Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Reverse Total Shoulder Arthroplasty - Techniques and Pitfalls -

역행성 견관절 전치환술 - 수술 기법 및 주의점 -

  • Chung, Seok-Won (Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital) ;
  • Kim, Joon-Yub (Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital) ;
  • Oh, Joo-Han (Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital)
  • 정석원 (서울대학교 의과대학 정형외과학교실, 분당서울대학교병원 관절센터) ;
  • 김준엽 (서울대학교 의과대학 정형외과학교실, 분당서울대학교병원 관절센터) ;
  • 오주한 (서울대학교 의과대학 정형외과학교실, 분당서울대학교병원 관절센터)
  • Received : 2011.05.16
  • Accepted : 2011.06.27
  • Published : 2011.06.30
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Abstract

Purpose: The purpose of the present article is to help orthopedic surgeons better understand the function and performance of reverse total shoulder arthroplasty, and also to help them perform the most proper surgical technique for reconstruction. Materials and methods: In this article, the specific technical aspects and pitfalls of reverse total shoulder arthroplasty were reviewed in depth. Additionally, the current issues relevant to the reverse total shoulder arthroplasty such as scapular notching and restoration of active external rotation were discussed. Results and conclusion: An understanding of the biomechanics of reverse total shoulder arthroplasty and the technical details and pitfalls of its implantation are critical in order to provide the best functional outcome without increasing the risk of complications.

목적: 정형외과 의사로 하여금 역행성 견관절 전치환술의 생역학적 기능과 그 작용을 더 잘 이해할 수 있게 함과 동시에, 최선의 수술적 치료를 시행할 수 있도록 돕는 데 있다. 대상 및 방법: 역행성 견관절 전치환술의 특정한 수술적 기법 및 주의점에 대해 심도있게 설명하고자 하였고, 견갑골 패임이나 능동적 외회전의 복원과 같이 역행성 견관절 전치환술과 관련된 최근의 주된 관심사에 대해서도 살펴보고자 하였다. 결과 및 결론: 수술 후 합병증을 증가시키지 않으면서 최선의 기능적 결과를 얻기 위해서는 역행성 견관절 전치환술의 개념, 그리고 그 수술 기법과 주의점에 대한 철저한 이해가 필수적이다.

Keywords

References

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