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ID 61430
JaLCDOI
フルテキストURL
75_1_25.pdf 29.1 MB
著者
Tetsunaga, Tomonori Department of Orthopaedic Surgery, Okayama University Hospital ORCID Kaken ID
Tetsunaga, Tomoko Department of Orthopaedic Surgery, Okayama University Hospital
Yamada, Kazuki Department of Medical Materials for Musculoskeletal Reconstruction, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sanki, Tomoaki Department of Orthopaedic Surgery, Okayama University Hospital
Kawamura, Yoshi Department of Orthopaedic Surgery, Okayama University Hospital
Ozaki, Toshifumi Department of Orthopaedic Surgery, Okayama University Hospital Kaken ID publons researchmap
抄録
In bipolar hemiarthroplasty (BHA), it is important to preserve soft tissue to reduce the risk of postoperative dislocation. A variety of surgical approaches for BHA are available, but extra care is needed with muscle- and tendon-preserving approaches in geriatric patients. We investigated the usefulness of BHA using a conjoined tendon-preserving posterior (CPP) approach, in which only the external obturator muscle is dissected, in geri-atric patients. We retrospectively analyzed the cases of 40 femoral neck fracture patients (10 men, 30 women) aged ≥ 80 years who underwent BHA using the CPP approach. The patients’ average age was 85.8 years (80-94 years). We examined the operation time, bleeding, preservation of short external rotator muscles, complica-tions, and stem alignment and subsidence from postoperative radiographs. Although gemellus inferior muscle injury was detected in 4 patients (10%), the hip joint stability was very excellent in all cases. There was no intraoperative fracture or postoperative dislocation. On postoperative radiographs, all femoral stems were in a neutral position. There was no stem subsidence in all 40 patients. BHA using the CPP approach appeared to be useful even in geriatric patients.
キーワード
bipolar hip arthroplasty
geriatric patient
conjoined tendon-preserving posterior approach
Amo Type
Original Article
発行日
2021-02
出版物タイトル
Acta Medica Okayama
75巻
1号
出版者
Okayama University Medical School
開始ページ
25
終了ページ
30
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2021 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID