直近一年間の累計
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ダウンロード数 : ?
ID 118798
タイトル別表記
Clinical outcome of tapered wedge stem
著者
Sugimine, Yuto Tokushima Municipal Hospital
Nakano, Shunji Tokushima Municipal Hospital
Goto, Hitoshi Tokushima Municipal Hospital
佐藤, 亮祐 Tokushima Municipal Hospital KAKEN研究者をさがす
江西, 哲也 Tokushima Municipal Hospital KAKEN研究者をさがす
後東, 知宏 Tokushima Municipal Hospital KAKEN研究者をさがす
キーワード
hip
joint replacement
total hip arthroplasty
資料タイプ
学術雑誌論文
抄録
The purpose of this study is to evaluate the results and intraoperative or postoperative complications of primary total hip arthroplasty (THA) using a contemporary tapered wedge titanium femoral component. A total of 213 THAs in 187 patients were followed up more than 5 years (mean, 102 months ; range, 60-150). The mean age at surgery was 64.2 years (range, 20–89 years). These patients were clinically evaluated using the JOA scoring system and radiographically host bone reactions around the implants, as well as femoral loosening. The mean JOA score improved from 49 (range, 21–75) to 92 (range, 59–100). All 12 patients with poor results (JOA < 75) coexisted with cerebral, spinal, joint, and musculoskeletal disorders. At the final follow-up, implant survival was 100%. Complications occurred in 23 hips. They consisted of 12 hips with intra-operative fractures, 2 hips with sciatic nerve palsy, one hip with infections, 3 hips with recurrent dislocations, and 8 hips with aseptic cup loosening. In conclusion, we have shown excellent survival rate of the contemporary tapered wedge stem in primary THA ; however, patients with coexisting diseases could not acquire sufficient improvement in hip function and ambulatory ability.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
出版者
Tokushima University Faculty of Medicine
70
3-4
開始ページ
471
終了ページ
475
並び順
471
発行日
2023-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院