광범위 회전근 개 파열의 치료들 중 관절 치환술의 역할

국문 초록 (Abstract)

광범위 회전근 개 파열의 여러 치료 방법 중 관절 치환술에 대한 최신 지견을 알아보고자 하며, 각종 관절 치환술 술식의 장단점과 치료 방침에 대하여 기술하고자 한다. PubMed 논문 검색창을 통해 massive rotator cuff tears와 arthroplasty라는 어구를 사용하여 최근 나온 문헌들을 고찰하였으며, 광범위 회전근 개 파열에 대한 수술 방법 중 하나인 관절 치환술의 역사와 적응증, 임상 결과 및 치료 지침에 대해 알아보았다. 관절 치환술은 관절염이 진행된 광범위 회전근 개 파열 환자에서 일차적 치료법으로 고려될 수 있다. 반관절 치환술은 가성 마비가 없는 회전근 개 파열 관절병증을 가진 환자에서 오구 견봉궁이 건재할 경우 만족스러운 결과를 얻을 수 있다. 또한, 역행성 견관절 전치환술은 가성 마비를 동반한 고령의 회전근 개 파열 관절병증을 가진 환자에서 통증 완화와 능동적 거상을 회복할 수 있는 적합한 수술 방법이다. 환자의 상태에 따른 적절한 수술 방법의 선택은 치료 성공의 중요한 과정이며, 관절 치환술 역시 적절한 적응증과 발전된 술기 등으로 인하여 좋은 결과가 기대된다.

다국어 초록 (Multilingual Abstract)

The purpose of this article was to explore current concepts of arthroplasty as a treatment for massive rotator cuff tears. Pubmed was searched using the words ‘massive rotator cuff tears’ and ‘arthroplasty’ for suitable articles, which were then reviewed and investigated with respect to history, indications, clinical outcomes, and treatment algorithms of arthroplasty in patients of massive rotator cuff tear. Arthroplasty can be considered a primary surgical treatment for patients with irreparable massive rotator cuff tears and hemiarthroplasty may be the treatment of choice in younger patients with an intact coracoacromial arch and no pseudoparalysis. Reverse total shoulder arthroplasty is the best surgical treatment for pain relief and the restoration of active forward flexion in elderly patients with cuff tear arthropathy and pseudoparalysis. Proper selection of arthroplasty can provide pain relief and functional improvement in patients with massive rotator cuff tears. However, complication rates remain high, and emphasize the importance of appropriate patient selection and careful operative technique.

목차 (Table of Contents)

• 서론
• 본론
• 요약
• 참고문헌

참고문헌 (Reference)

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