인공 관절 시행 후 발생한 대퇴부 골용해의 진단과 치료
The Diagnosis and Treatment of Femoral Osteolysis Developed after the Hip Replacement
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목적: 대퇴부 골용해의 진단 및 치료 방법을 알아보고자 한다. 내용: 골용해(osteolysis)는 마모입자에 의한 생물학적 반응으로 인공관절의 수명에 가장 큰 영향을 미치는 가장 흔하고 중요한 합병증이다. 그러나 심각한 골결손 및 이완이 발생하기 전까지증세가 나타나지 않아 조기 진단과 치료에 어려움이 있다. 조기진단과 정확한 치료를 시행하기위해 대퇴부 골용해시 나타날 수 있는 임상적 소견 및 방사선 소견 등을 살펴보고 필요한 약물치료 및 수술적 치료방법 등을 살펴보았다. 결론: 인공관절의 재질 및 디자인의 향상으로 마모 입자의 발생이 감소되어 골용해가 줄어들고있으나 여전히 문제가 존재하는 상태로 골용해 방지를 위해 지속적인 노력이 필요할 것으로 사료된다.
Abstract
Purpose: To evaluate the diagnosis and treatment of femoral osteolysis. Contents: Osteolysis developed from biologic interaction by wear debris, is one of the common and important complications, which is the most influencing factor of the durability of artificial joint. However, it is difficult to diagnose and treat femoral osteolysis early, because there are no symptoms until a serious bone loss occurs. For the accurate treatment and the early diagnosis of femoral osteolysis, we evaluated the clinical and radiological findings,and also evaluated the medical and surgical managements. Conclusion: From the improvement of the quality and design of artificial joint, femoral osteolysis is reducing these days. However, it still remains a problem, so consistent effort are required to reduce it.
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