Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Arthrodesis of the Knee Using a Retrograde Femoral Intramedullary Nail: Technical Report

역행성 대퇴부 골수강 내 금속정을 이용한 슬관절 고정술: 술기 보고

  • Wang, Lih (Department of Orthopedic Surgery, Dong-A University College of Medicine) ;
  • Kim, Sun Hyo (Department of Orthopedic Surgery, Dong-A University College of Medicine)
  • 왕립 (동아대학교 의과대학 정형외과학교실) ;
  • 김선효 (동아대학교 의과대학 정형외과학교실)
  • Received : 2020.02.17
  • Accepted : 2020.04.06
  • Published : 2021.04.30
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Abstract

Arthrodesis is one of the last options available to obtain a stable, painless knee in patients who are unable to undergo reconstructive surgery due to a damaged knee joint. A variety of techniques have been used, including external fixation, internal fixation by compression plates, intramedullary fixation through the knee with a modular nail, and antegrade nailing through the piriformis fossa. Another option is the use of a short nail such as the Neff nail, the Wichita nail, or the Huckstep nail, but there are no commercial short nails available for use in Korea. This technical report describes a technique for knee arthrodesis using a retrograde femoral intramedullary nail.

슬관절 고정술은 슬관절이 손상되어 재건술을 시행할 수 없는 환자에서 안정적이고 통증이 없는 슬관절을 얻을 수 있는 마지막 선택사항 중 하나이다. 슬관절 고정술에는 외고정 장치, 압박 금속판을 이용한 내고정, 조립형 금속정 또는 이상와로부터 삽입하는 전향적 금속정을 이용한 내고정 등 다양한 방법들이 사용되어 왔다. 다른 선택사항으로 Neff 정, Wichita 정, 또는 Huckstep 정과 같은 짧은 금속정을 이용하기도 한다. 그러나 한국에서는 현재 사용 가능한 상용화된 짧은 금속정이 없다. 이에 저자들은 역행성 대퇴부 골수강 내 금속정을 이용한 슬관절 고정술을 보고하고자 한다.

Keywords

Acknowledgement

본 연구는 동아대학교 임상연구비 지원으로 이루어졌음.

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