대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제24권2호
  • /
  • Pages.69-74
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  • 2020
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지
DOI QR코드

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거골 골연골병변: 수술 후 지속적인 통증을 호소하는 경우 무엇을 해줄 수 있나?

If the Patient Complains Persistent Pain after the Operation, What Should We Do?

  • 이현 (성균관대학교 의과대학 삼성의료원 정형외과학교실) ;
  • 성기선 (성균관대학교 의과대학 삼성의료원 정형외과학교실)
  • Lee, Hyeon (Department of Orthopedic Surgery, Samsung Medical Center, SungkyunKwan University School of Medicine) ;
  • Sung, Ki-Sun (Department of Orthopedic Surgery, Samsung Medical Center, SungkyunKwan University School of Medicine)
  • 투고 : 2020.05.11
  • 심사 : 2020.06.01
  • 발행 : 2020.06.15
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초록

Osteochondral lesions of the talus (OLT) can heal and remain asymptomatic, or they can progress to deep ankle pain on weight bearing and the formation of subchondral cysts. Treatment varies from nonoperative treatment to open and arthroscopic procedures. Operative procedures include marrow stimulation techniques (abrasion chondroplasty, multiple drilling, microfracture), osteochondral autografts or allografts, and autologous chondrocyte implantation. Among these treatments, arthroscopic marrow stimulation techniques have been the preferred initial surgical treatment for most OLT. Despite these treatments, many patients complain of persistent pain even after surgery, and many surgeons face the challenge of determining a second line of treatments. This requires a thorough re-evaluation of the patient's symptoms as well as radiological measures. If the primary surgical treatment has failed, multiple operative treatments are available, and relatively more invasive methods can be administered. On the other hand, it is inappropriate to draw a firm conclusion in which methods are superior.

키워드

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