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KMID : 0378019740170111481
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New Medical Journal
1974 Volume.17 No. 11 p.1481 ~ p.1486
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Prosthetic Replacement for the Hip
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Abstract
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Various types of arthroplasty has been performed to obtain painless mobile joint in the treatment of the damaged hip.
The endoprosthesis, among them, is most useful in the treatment of a fresh fracture of the femoral neck in an elderly patient and in fractures of the femoral neck with nonunion, a vascular necrosis of the head, comminution of the head, or dislocation.
In the elderly patient with extensive changes in the acetabulum and in the head, a total hip repla￢cement is the current treatment of choice.
The author reviewed the 42 cases of prosthetic replacement performed at Dept. of Orthopedic Surgery
Yonsei University during the period of 1960 to 1973 with following results.
1. Among 42 patients, there were 17 males and 25 females. Age group of predominance was 5th and 6 th decade.
2. Femur neck fracture with nonunion was the most common causative disease, and next avascular necrosis, fresh femur neck fracture in orderly.
3. The types of prosthesis which be inserted, were 26 Moore, 5 Thompson, 8 McKee-Farrar and .3 Charnley types. The size of prosthesis which be inserted was 1 12, I 13 1 ~4 inches most commonly. 16 16 16
4. There were no complete relief for the all hip joint pain with the presthetic arthroplasty treatment.
5. The elderly patient with a hip fracture is allowed out of bed in 3 to 4 days and is permitted to start walking with crutches on postoperative 2 wks. We would agree with the conclusions of Hey￢Wood-Waddington that success is more likely in the relatively young patient with unilateral disease and in patients in the early stages of the disease.
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KEYWORD
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