항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고)

Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report)

  • 채수욱 (원광대학교 의과대학 정형외과학교실) ;
  • 김영진 (원광대학교 의과대학 정형외과학교실) ;
  • 송하헌 (전주 참병원 정형외과) ;
  • 김종윤 (원광대학교 의과대학 정형외과학교실)
  • Chae, Soo-Uk (Department of Orthopedic Surgery, Wonkwang University School of Medicine) ;
  • Kim, Yeung-Jin (Department of Orthopedic Surgery, Wonkwang University School of Medicine) ;
  • Song, Ha-Heon (Department of Orthopedic Surgery, Cham Hospital) ;
  • Kim, Jong-Yun (Department of Orthopedic Surgery, Wonkwang University School of Medicine)
  • 투고 : 2012.03.22
  • 심사 : 2012.05.16
  • 발행 : 2012.06.15

초록

The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.

키워드

참고문헌

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