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KMID : 0361619950300061793
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Journal of the Korean Orthopaedic Association
1995 Volume.30 No. 6 p.1793 ~ p.1801
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Intraoperative Femur Fractures during Cementless Femoral Stem Insertion
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Abstract
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Fracture of the femur during total hip arthroplasty presents the simultaneous problems of prosthetic stability and fracture treatment. The treatment of such fractures can be complex and is one of the major challenges and this complications is
associated
with a high morbidity and a significant delay in convalcscence.
Among the 237 cases, who were treated by cementless total hip arthroplasty from Jan. 1986 to Dec. 1992, 13 cases of femoral fracture were experienced. They usually occured during insertion in prosthesis and preparation of the medullary canal.
There were 6 cases of type II fracture, I case of type III fracture, 5 cases of type IV fracture and I case of type V fracture according to AAOS classification. All of the fracture healed, but the prognosis of these cases must be determined by
follow
up.
We recommend that femoral fractures can be prevented by accurate preoperative evaluation of the size of the femoral canal, identification and management of the predisposing factors for intraoperative fractures.
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KEYWORD
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