Minimally Invasive Total Hip Arthroplasty

최소 침습 도달법을 이용한 인공고관절 전치환술

  • Song, Joo-Hyoun (Department of Orthopaedics, St. Vincent's Hospital The Catholic University of Korea) ;
  • Lee, Eun-Bong (Department of Orthopaedics, St. Vincent's Hospital The Catholic University of Korea)
  • 송주현 (가톨릭대학교 성빈센트병원 정형외과학교실) ;
  • 이은봉 (가톨릭대학교 성빈센트병원 정형외과학교실)
  • Published : 2009.09.30

Abstract

Minimally invasive surgeries, such as laparoscopic, endoscopic and,arthroscopic surgery are currently being used throughout the world. The field of total hip arthroplasty has over 40 years of experience, and minimally invasive total hip arthtoplasty was introduced to reduce the perioperative morbidities. The advocates for minimally invasive total hip arthroplasty will point out the advantages of reduced pain and early ambulation after the operation because of the minimal soft tissue injury. However, we have to review the advantages and disadvantages of minimally invasive total hip arthroplasty to prevent anyharmful effects of this procedure for the patients who under go it.

최근에 복강경, 내시경 그리고 관절경 수술과 같이 최소 침습법을 이용한 시술이 보편화되었으며, 40년 이상의 경험이 쌓인 인공 고관절 치환술에서도 이와 같은 맥락에서 절개부위를 최소화하는, 소위 최소 침습법에 의한 인공 고관절 치환술이 시도되고 있다. 최소 침습법에 의한 인공고관절 치환술은 절개 부위와 연부 조직 손상이 적어 수술 후 통증 감소와 빠른 회복을 얻을 수 있다는 장점을 내세우고 있으나, 이 술식의 장단점과 주의 사항을 면밀히 검토하여 환자 치료에 있어 부정적인 결과가 초래되는 것을 막아야한다.

Keywords

References

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