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001-es BibID:BIBFORM045792
Első szerző:Rybaltovszki Henrik (ortopéd és baleseti sebész, traumatológus)
Cím:Hip fractures- the role of anteversion / Henrik Rybaltovszki, Katalin Muraközy, Károly Fekete, Péter Bágyi
Dátum:2013
Megjegyzések:Introduction:The objective of this study was to investigate the bilateralization of hip fractures. In the majority of cases, patients with hip fractures usually have the sameanatomical type of fracture on the contralateral side on a later date. The aim was to find out if there were radiologically definable characteristics of the femur whichcan prognosticate the fracture type.Patients and methods:In first phase it was a retrospective study on patients treated for hip fractures between January 1996 and June2007. In second phase a prospective study was performedon patients with hip fractures. Anteroposterior views and CT scans were taken of the hips of patients, the unaffectedside was analysed. Results:In phase one 4983 patients were included. 131 patients among the 4983 patients had contralateral hip fracture.The mean age when the contralateral fracture occurred was 77.84 years. The distribution of the fractures showed 84.74% fractures of same anatomical type. In phase two18 patients were included. The mean age was 77.16 years. Lower bone density, thickening of the basal cortex of the neck and increased neck-lesser trochanter angle was foundin femoral neck fractured group.Discussion:Increased anteversion led to higher bending moment of the femoral neck. This caused strengthening of the cortex at the base of the neck. This strengthening of the basal part of the neck results in fractures medial to this area which will be a femoral neck fracture. It is suggested to acceptanteversion as predictor of femoral neck fracture.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Asian Journal of Health and Medical Sciences. - 1 : 2 (2013), p. 9-19. -
További szerzők:Muraközy Katalin (1982-) Fekete Károly (1945-) (traumatológus) Bágyi Péter (1964-) (radiológus)
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