Follow up study of endoprosthetic replacement of femoral head.

概要

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We have studied the follow up assesment of seventeen patients treated by endoprosthetic replacement of femoral head. Physical and rentgenographic examination was performed for twelve patients, and telephone interview for five patients.In idiopathic femoral head necrosis, clinical score was high and satisfactory, but it was lower in proximal femoral neck fracture using the Moore type endoprosthesis. No loosening was observed in all patients. In old aged patients group (over eighty years old) and patients with severe complications, clinical score was lower. Five patients died from another complications, two of them died within one years after surgery, we concluded that the main cause of death was attributed to the postoperative disabilities.We would like to recommend that the early surgery for femoral neck fracture or idiopathic osteonecrosis of the femoral head is necessary to avoid the bed-ridden conditions.
西日本整形・災害外科学会の論文