인공 고관절 재치환술: 수술 전 계획과 준비
Preoperative Planning for Revision Hip Arthroplasty
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인공 고관절 재치환술은 일차 치환술보다 훨씬 더 어렵고 보통 일차 치환술의 결과만큼 만족스럽지 못하다. 또한 수술 시간이 더 길고 실혈량이 많고, 합병증의 발생빈도가 높으며, 수술 술기의정확도가 요구되는 경우가 많다. 그리고 수술 도중 돌발 상황이 발생하는 빈도가 높고, 일차 치환술보다 고려해야 할 변수들이 많고 복잡하다. 따라서, 수술 전에 충분하고도 신중한 계획을 세워야만 좋은 결과를 얻을 수 있다.
Abstract
Revision after primary total hip arthroplasty is usually much more difficult than the first time, and the results are typically not as satisfactory as that after most primary total hip arthroplasties. Revision requires more operative time and more blood loss, and there are higher incidences of infection, thromboembolism, dislocation, nerve palsy and perforation/fracture of the femur. The complexities of revision surgery underscore the importance of precise technique when performing primary arthroplasties. Thoughtful and thorough preoperative planning will certainly provides the patient with the best opportunity for long-term success.
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