Hip & pelvis

The Korean Hip Society (대한고관절학회)
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The Causes and Treatment of Dislocations after Total Hip Arthroplasty

인공 고관절 치환술 후 발생한 탈구의 원인과 치료

  • So, Kwang-Young (Department of Orthopedic Surgery, Kwangju Christian Hospital) ;
  • Chung, Young-Yool (Department of Orthopedic Surgery, Kwangju Christian Hospital)
  • 소광영 (광주기독병원 정형외과) ;
  • 정영율 (광주기독병원 정형외과)
  • Published : 2011.09.30
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Abstract

A dislocation after total hip arthroplasty is a serious complication that is related to the component position and poor patient compliance. Therefore, the attendants and surgeons need to be aware of the risk factors for dislocations and take steps to prevent them. In addition, the surgeon should insert the components within the safe zone. The patients should also be informed of possibility of dislocations after total hip arthroplasty. Dislocations can be treated conservatively but a recurrent dislocation requires surgery. The causes of recurrent dislocations must be evaluated before surgery to achieve a high success rate.

인공 고관절 전 치환술 후 발생하는 탈구는 빈도는 높지 않으나 감염, 해리와 함께 삼대 심각한 합병증의 하나이다. 탈구는 수술과 관련이 있거나 환자의 비협조에 의해 대부분 발생한다. 그러므로 수술자는 수술 중 치환물이 안정 각도 내에 고정되도록 주의를 해야 하며, 수술 후에는 환자와 보호자의 교육을 철저히 하여 탈구를 예방하여야 한다. 인공 고관절 전 치환술 후 발생하는 탈구는 대부분 도수 정복 후 보존적 치료를 시행하나 재발성 탈구에서는 수술적 치료를 고려하여야 한다. 탈구의 원인을 정확하게 진단하고 수술적 방법을 선택함으로써 높은 성공률을 얻을 수 있다.

Keywords

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