Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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요골 두 절제 유무에 따른 비구속형 전 주관절 성형술

Nonconstrained Total Elbow Arthroplasty with or without Radial Head Resection

  • 김정만 (가톨릭대학교 의과대학 강남성모병원 정형외과) ;
  • 정양국 (가톨릭대학교 의과대학 강남성모병원 정형외과) ;
  • 김양수 (가톨릭대학교 의과대학 강남성모병원 정형외과) ;
  • 황승현 (가톨릭대학교 의과대학 강남성모병원 정형외과)
  • Kim, Jung-Man (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of korea, College of Medicine, Seoul, Korea) ;
  • Chung, Yang-Kook (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of korea, College of Medicine, Seoul, Korea) ;
  • Kim, Yang-Soo (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of korea, College of Medicine, Seoul, Korea) ;
  • Huang, Seung-Hyun (Department of Orthopaedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of korea, College of Medicine, Seoul, Korea)
  • 발행 : 2002.06.01
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초록

Purpose : To evaluate the effect of radial head resection on longevity in nonconstrained total elbow arthroplasty, Materials and Methods : The results of 20 cases of radial head replaced Pritchard ERS and 18 cases of radial head excised Kudo elbow was followed for 6 to 16 years, 10.6 years in average. The rate of loosening, osteolysis, radial head subluxation, joint dislocation and valgus deformity were compared between the two groups. Results'There was no exaggerated cubitus valgus in Pritchard ERS group. However there developed one case of delayed subluxation of radial head occurred in 6 years postoperatively, one case of loosening, and one case of sponta- neous fracture of humeral shaft due to osteolysis. In Kudo elbow group,5 cases (27.8%) showed exaggerated valgus deformity with instability. There were one case of loosening and one case of delayed dislocation occurred in a year postoperatively. Conclusion : The most clear feature of Kudo elbow was exaggerated cubitus valgus. However, the ostolysis was developed in both groups and there was no difference in rate of the other complications between the two groups.

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참고문헌

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