The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)
- Volume 11 Issue 2
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- Pages.134-140
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- 2005
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- 1226-4962(pISSN)
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- 2233-9841(eISSN)
Temporary Use of External Fixators for Soft Tissue Lengthening in the Treatment of Complications after Limb Salvage Surgery
사지 구제술 합병증 치료에서 연부조직 연장을 위한 한시적 외고정 기기의 유용성
- Yoon, Pil-Whan (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Kang, Hyun-Guy (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Kim, Kap-Jung (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Oh, Joo-Han (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Lee, Sang-Hoon (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Lee, Sang-Ki (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
- Kim, Han-Soo (Department of Orthopaedic Surgery, Seoul National University College of Medicine)
- 윤필환 (서울대학교 의과대학 정형외과학교실) ;
- 강현귀 (서울대학교 의과대학 정형외과학교실) ;
- 김갑중 (서울대학교 의과대학 정형외과학교실) ;
- 오주한 (서울대학교 의과대학 정형외과학교실) ;
- 이상훈 (서울대학교 의과대학 정형외과학교실) ;
- 이상기 (서울대학교 의과대학 정형외과학교실) ;
- 김한수 (서울대학교 의과대학 정형외과학교실)
- Published : 2005.12.30
Abstract
Purpose: We evaluated the effectiveness of temporary using the extendible external fixator (EF) for lengthening of soft tissue that contracture caused by tumor prosthesis removal in the treatment of complications after limb salvage surgery like deep infection and loosening. Materials and Methods: Five patients six cases were included who underwent extendible EF (Dyna-extor(r)). EF was applied after insertion of half pin to the proximal and distal bone of defect area. EF lengthening started at third day of post-operation, above 2-3 mm per day in the range of no neurological sign. Results: The treatment area was three in femur and two in tibia. Mean age when the time of EF apply was 22.2 years old (range 15-29), but its primary limb salvage operation had done in 13.4 years old (range 9-19), therefore mean times of interval between initial tumor prosthesis reconstruction and temporary EF apply was 8.8 years (range 3-14). One patient had EF for 150 days with 7.2 cm lengthening. Others 5 cases of 4 patients had EF for mean 37 days (range 25-50) and mean soft tissue lengthening was 5.8 cm. Three patients underwent re-insertion of tumor prosthesis and two patients underwent knee fusion as final operation and showed no evidence of infection through mean 22 months follow up period. Conclusion: Temporary using of extendible EF is an effective method for correction of leg shortening which occurred by soft tissue contracture in the complications of limb salvage operation or their treatment process, and it could be provide easily application of tumor prosthesis and knee fusion as final operation.
목적: 종양 대치물을 이용한 사지 구제 술 후 발생한 심부감염, 해리, 또는 하지 단축 등의 합병증으로 종양 대치물을 제거한 후 단계별 치료를 하는 과정에서 연부 조직 구축으로 인해 초래되었거나 또는 합병증 치료 시작 당시부터 있었던 하지 단축에 대하여 연부조직 연장 만을 위하여 외고정 기기를 한시적으로 사용한 결과를 평가하고 그 유용성을 알아 보고자 하였다. 대상 및 방법: 악성 골 종양으로 종양대치물을 이용하여 사지구제술을 받은 후 발생한 합병증으로 연부 조직 구축 및 하지 단축이 발생되어, 연부 조직 연장을 위해 외고정 기기(Dyna-extor
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