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変形性股関節症に対するCharnley型人工股関節置換術の経年的有用性 

作成者 武内, 重樹
キーワード等 変形性股関節症, 人工股関節
日本十進分類法 (NDC) 490
内容 Charnley THR (total hip replacement) had been performed in 64 hips of 52 patients in Chiba University Hospital from 1971 to 1986, who were serondary osteoarthritis due to congenital dysplasia or dislocation of the hip. We investigated clinical and radiographical results on 48 hips in 39 patients, with an average follow-up of 11 years and 10 months. The clinical results were evaluated according to JOA (Japanese Orthopaedic Association) hip score. The averave JOA hip score was 49 points preoperatively, and it showed over 80 points until 8 years after operation. Then, it deteriorated gradually, and was 72 points after 15 years from operation. On the radiographic evaluation, the socket loosening was seen in 13 hips (29 %) and the stem loosening in 10 hips (22 %). Wear of the socket more than 1mm was seen in 11 hips (27 %). After 12 years, the averave wear of 16 hips was 2.0mm and the average wear per year was 0.17mm. Survival analysis was performed using the method of Kaplan-Meier. In the analysis, we chose radiographic criteria of loosening as our definition of failure. Survival rate was 75.6 0x1.36cfp-890fter 5 years, 54.9 -0x1.db55b085084p-148fter 10 years, and 29.9 -0x1.6652fp-138fter 15 years respectively.
公開者 千葉医学会
コンテンツの種類 雑誌掲載論文 Journal Article
ファイル形式 application/pdf
ハンドルURL http://mitizane.ll.chiba-u.jp/meta-bin/mt-pdetail.cgi?cd=00026931
ISSN 0303-5476
NCID AN00142148
掲載誌情報 千葉医学雑誌 Vol.70 no.1 page.8-15 (19940000)
フルテキストへのリンク http://mitizane.ll.chiba-u.jp/metadb/up/AN00142148/KJ00004213445.pdf
情報源 Chiba medical journal
言語 日本語
著者版フラグ publisher


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変形性股関節症
人工股関節