- MeSH
- artróza kyčelních kloubů chirurgie patofyziologie terapie MeSH
- chirurgie operační metody MeSH
- femur patofyziologie zranění MeSH
- fraktury femuru * chirurgie patofyziologie terapie MeSH
- fraktury kostí chirurgie komplikace parazitologie terapie MeSH
- heterotopická osifikace chirurgie patofyziologie terapie MeSH
- intraartikulární fraktury chirurgie patofyziologie terapie MeSH
- kosti a kostní tkáň patofyziologie zranění MeSH
- kosti dolní končetiny patofyziologie zranění MeSH
- lidé MeSH
- náhrada kyčelního kloubu metody škodlivé účinky MeSH
- nekróza hlavice femuru chirurgie patofyziologie terapie MeSH
- nestabilita kloubu chirurgie patofyziologie terapie MeSH
- ortopedické výkony metody škodlivé účinky MeSH
- poranění dolní končetiny chirurgie komplikace patofyziologie terapie MeSH
- poranění kyčle chirurgie patofyziologie terapie MeSH
- protézy kloubů MeSH
- vnitřní fixace fraktury metody škodlivé účinky MeSH
- Check Tag
- lidé MeSH
Recent studies have shown that the evaluation of both conservative and surgical therapy cannot do without gait analysis. Orthopaedic textbooks, with some exceptions, deal in great detail with a thorough clinical examination of the patient but gait assessment is mentioned only marginally. More attention is paid to gait analysis in rehabilitation medicine. Motion and gait analysis laboratories equipped with optoelectronic cameras and force platforms were first developed for cerebral palsy children. Recently, several studies have been published on the use of these methods in disorders of hip and knee joints or spine diseases. Key words: gait analysis, hip joint.
- MeSH
- biomechanika MeSH
- chůze (způsob) fyziologie MeSH
- konzervativní terapie MeSH
- lidé MeSH
- poranění kyčle patofyziologie terapie MeSH
- rozsah kloubních pohybů MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
PURPOSE OF THE STUDY Clinical results of long-term follow-up after traumatic periprosthetic femur fractures and different therapies (ORIF vs. revision arthroplasty) MATERIAL AND METHODS The Visual Analog Scale (VAS), Harris-Hip-Score (HHS), Oxford-Hip-Score (OHS), Oxford-Knee-Score (OKS), Knee-Society-Score (KSS), SF-36 Questionnaire and Funktionsfragebogen Hannover (FFH) were used to evaluate outcome and functionality. Radiological examinations were performed and the Vancouver (THA) and Lewis and Rorabeck (TKA) classifications used. RESULTS 70 patients suffered a periprosthetic hip fracture (29× revision prosthesis, 41x ORIF), 23 patients underwent an ORIF due to periprosthetic fracture of a TKA (total mean age 75.2 years). 47 patients (follow-up rate 51%) were examined 40 months after surgery (mean age 72 years) (THA: 16× revision, 23× ORIF, TKA: 8× ORIF). The VAS revealed significant less pain in the group that had undergone revision hip arthroplasty than in the ORIF group: 3.9±1 vs. 5.1±1.7 (p<0.05), respectively. 5/16 patients with revision arthroplasty had excellent or good results in the HSS compared to 3/23 patients after ORIF. The OHS yielded excellent or good results in 12/16 patients after revision arthroplasty vs. 10/23 after ORIF. The VAS after ORIF in patients who suffered periprosthetic knee fractures was 4.9±2.1. 3/8 patients achieved excellent or good results according to the OKS. CONCLUSION Every functional score (HSS, OHS, FFH, SF-36) of those patients who had undergone revision arthroplasty was slightly higher and their VAS significantly lower than the scores of the patients after ORIF. Key words: periprosthetic fractures, trauma, open reduction and internal fixation, revision arthroplasty.
- MeSH
- lidé MeSH
- náhrada kyčelního kloubu MeSH
- otevřená repozice fraktury MeSH
- periprotetické fraktury diagnostické zobrazování patofyziologie chirurgie MeSH
- poranění kyčle patofyziologie chirurgie MeSH
- reoperace MeSH
- senioři MeSH
- skóre závažnosti úrazu MeSH
- vnitřní fixace fraktury MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
