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고관절의 관절경: 진단과 치료

Arthroscopy of the Hip Joint: Diagnosis and Treatment

이정범|황득수
대한고관절학회 (The Korean Hip Society)|2010.03|Hip and Pelvis|제22권 제1호|pp. 27-37

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참고문헌

키워드

Treatment진단치료DiagnosisIndicationHipArthroscopy고관절관절경적응증

초록

고관절 관절경은 술기상 어려우며 특별한 견인장치나 수술 기구가 필요하다는 단점이있다. 그러나 고관절 관절경의 적응증은 고관절 질환의 이해가 증가되면서 확대되고 있는 추세이다. 또한 개선된 기구 및 발달된 술기등으로 인해 관절경을 이용한 치료가 가능하게 되었으며 이는 비구순 및 비구 그리고 관절 변연부의 치료에 도움을 주고 있다. 좀더 장기간의 추시를 통한 연구가 필요하겠지만 관절을 개방하여 수술을 시행했던 환자들이나 적극적인 치료를 시행하지 않았던 환자들에게는 유용할 것으로 사료되며 술후 합병증이 5% 미만으로 적게 발생된다는 장점이 있다.

Abstract

Hip arthroscopy is technically demanding and requires special distraction tools and operating equipment. The indications for hip arthroscopy are expanding as the understanding of hip disease increases. Improved instrumentation and technical skills have also facilitated the ability of physicians to treat some hip disorders arthroscopically. Various arthroscopic techniques allow the treatment of labral and acetabular rim pathology as well as pathology of the peripheral compartment. Improved techniques and longer-term outcomes studies should further define the optimal role of hip arthroscopy. Consequently, hip arthroscopy has been used to treat patients who should have had a more complicated open procedure or should have gone untreated. Moreover, hip arthroscopy, as with any procedure, is not without risks. Fortunately, complications are few, occurring in <5% of patients with hip pain.

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