Hip & pelvis

  • 제23권3호
  • /
  • Pages.221-224
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  • 2011
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  • 2287-3260(pISSN)
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  • 2287-3279(eISSN)
대한고관절학회 (The Korean Hip Society)
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난치성 인공 고관절 감염증에서 시행한 전자 성형술 -증례보고-

Trochanteroplasty for the Treatment of Uncontrolled Infected Total Hip Arthroplasty - A Case Report -

  • 박경순 (전남대학교 의과대학 화순전남대학교병원 정형외과학교실) ;
  • 윤택림 (전남대학교 의과대학 화순전남대학교병원 정형외과학교실) ;
  • 문재영 (전남대학교 의과대학 화순전남대학교병원 정형외과학교실) ;
  • Park, Kyung-Soon (Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Yoon, Taek-Rim (Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Moon, Jae-Young (Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School) ;
  • Hu, Qin Sheng (Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School)
  • 발행 : 2011.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

전자 성형술은 주로 영아 화농성 고관절염에서 쓰이는 구제술 중 하나이며, 하지부동을 줄이고, 안정적이며, 통증이 적으면서도, 기능적인 수술로 알려져 있다. 저자들은 인공 고관절 치환술 후난치성 감염이 발생한 65세 남자 환자에서 전자 성형술을 시행하고, 4년 후 재치환술을 시행한 증례를 보고하고자 한다. 이러한 술식은 심한 대퇴골 근위부의 골결손을 동반한 성인 난치성 고관절 감염증에서 하나의 치료법으로 사용될 수 있을 것으로 생각되며, 문헌 고찰을 시행하였다.

Trochanteroplasty is a salvage procedure that is normally performed in septic infant hips. The procedure can provide a stable, painless, functional hip, and reduce any leg-length discrepancy. The authors describe a case of revisional total hip arthopalsty performed on a 65 year-old male patient 4 years after trochanteroplasty for an uncontrolled infection after total hip arthoplasty. The available literature on trochanteroplasty was reviewed. The authors provide a feasible strategy for treating adult hip infections with deficient bone stock in the proximal femur.

키워드

참고문헌

  1. Freeland AE, Sullivan DJ, Westin GW. Greater trochanteric hip arthroplasty in children with loss of the femoral head. J Bone Joint Surg Am. 1980;62:1351-61.
  2. Dobbs MB, Sheridan JJ, Gordon JE, Corley CL, Szymanski DA, Schoenecker PL. Septic arthritis of the hip in infancy: long-term follow-up. J Pediatr Orthop. 2003; 23:162-8.
  3. Williams D, Taylor A, McLardy-Smith P. Revision arthroplasty: an update. Skeletal Radiol. 2009;38:1031-6. https://doi.org/10.1007/s00256-009-0781-z
  4. Scharfenberger A, Clark M, Lavoie G, O'Connor G, Masson E, Beaupre LA. Treatment of an infected total hip replacement with the PROSTALAC system. Part 1: Infection resolution. Can J Surg. 2007;50:24-8.
  5. Colonna PC. A new type of reconstruction operation for old ununited fractures of the neck of the femur. J Bone Joint Surg Am. 1935;17:110-22.
  6. Axer A, Aner A. A new technique for greater trochanteric hip arthroplasty. J Bone Joint Surg Br. 1984;66:331-3.
  7. Weissman SL. Transplantation of the trochanteric epiphysis into the acetabulum after septic arthritis of the hip. Report of a case. J Bone Joint Surg Am. 1967;49: 1647-51.
  8. Coleman SS. Congenital dysplasia and dislocation of the hip. St. Louis, CV Mosby, 1978.
  9. Gerber A, Pisan M, Zurakowski D, Isler B. Ganz reinforcement ring for reconstruction of acetabular defects in revision total hip arthroplasty. J Bone Joint Surg Am. 2003;85-A:2358-64.