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KMID : 0361619730080040369
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Journal of the Korean Orthopaedic Association
1973 Volume.8 No. 4 p.369 ~ p.374
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Clinical Observation of the Arthodesis of the Hip
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Abstract
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Various types of arthroplasty has been performed to obtain mobile joint in the treatment of the hip disease. In the view of stabilization and painlessness of the hip joint arthrodesis has been the treatment of choice in many hip problems, especially in unilateral tuberculosis of the hip. There - are many kinds of techniques to gain arthrodesed hip: intra-articular only, extra-articular and combined method.
The author reviewed the 42 cases of the arthrodesis of the hip performed at Dept. of Orthopedic surgery, SNUH during the period of 1964 to 1972 with following results.
1. Among 42 patients, there were 29 males and 12 females. Age group of predominence was 2nd and 3rd decade (66.7 % )
2. Thberculosis was the most common causative disease (61.9%) and remainders were fracture-dislocation and ayscular necrosis of femoral head. Average duration of illness was 3.8 years
3. The operative techniques were 21 Ghomley method (50%) and 11 Davis (26.2%) Satisfactory fusion was gained in 25 cases(92.6%) among 27 cases which follow-up study were possibe for more than 6 months.
4. There was no definite difference in fusion rate between Ghomley and Davis techniques.
5. Satisfactory fusion was gained with Davis technique in avascular necrosis of femoral head. 6. The fusion rate was superior in less than 39 years age group (95%).
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