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RISS 인기검색어
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- 저자 : 박형구 ( Hyoung Goo Park ) (검색결과 1 건)
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장재석 ( Jae Suk Chang ),박종훈 ( Jong Hoon Park ),박형구 ( Hyoung Goo Park ),이수호 ( Su Ho Lee ),김용기 ( Ki Yong Kim ) 대한고관절학회 1998 Hip and Pelvis Vol.10 No.2
Among several kinds of pelvic osteotomies, the Bernese periacetabular osteotomy, which was developed in 1983, has an advantage of providing sufficient acetabular coverage as the osteotomy is close to the acetabulum. We have experienced 5 cases of Bernese periacetabular osteotomies which were followed up over 1 year(1.4 year in average) and roentgenographic and clinical analysis could be done. All patients were female and the mean age was 27.6 years and four hips were operated with extended iliofemoral approach and modified ilioinguinal approach was applied to one hip. The Harris hip score improved from an average of 69 points preoperatively to an average of 95 points postoperatively. The vertical center-edge(VCE) angle of Wiberg was improved from 18.8+-0.5 to 55.8+-3.4, the acetabular angle from 47.4+-1.6 to 18.6+-3.5. The acetabular depth was improved from 21.8+-1.7mm to 22.4+-3.4mm, roof angle from 16.6+-6.1 to -34.0+-4.9. The femoral head coverage was changed from 70.1+-2.8% to 98.6+-3.7% and medial shift of femoral head was 5.6+-1.8%. Along with the improvement in X-ray, all the patient were satisfied with the relief of pain, and the improvement in gait could be confirmed by gait analysis. No patient had any complication, but there we!re breakages of posterior column which were managed with hip spica cast for a month in initial 2 cases. No one complained of the loss of motion, but some degree of the loss of flexion could be identified. We found the Bernese acetabular osteotomy, although technically demanding, was very excellent method to the dysplastic hips as it provided an sufficient acetabular coverage.
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