Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Do You Need CAOS (Computer Assisted Orthopedic Surgery) in THA? - From a Negative Perspective -

인공고관절 전치환술에서 CAOS (Computer Assisted Orthopedic Surgery)가 필요한가? - 부정적인 관점에서 -

  • Lee, Joo-Yup (Department of Orthopaedic Surgery, St. Vincent’s Hospital, The Catholic University of Korea) ;
  • Song, Joo-Hyoun (Department of Orthopaedic Surgery, St. Vincent’s Hospital, The Catholic University of Korea) ;
  • Kim, Chol-Jin (Department of Orthopaedic Surgery, St. Vincent’s Hospital, The Catholic University of Korea)
  • 이주엽 (가톨릭대학교 성빈센트병원 정형외과) ;
  • 송주현 (가톨릭대학교 성빈센트병원 정형외과) ;
  • 김철진 (가톨릭대학교 성빈센트병원 정형외과)
  • Published : 2011.06.30
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Abstract

CAOS (Computer Assisted Orthopedic Surgery) has been introduced into the field of artificial joint replacement to increase the accuracy of implant placement. The advocates of CAOS insist that total hip replacement arthroplasty using CAOS will decrease dislocation, the wear rate, impingement and limb length discrepancy by increasing the accuracy and consistency of implant placement. However, we have to maximize the good results of total hip replacement arthroplasty by developing CAOS with understanding its disadvantages and limits, so we have reviewed CAOS using a critical eye for its negative aspects.

인공 고관절의 또 다른 개발 분야로서, 기구 삽입의 정확도를 높이기 위한, 소위 'CAOS (Computer Assisted Orthopedic Surgery)'가 도입 되고 있다. CAOS를 옹호하는 학자들은 이를 이용하여 인공 고관절 치환술을 시행하면 기구 삽입의 정확도와 일관성을 향상시켜, 부정확한 기구 삽입으로 인한 탈구의 위험, 조기 관절면의 마모 그리고 충돌 등을 줄일 수 있고, 다리 길이와 오프셋의 조절이 용이 하다고 주장 한다. 그러나 CAOS의 장점뿐만이 아니라 단점과 한계를 알아보고 개선 방향을 연구하여, 인공고관절의 치료 성적을 극대화시키는 것이 필요하기에 부정적인 관점에서 항법장치 혹은 로봇 수술로 대변되는 CAOS를 검토해보고자 한다.

Keywords

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