시멘트 인공 고관절 전치환술
Cemented Total Hip Replacement Arthroplasty
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초록
인공 고관절 전치환술에서 시멘트의 사용여부는 과거부터 많은 논란이 되고 있다. 하지만 1980년대에 무시멘트 인공 고관절 전치환술에서 골용해가 높은 빈도로 발생하여 해리의 중요한 원인으로 발생하였고 시멘트 기법 및 인공 관절의 재질, 디자인 등의 개선으로 인하여 최근에 시멘트형의 대퇴 주대의 사용이 빈번해 지기 시작하였다. 또한 비구측의 시멘트 사용에 대해서도 재치환술이나, 골 다공증이 심한 노령의 환자, 비구의 결손이 있어서 광범위한 골 이식이 필요한 환자등의 적절한 적응증의 경우 시멘트를 이용한 비구컵의 사용이 바람직할 것으로 보인다. 본 논문의 목적은 현재 인공 고관절 치환술에서 시멘트를 이용한 비구컵과 대퇴스템의 고정방법에 대하여 살펴보고 앞으로 발전 방향에 관하여 알아 보고자 한다.
Abstract
The use of cement in total hip replacement arthroplasty has long controversial. However, since the 1980s, osteolysis has occurred with high frequency in cementless total hip replacement arthroplasty, and has been a significant cause for loosening. Recently, a cemented femoral stem has been frequently used because of improvements in cement techniques, materials for joint arthroplasty, design, etc. Also, the use of an acetabular cup with cement seems desirable where indications are for a revision procedure or where there is an aged patient with severe osteoporosis,and where the patient requires a broad bone graft due to an acetabular bone defect. The purpose of this article was (i)to review how to fix an acetabular cup with cement and a femoral stem in current hip replacement arthroplasty procedures and (ii) to review possible directions for further development.
참고문헌 (24)
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