Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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What is the Optimal Treatment for Kienböck's Disease?

Kienböck 질환의 적정 치료는 무엇인가?

  • Park, Min Jong (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chae, Sang Hoon (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 박민종 (성균관대학교 의과대학 삼성의료원 정형외과학교실) ;
  • 채상훈 (성균관대학교 의과대학 삼성의료원 정형외과학교실)
  • Received : 2020.10.06
  • Accepted : 2020.11.22
  • Published : 2021.12.30
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Abstract

Kienböck's disease is known as avascular necrosis of the lunar bone, but its natural course or optimal treatment in various stages has not been identified clearly. The textbook divides the progression of the disease and suggests treatment methods according to the stages, but it is unclear if conforming to the principle without sufficient verification is the correct treatment method. While diagnosing and treating many Kienböck's diseases, the author has had many questions regarding the treatment choices described in the textbook and tried to establish an optimal treatment based on data evidence and experience. This review presents the most appropriate and reasonable treatment method while questioning whether the previous knowledge is based on an accurate basis.

Kienböck 질환을 완관절의 월상골에 발생한 무혈성 괴사로 정의하고 있지만 원인과 자연경과, 적정한 치료 방법에 대해서는 정확하게 밝혀져 있지 않다. 교과서적으로는 병의 진행 단계를 나누고 단계에 따라 치료 방법을 제시하고 있지만 과연 원칙에 맞는 올바른 치료 방법인지에 대한 충분한 검증 없이 따르고 있는 것은 아닌가 하는 의문이 드는 것도 사실이다. 저자는 그동안 많은 Kienböck 질환을 진단하고 치료를 하면서 교과서에 기술된 내용 중에서 의문이 드는 부분이 많았으며, 자료 분석과 경험을 토대로 나름대로의 적정한 치료 접근을 정립하고자 하였다. 본 종설에서는 기존의 지식이 과연 정확한 근거를 바탕으로 한 것인지 검토해 보면서 합리적인 치료 방법에 대한 저자의 의견을 제시해 보고자 한다.

Keywords

References

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