Hip & pelvis

  • 제23권1호
  • /
  • Pages.72-78
  • /
  • 2011
  • /
  • 2287-3260(pISSN)
  • /
  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
권호 표지
DOI QR코드

DOI QR Code

간이식술 후 발생한 대퇴골두 무혈성 괴사증 환자에서 인공고관절 전치환술

Total Hip Arthroplasty in Patient with Osteonecrosis of the Femoral Head Following Liver Transplantation - Case Report -

  • 박영훈 (화순전남대학교병원 관절센터) ;
  • 윤택림 (화순전남대학교병원 관절센터) ;
  • 박경순 (화순전남대학교병원 관절센터) ;
  • 신영주 (화순전남대학교병원 관절센터)
  • Park, Young-Hoon (Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
  • Yoon, Taek-Rim (Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
  • Park, Kyung-Soon (Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
  • Shin, Young-Joo (Center for Joint Disease, Chonnam National University Hwasun Hospital)
  • 발행 : 2011.03.31
⟨ 이전 논문 다음 논문 ⟩

초록

간이식술의 발달은 말기 간질환을 가진 환자들의 생존 가능성을 증가시켜 왔다. 간이식술의 성공률은 지속적으로 향상되고 있으며, 이에 따라 간이식술을 시행 받은 환자 중 무혈성 괴사증이 발행한 환자에 대한 관절 치환술의 필요성이 점차 증가하고 있다. 현재까지 간이식술 후 골괴사의 발생률은 2%에서 8.2%까지 다양하게 보고되고 있다. 그러나 간이식술 시행 후 대퇴골두에 발생한 무혈성 괴사증에 대하여 인공 고관절 전치환술을 시행한 보고는 드물며, 특히 아시아 국가에 서의 보고는 전혀 없는 실정이다. 이에 저자들은 간이식술을 시행 받았던 2명의 말기 간질환 환자에서 발생한 대퇴골두 무혈성 괴사증에 대하여 인공고관절 전치환술을 시행하였으며, 이를 보고하고자 하였다.

Liver transplantation has improved the survival of patients with end stage liver disease. As the rates of success of liver transplantation continue to increase, more patients who have a liver transplant will become candidates for joint replacement due to osteonecrosis. The incidence of osteonecrosis has been variously reported as from 2% to 8.2% after liver transplantation. However, there are only three reports in the English medical literature about total hip arthroplasty for osteonecrosis of the femoral head following liver transplantation, and especially there has not been such a report from Asian countries. We report here on two patients with transplanted livers and who then underwent total hip arthroplasty.

키워드

참고문헌

  1. Taillandier J, Alemanni M, Samuel D, Bismuth H. Rheumatic complications following liver transplantation. Transplant Proc. 1999;31:1717-8. https://doi.org/10.1016/S0041-1345(99)00075-5
  2. Porayko MK, Wiesner RH, Hay JE, et al. Bone disease in liver transplant recipients: incidence, timing, and risk factors. Tranplant Proc. 1991;23:1462-5.
  3. Tannenbaum DA, Matthews LS, Grady-Benson JC. Infection around joint replacements in patients who have a renal or liver transplantation. J Bone Joint Surg Am. 1997;79:36-43. https://doi.org/10.1302/0301-620X.79B1.6818
  4. Hamburg SM, Piers DA, van den Berg AP, Slooff MJ, Haagsma EB. Bone mineral density in the long term after liver transplantation. Osteoporos Int. 2000;11:600-6. https://doi.org/10.1007/s001980070081
  5. Mehrabi A, Fonouni H, Muller SA, Schmidt J. Current concepts in transplant surgery: liver transplantation today. Langenbecks Arch Surg. 2008;393:245-60. https://doi.org/10.1007/s00423-007-0262-6
  6. Lee SG. Current status of liver transplantation in Korea. Korean J Gastroenterol. 2005;46:75-83.
  7. Papagelopoulos PJ, Hay JE, Galanis EC, Morrey BF. Total joint arthroplasty in orthotopic liver transplant recipients. J Arthroplasty. 1996;11:889-92. https://doi.org/10.1016/S0883-5403(96)80128-8
  8. Levitsky J, Te HS, Cohen SM. The safety and outcome of joint replacement surgery in liver transplant recipients. Liver Transpl. 2003;9:373-6. https://doi.org/10.1053/jlts.2003.50067
  9. Lieberman JR, Scaduto AA, Wellmeyer E. Symptomatic osteonecrosis of the hip after orthotopic liver transplantation. J Arthroplasty. 2000;15:767-71. https://doi.org/10.1054/arth.2000.6635
  10. Goffin E, Baertz G, Rombouts JJ. Long-term survivorship analysis of cemented total hip replacement (THR) after avascular necrosis of the femoral head in renal transplant recipients. Nephrol Dial Transplant. 2006;21:784-8. https://doi.org/10.1093/ndt/gfi233