항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고)
Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report)
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The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.
Abstract
The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.
참고문헌 (10)
- Salleh R, "Disorders of the hallucal interphalangeal joint", Foot Ankle Clin, 10, pp.129~140 (2005)
- Fizgerald JA., "A review of long-term results of arthrodesis of the first metatarso-phalangeal joint", J Bone Joint Surg Br, 51, pp.488~493 (1969)
- Mizel MS, "Ipsilateral arthrodesis of the metatarsophalangeal and interphalangeal joints of the hallux", Foot Ankle Int, 27, pp.804~807 (2006)
- Coughlin MJ, "A longterm follow-up study", J Bone Joint Surg Am, 82, pp.322~341 (2000)
- Luger EJ, "Pattern of weight distribution under the metatarsal heads", J Bone Joint Surg Br, 81, pp.199~202 (1999)
- Sammarco VJ, "Management of soft tissue deficiency of the hallux : salvage in trauma, diabetes, and following surgical complications", Foot Ankle Clin, 10, pp.55~74 (2005)
- Mann RA, "Arthrodesis of the foot and ankle, In 7th ed. Surgery of the foot and ankle. vol 1", pp.695~696 (1999), Mosby
- Shives TC, "Arthrodesis of the interphalangeal joint of the great toe--an improved technique", Foot Ankle, 1, pp.26~29 (1980)
- Derner R, "Hallux interphalangeal joint arthrodesis", J Foot Ankle Surg, 48, pp.408~410 (2009)
- Barouk LS, "The button temporary spacer, In Forefoot reconstruction", pp.168~174 (2005), Springer-Verlag