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KMID : 0352819890050010151
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Kosin Medical Journal
1989 Volume.5 No. 1 p.151 ~ p.164
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Comparative Analysis of Total Hip Replacement Arthroplasty
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Abstract
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1
A total hip replacement arthroplasty has become an established procedure in the management of painful arthritic hip in past two decades. And there are many report that are concermed in a follow-up study of the total hip replacement arthroplasty.
This is a follow-up study in 56 total hip replacement arthroplasties in 44 patients of 98 total hip replacement arthroplasties in 70 patients, performed at the Department of Orthopedic Surgery, Kosin Medical college, between January 1981 and March 1988. The author tries to find which type of implant is better and hopes that this report will provide guide to the surgeon who will be going to do total hip replacement arthroplasty.
Our results concludes the followings:
1. There were 28 males(63.6%) and 16 females(36.4%). The peak age incidence was 6th decade, which comprised 31.8% of total cases.
2. A most common cause was post-traumatic or idopathic avascular necrosis of the head, comprised 35 cases(62.5%)
3. Variable prosthesis were used; Muller type, 15 cases; chamley type, 12 cases; cementless PM type, 13 cases; and Harris/Galante types, 16 cases.
4. Postoperative complications were as follows: 4 cases of wound problem including 2 early deep infections, 2 dislocations, 1 femoral nerve palsy, 1 acetabular perforation, 1 stem perforation, 3 femoral shaft fractures, 4 cases of trochanteric wire breakasges, 6 ectopic ossifications, 4 cases of loosening including 3 femoral and 1 both femoral and acetabular components loosening
5. Postoperative pain relief better was better in Harri/Galante type(average 41.1 points).
6. The functional results was better in Harri/Galante type by average 43.3 points.
7. The range of motion(flexion)improve from 86.7 deg. to 104 deg. in Harris/Galante type.
8. Postoperative total harris hip scores were 92.7 points in Harris/Galante type, 85.5 points in Muller type, 79.7 points in Charnley type and 76.8 points in cementless PM type.
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KEYWORD
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