Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박장원 | * |
dc.date.accessioned | 2022-07-14T16:30:57Z | - |
dc.date.available | 2022-07-14T16:30:57Z | - |
dc.date.issued | 2022 | * |
dc.identifier.issn | 0883-5403 | * |
dc.identifier.other | OAK-31673 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/261503 | - |
dc.description.abstract | Background: To insert the regular-sized stem for a dysplastic femoral canal, controlled episiotomy of the femur can be performed. The purpose of this study is to determine the long-term (up to 19 years) results of total hip arthroplasties (THAs) using strut allografts combined with an episiotomy over an extensively porous-coated stem. Methods: We reviewed the results of 65 total hip arthroplasties in 63 patients (mean age 42.1 years; range 21-61) with dysplastic femur after childhood sepsis. The patients were treated using controlled episiotomy of the femur to widen the femoral canal, extensively porous-coated femoral stems, and cortical strut allografts because primary axial or rotational stability could not be achieved without grafting. The mean follow-up was 17.1 years (range 15-19). Results: The mean Harris Hip Score at the final follow-up was 85 ± 15 points (range 45-100). The mean Western Ontario and McMaster Universities Osteoarthritis Index score was 23 ± 15 points (range 13-53). The mean University of California, Los Angeles score was 6.3 points (range 5-8). A Kaplan-Meier survivorship analysis at 19 years of follow-up showed that the survival rate of the femoral components was 92% (95% confidence interval 89-98), and it was 88% (95% confidence interval 85-92) for the acetabular component with aseptic loosening or revision for any reason. Conclusion: We found good results in terms of longevity and functional outcome using this technique. Future mechanical studies, in addition to controlled clinical studies, are warranted. © 2022 Elsevier Inc. | * |
dc.language | English | * |
dc.publisher | Elsevier B.V. | * |
dc.subject | clinical results | * |
dc.subject | dysplastic femur | * |
dc.subject | episiotomy | * |
dc.subject | radiographic results | * |
dc.subject | strut onlay allograft | * |
dc.subject | survival rate | * |
dc.title | Long-Term Follow-Up of Management of the Hypoplastic Femur With Femoral Episiotomy and Onlay Allograft During Total Hip Arthroplasty | * |
dc.type | Article | * |
dc.relation.issue | 7 | * |
dc.relation.volume | 37 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1308 | * |
dc.relation.lastpage | 1313 | * |
dc.relation.journaltitle | Journal of Arthroplasty | * |
dc.identifier.doi | 10.1016/j.arth.2022.03.028 | * |
dc.identifier.wosid | WOS:000809615400017 | * |
dc.identifier.scopusid | 2-s2.0-85127328507 | * |
dc.author.google | Kim Y.-H. | * |
dc.author.google | Park J.-W. | * |
dc.author.google | Jang Y.-S. | * |
dc.author.google | Kim E.-J. | * |
dc.contributor.scopusid | 박장원(55645949000) | * |
dc.date.modifydate | 20240220120149 | * |