Hip & pelvis

  • 제22권4호
  • /
  • Pages.247-252
  • /
  • 2010
  • /
  • 2287-3260(pISSN)
  • /
  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
권호 표지
DOI QR코드

DOI QR Code

인공 고관절 재치환술: 수술 전 계획과 준비

Preoperative Planning for Revision Hip Arthroplasty

  • 성열보 (인제대학교 의과대학 상계백병원 정형외과학교실)
  • Sung, Yerl-Bo (Department of Orthopaedic Surgery, Sang-Gye Paik Hospital, College of Medicine, Inje University)
  • 발행 : 2010.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

인공 고관절 재치환술은 일차 치환술보다 훨씬 더 어렵고 보통 일차 치환술의 결과만큼 만족스럽지 못하다. 또한 수술 시간이 더 길고 실혈량이 많고, 합병증의 발생빈도가 높으며, 수술 술기의 정확도가 요구되는 경우가 많다. 그리고 수술 도중 돌발 상황이 발생하는 빈도가 높고, 일차 치환술보다 고려해야 할 변수들이 많고 복잡하다. 따라서, 수술 전에 충분하고도 신중한 계획을 세워야만 좋은 결과를 얻을 수 있다.

Revision after primary total hip arthroplasty is usually much more difficult than the first time, and the results are typically not as satisfactory as that after most primary total hip arthroplasties. Revision requires more operative time and more blood loss, and there are higher incidences of infection, thromboembolism, dislocation, nerve palsy and perforation/fracture of the femur. The complexities of revision surgery underscore the importance of precise technique when performing primary arthroplasties. Thoughtful and thorough preoperative planning will certainly provides the patient with the best opportunity for long-term success.

키워드

참고문헌

  1. Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am. 2009;91:128-33. https://doi.org/10.2106/JBJS.H.00155
  2. Canale ST, Beaty JH. Campbell's operative orthopaedics. 11th ed. New York: Mosby-Elsevier; 2008. 430.
  3. Fehring TK, Cohen B. Aspiration as a guide to sepsis in revision total hip arthroplasty. J Arthroplasty. 1996;11:543-7. https://doi.org/10.1016/S0883-5403(96)80107-0
  4. Barrack RL, Harris WH. The value of aspiration of the hip joint before revision total hip arthroplasty. J Bone Joint Surg Am. 1993;75:66-76. https://doi.org/10.2106/00004623-199301000-00010
  5. Howie DW, Neale SD, Stamenkov R, McGee MA, Taylor DJ, Findlay DM. Progression of acetabular periprosthetic osteolytic lesions measured with computed tomography. J Bone Joint Surg Am. 2007;89:1818-25. https://doi.org/10.2106/JBJS.E.01305
  6. Bono JV. Digital templating in total hip arthroplasty. J Bone Joint Surg Am. 2004;86-A Suppl:118-22.
  7. Whiddon DR, Bono JV. Digital templating in total hip arthroplasty. Instr Course Lect. 2008;57:273-9.
  8. Iorio R, Siegel J, Specht LM, Tilzey JF, Hartman A, Healy WL. A comparison of acetate vs digital templating for preoperative planning of total hip arthroplasty: is digital templating accurate and safe? J Arthroplasty. 2009;24:175-9. https://doi.org/10.1016/j.arth.2007.11.019
  9. Mitchell PA, Masri BA, Garbuz DS, Greidanus NV, Wilson D, Duncan CP. Removal of well-fixed, cementless, acetabular components in revision hip arthroplasty. J Bone Joint Surg Br. 2003;85:949-52. https://doi.org/10.1302/0301-620X.85B7.13593
  10. Lieberman JR, Berry DJ. Advanced reconstruction hip. 1st ed. Rosemont: AAOS; 2005. 287-8.

피인용 문헌

  1. 스티칭 기법을 이용한 대퇴골 방사선검사 시 확대 표식자 위치 및 스티칭 범위 변화가 영상에 미치는 영향 vol.43, pp.5, 2020, https://doi.org/10.17946/jrst.2020.43.5.331