Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Long Term Result of Four Cases without a Staged Reconstruction of an Infected Achilles Tendon Following Repair

아킬레스건 봉합술 후 발생한 감염에서 이차적 건 재건을 시행하지 않고 치료한 4예의 장기 추시 결과

  • Lee, Jaeyoung (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Changhoon (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Jung, Sehoon (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Park, Il-Jung (Department of Orthopedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 이재영 (가톨릭대학교 의과대학 부천성모병원 정형외과) ;
  • 정창훈 (가톨릭대학교 의과대학 부천성모병원 정형외과) ;
  • 정세훈 (가톨릭대학교 의과대학 부천성모병원 정형외과) ;
  • 박일중 (가톨릭대학교 의과대학 부천성모병원 정형외과)
  • Received : 2019.08.03
  • Accepted : 2019.11.06
  • Published : 2020.10.30
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Abstract

The main treatment of infections following the repair of a ruptured Achilles tendon is debridement of the infected tissue and reconstruction of the Achilles tendon after controlling the infection. On the other hand, some studies recently reported excellent clinical results after the debridement of the infected Achilles tendon without a reconstruction of the tendon. This paper reports four cases of a competent result after the debridement of an infected Achilles tendon without reconstructing the tendon with a review of the relevant literature.

아킬레스건 파열에 대한 봉합 후 발생한 감염의 치료는 감염된 조직에 대하여 변연절제술을 시행하고 감염의 호전 시 이차적 아킬레스건 재건을 시행하는 것이 일반적이다. 하지만 최근 몇몇 저자들은 감염된 아킬레스건의 변연절제술 후 이차적 건 재건 없이도 우수한 임상적 결과를 보고하였다. 이에 저자들은 아킬레스건 봉합 후 발생한 감염에서 감염된 조직에 대한 변연절제술 후 아킬레스건 재건을 시행하지 않고도 양호한 결과를 얻었던 4예의 증례를 문헌 고찰과 함께 보고하고자 한다.

Keywords

References

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