Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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AO Hook 금속판을 이용한 견봉쇄골 관절 탈구의 치료

Treatment of the Acromioclavicular Joint Dislocation Using a AO Hook Plate

  • 이기원 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 최영준 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 안형선 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 김정환 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 황재광 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 한희돈 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 김재현 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 주윤석 (울산대학교 의과대학 강릉아산병원 정형외과학교실)
  • Lee, Ki-Won (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Choi, Young-Joon (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Ahn, Hyung-Sun (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Chung-Hwan (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Hwang, Jae-Kwang (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Han, Hee-Don (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Jae-Hyoun (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Joo, Youn-Suk (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 발행 : 2009.12.15
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초록

목적: AO hook 금속판을 이용한 견봉쇄골 관절 완전 탈구의 치료 결과를 알아 보고자 하였다. 대상 및 방법: 2008년 2월부터 2009년 9월까지 AO hook 금속판를 이용하여 견봉쇄골 관절 탈구로 수술 받은 환자 중 삽입물 제거한 10례를 대상으로 하였다. 수술 후의 평가는 Constant-Murley score로써 임상적 평가를 시행하였으며, 금속판 제거 후 방사선 사진에서 견봉쇄골 관절의 정복 상태 및 오구 쇄골 간격을 측정하였다. 결과: 전예에서 임상적으로나 방사선학적으로 만족할만한 결과를 얻었다. Constant-Murley점수는 평균 90.5(84~95)점이었으며, 3예에서 수술부위에 경미한 통증 및 불편감을 호소하였지만 금속판 제거 후 증상은 해소되었다. 방사선학적으로도 전예에서 쇄골의 수직전위가 정복되었으며 감염, 금속판 파괴, 금속판 제거 후 재탈구 등의 합병증은 관찰 되지 않았다. 결론: AO hook 금속판을 이용한 견봉 쇄골 관절 탈구의 수술의 초기 추시 결과는 임상적, 방사선학적으로 만족할 만한 결과를 보였다.

Purpose: We wanted to evaluate the results of treating acromioclavicular joint dislocation using an AO hook plate. Materials and Methods: Between February 2008 and September 2009, 10 patients underwent implant removal after surgical treatment of acromioclavicular joint dislocation using a AO hook plate. The Constant-Murley scoring system was administered postoperatively for evaluating the clinical results, and simple X-ray was taken for evaluating the state of reduction. Results: All cases showed satisfactory results on the clinical and radiological study. The mean Constant-Murley score at follow-up was 90.5 (range: 84~95). Three patients had some degree of discomfort with the hook plate, but these symptoms were relieved on removal of the plate. The radiological evaluation showed restoration of the vertical displacement of the clavicle in all the patients. No complications occurred such as infection, plate failure or redislocation after removal of the plate. Conclusion: The short term follow-up results of treating acromioclvicular joint dislocation using an AO hook plate were satisfactory both clinically and radiologically.

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참고문헌

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피인용 문헌

  1. The Necessity of Coracoclavicular Ligament Repair in Open Reduction for the Acromioclavicular Joint Dislocations vol.13, pp.2, 2010, https://doi.org/10.5397/CiSE.2010.13.2.194
  2. Clinical Comparison of Two Types of Hook Plate in Surgical Treatment of Acromioclavicular Dislocation - AO Hook Plate and Wolter Plate - vol.15, pp.2, 2012, https://doi.org/10.5397/CiSE.2012.15.2.123
  3. The Surgical Treatment of Type V Acute Acromioclavicular Joint Dislocation Using Suture Anchor and Kirschner Wire vol.13, pp.2, 2010, https://doi.org/10.5397/CiSE.2010.13.2.217