Results: The rate of fragment migration was 22.2% in group 1, 52.2% in group 2, and 9.1% in group 3, and there was a statistically significant difference among the groups (p=0.022). The rate of wire breakage was 27.8% in group 1, 13.0% in group 2, and 9.1% in group 3, but there was no statistically significant difference among the groups. According to the Merle d’Aubigne scale, 78.6% of the repairs in group 1, 82.4% of the repairs in group 2, and 88.9% of the repairs in group 3 were rated as excellent, very good, or good. Conclusion: The tension band wiring method is more useful than the figure of 8 and cerclage wiring methods for fixing the greater trochanteric fragment during bipolar hemiarthroplasty.
- All Author(s)
- 서유성
; 최상욱
; 박종석
; 임수재
; 신병준
- Issued Date
- 2008
- Type
- Article
- Keyword
- Unstable intertrochanteric fracture; Fixation of greater trochanteric Fragment; Wiring; Tension band wiring
- Publisher
- 대한고관절학회
- ISSN
- 1226-9409
; 2287-3260
- Citation Title
- 대한고관절학회지
The Journal of the Korean Hip Society
- Citation Volume
- 20
- Citation Number
- 2
- Citation Start Page
- 104
- Citation End Page
- 109
- Language(ISO)
- kor
- DOI
- 10.5371/jkhs.2008.20.2.104
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/422
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