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외전근 부전 환자에서 구속형 라이너를 이용한인공 고관절 재치환술

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Affiliated Author(s)
이시욱이경재손은석민병우배기철
Alternative Author(s)
Lee, Kyung JaeMin, Byung WooBae, Ki CheorSon, Eun SeokLee, Si Wook
Journal Title
대한정형외과학회지
ISSN
1226-2102
Issued Date
2016
Keyword
abductor insufficiencyrevision total hip arthroplastyconstrained liner
Abstract
Purpose: The purpose of this study was to evaluate clinical and radiographic results of revision total hip arthroplasty with constrained liner
in patients with abductor insufficiency.
Materials and Methods: In this study, 30 patients treated with constrained liner during revision total hip arthroplasty due to abductor
insufficiency were evaluated after minimum 2-year follow-up. There were 14 men and 16 women and the mean follow-up period was
4.6 years. Re-dislocation and aseptic loosening of the implant were defined as a failure of the constrained liner. Harris hip score and
ambulatory function were evaluated as a clinical parameter and osteolysis, aseptic loosening of the implant and other complications were
evaluated as a radiologic parameter.
Results: During the follow-up period, there were 4 cases (13.3%) of constrained liner failure including two cases of re-dislocation and two
cases of acetabular cup aseptic loosening. The average Harris hip score was improved from 38.3 points preoperatively to 73.4 points at last
follow up. At the final follow-up, there were 20 cases (66.7%) of improvement in ambulatory function. There was 1 case of infection and 1
case of periprosthetic fracture.
Conclusion: Use of a constrained liner during revision total hip arthroplasty showed satisfactory results for prevention of re-dislocation in
patients with abductor insufficiency. However longer term studies on loosening of implants are needed.
Alternative Title
Revision Total Hip Arthroplasty with Constrained Liner in Patients with A Insufficiency.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
이경재 et al. (2016). 외전근 부전 환자에서 구속형 라이너를 이용한인공 고관절 재치환술. 대한정형외과학회지, 51(4), 281–286. doi: 10.4055/jkoa.2016.51.4.281
Type
Article
ISSN
1226-2102
DOI
10.4055/jkoa.2016.51.4.281
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32632
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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