Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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전방 견관절 불안정성의 Hill-Sachs 병변의 치료에서 Remplissage의 Review

Review in Remplissage on Anterior Shoulder Instability with Huge Hill-Sachs Lesion

  • 고상훈 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 이채칠 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 박한창 (울산대학교 의과대학 울산대학교병원 정형외과학교실)
  • Ko, Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Chae-Chil (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Han-Chang (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 투고 : 2011.05.23
  • 심사 : 2011.06.05
  • 발행 : 2011.06.30
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초록

목적: 광범위한 Hill-Sachs 병변을 동반한 전방 견관절 불안정성에 대한 관절경 하 Remplissage 술기를 고찰하고 저자들의 경험을 소개하고자 한다. 대상 및 방법: 골관절염이 없고, 견관절 주위의 골절이 없으며, 10회 이상의 재발성 탈구를 경험하였던 환자들 중에, 30~40% 이상의 광범위한 Hill-Sachs 병변 및 관절와 골 결손이 20% 미만인 경우를 대상으로 관절경 하 Bankart 병변 복원술과 함께 Remplissage 술기를 시행하였다. 결과 및 결론: 광범위한 Hill-Sachs 병변이 동반된 전방 견관절 불안정성에 대한 Remplissage 술기는 견관절의 안정성 및 임상적, 기능적으로 양호한 결과를 보여줄 수 있을 것으로 생각된다.

Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.

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참고문헌

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