상완골 두 치환술을 이용한 회전근 개 파열 관절증의 치료

국문 초록 (Abstract)

목적: 회전근 개 파열 관절증의 치료로 상완골 두 치환술의 효용성을 조사하고자 한다.
대상 및 방법: 1997년부터 2003년까지 회전근 개 파열 관절증으로 상완골 두 치환술을 받은 11예를 대상으로 하였다. 평균 연령은 69세였고, 9예가 여자였으며 평균 추시기간은 44개월이었다. 동통, 일상생활 능력, 견관절 운동 범위 및 환자의 만족도에 대해 수술 전과 후를 조사하였다.
결과: 동통은 수술 전 9.0에서 2.2로 감소하였으며 전방 거상은 평균 40도에서 82도로, 외회전은 평균 8.2도에서 30도로 증가하였다. 평균 ASES 점수는 22점에서 72점으로 증가하였으며 총 11예 중 9예(82%)에서 동통 완화 및 일상생활 능력의 향상에 대해 만족한 결과를 나타냈다.
결론: 회전근 개 파열 관절증의 치료로 상완골 두 치환술은 동통 완화 및 기능적 활동의 개선에 효과적인 수술방법이라고 생각한다.

다국어 초록 (Multilingual Abstract)

Purpose : To assess the effectiveness of a prosthetic replacement of the humeral head in rotator cuff tear arthropathy patients.
Materials and Methods : 11 patients underwent a prosthetic replacement of the humeral head for rotator cuff tear arthropathy between 1997 and 2003. The average age was 69 years and 9 out of the 11 patients were women. The average follow-up was 44 months. The level of pain, daily activities, range of motion and patient's satisfaction were assessed both preoperatively and postoperatively.
Results : The mean pain score decreased from 9.0 preoperatively to 2.2 postoperatively. The mean active forward elevation increased from 40° to 82° and the mean external rotation increased from 8.2° to 30°. The mean ASES score improved from 22 to 72. Nine patients were satisfied with the surgical outcome, particularly in terms of pain relief and the improvement in their daily activities.
Conclusion : A prosthetic replacement of the humeral head is an effective treatment option for pain relief as well as for improving the functional activity in rotator cuff tear arthropathy.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 결론
• 참고문헌
• 국문초록

참고문헌 (Reference)

1 WP Barrett, "Total shoulder arthroplasty" 69 : 865-872, 1987

2 KL Jensen, "Rotator cuff tear arthropathy" 81 : 1312-1324, 1999

3 CT Arntz, "Prosthetic replacement of the shoulder for the treatment of defects in the rotator cuff and the surface of the glenohumeral joint" 75 : 485-491, 1993

4 RG Pollock, "Prosthetic replacement in rotator cuff-deficient shoulders" 1 : 172-186, 1992

5 LD Field, "Hemiarthroplasty of the shoulder for rotator cuff arthropathy" 6 : 18-23, 1997

6 GR Williams Jr, "Hemiarthroplasty in rotator cuff-deficient shoulders" 5 : 362-367, 1996

7 HA Elkousy, "Hemiarthroplasty for rotator cuff tear arthropathy" 12 : 33-40, 2002

8 JD Zuckerman, "Hemiarthroplasty for cuff tear arthropathy" 9 : 169-172, 2000

9 JL Franklin, "Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency" 3 : 39-46, 1988

10 CS Neer, "Cuff-tear arthropathy" 65 : 1232-1244, 1983

11 JL Visotsky, "Cuff tear arthropathy: pathogenesis, classification, and algorithm for treatment" 86 (86): 35-40, 2004

12 RL Worland, "Bipolar shoulder arthroplasty for rotator cuff arthropathy" 6 : 512-515, 1997

13 IK Sarris, "Bipolar hemiarthroplasty for chronic cuff tear arthropathy" 18 : 169-173, 2003

14 H Ellman, "Arthroscopic treatment of full-thickness rotator cuff tears: 2- to 7-year follow-up study" 9 : 195-200, 1993

15 RR Richards, "A standardized method for the assessment of shoulder function" 3 : 347-352, 1994