Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Posterior Approach to Total Hip Joint Replacement Arthroplasty

고관절 전치환술시 후방 도달법

  • Sun, Doo-Hoon (Department of Orthopedic Surgery, Sun General Hospital) ;
  • Yune, Young-Phil (Department of Orthopedic Surgery, Sun General Hospital)
  • Published : 2009.12.31

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Abstract

This paper was written to review the posterior approach for total hip arthroplasty and to introduce the modified short external rotator muscle saving posterior approach for enhancing the hip stability after total hip replacement arthroplasty. After total hip replacement arthroplasty, dislocation is the most commom early complication. Especially with using the posterior approach, dislocation is more common than that for the anterior or lateral approach to the hip. We report here that saving or meticulously repairing the short rotator could reduce the incidence of posterior hip dislocation after total hip replacement arthroplasty. Along with a brief review of the posterior approach to the hip, we introduce the short external rotator muscle saving modified posterior approach to total hip arthroplasty.

본 논문은 인공 고관절 전 치환술시 고식적인 후방 도달법에 대한 설명과 함께 고관절의 후방 안정성을 현격히 높일 수 있다고 보고된 단 외회전 근 보존 후방 도달법에 대한 설명을 소개하고자 함이다. 고관절 전치환 술 후 가장 흔하게 발생하는 조기 합병증은 고관절의 탈구로 보고되고 있다. 특히 고관절의 후방 도달법의 사용 시에 측방 도달법이나 전방 도달법에 비해 고관절 탈구의 빈도가 더욱 높아진다. 저자는 고관절 단 외회전 근을 보존하거나 충분히 확고하게 재건하여 단 외 회전 근을 절단 한 경우와 비교하여 고관절의 술 후 탈구 빈도를 알아보았다. 이에 고관절의 후방 도달법을 간략히 설명하고 고관절 단 외회전 근 보존 후방 도달법(수정 후방 도달법)을 소개한다.

Keywords

References

  1. Barber TC, Roger DJ, Goodman SB, Schurman DJ. Early outcome of total hip arthroplasty using the direct lateral vs the posterior surgical approach. Orthopaedics, 19: 873-875, 1996.
  2. Callaghan JJ, Heithoff BE, Goetz DD, Sullivan PM, Pedersen DR, Johnston RC. Prevention of dislocation after hip arthroplasty: lessons from long-term followup. Clin Orthop Relat Res, 393: 157-162, 2001. https://doi.org/10.1097/00003086-200112000-00018
  3. Kim HJ. Posterior approach in THA. J Korea Hip Soc, 15: 308-311, 2003.
  4. Kim YS, Kwon SY, Sun DH, Han SK, Maloney WJ. Modified posterior approach to total hip arthroplasty to enhance joint stability. Clin. Orthop, 466: 294-299, 2008. https://doi.org/10.1007/s11999-007-0056-8
  5. Masonis JL, Bourne RB. Surgical approach, abductor function, and total hip arthroplasty dislocation. Clin Orthop Relat Res, 405: 46-53, 2002. https://doi.org/10.1097/00003086-200212000-00006
  6. McCollum DE, Gray WJ. Dislocation after total hip arthroplasty. Causes and prevention. Clin Orthop Relat Res, 261: 159-170,1990.
  7. Mulliken BD, Rorabeck CH, Bourne RB, Nayak N. A modified direct lateral approach in total hip arthroplasty: a comprehensive review. J Arthroplasty, 13: 737-747, 1998. https://doi.org/10.1016/S0883-5403(98)90024-9
  8. Pellicci PM, Bostrom M, Poss R. Posterior approach to total hip replacement using enhanced posterior soft tissue repair. Clin Orthop Relat Res, 355: 224-228, 1998. https://doi.org/10.1097/00003086-199810000-00023
  9. Suh KT, Park BG, Choi YJ. A posterior approach to primary total hip arthroplasty with soft tissue repair. Clin Orthop Relat Res, 418: 162-167, 2004 https://doi.org/10.1097/00003086-200401000-00026
  10. White RE Jr, Forness TJ, Allman JK, Junick DW. Effect of posterior capsular repair on early dislocation in primary total hip replacement. Clin Orthop Relat Res, 393: 163- 167, 2001. https://doi.org/10.1097/00003086-200112000-00019
  11. von Knoch M, Berry DJ, Harmsen WS, Morrey BF. Late dislocation after total hip arthroplasty. J Bone Joint Surg, 84-A: 1949-1953, 2002.
  12. Won YY. Posterior approach of the hip joint. J Korean Hip Soc, 18: 233-239, 2006.
  13. Woo RY, Morrey BF. Dislocations after total hip arthroplasty. J Bone Joint Surg, 64-A: 1295-1306, 1982.