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고관절 전치환술에서 후방관절낭 봉합술을 시행한 후외방도달법
손원용 ( Won Yong Shon ),임홍령 ( Hong Chul Lim ),나경욱 ( Kyong Uk Na ),김태형 ( Tae Hyeong Kim ) 대한고관절학회 1997 Hip and Pelvis Vol.9 No.2
The posterior approach to the hip is the most popular approach for primary total hip arthroplasty. It is technically simpler than other approaches, but is said to carry an increased risk of postoperative dislocation. Several variations of this approach have been reported, but all cause injury to the posterior capsule and short external rotators. A posterior approach to the hip is described, which preserves the posterior hip capsule and short external rotators. These structure are reflected during exposure and are securely repaired to bone as a single capsulomuscular flap during wound closure. This approach has been used exclusively since January 1995 for uncomplicated primary hip arthroplasty. In 64 consecutive cases, there have been three dislocation, two of these associated with trauma. Our researches showed that the posterior approach with posterocapsulorrhaphy by trained operating team reduce the frequency of postoperative dislocation and less morbidity with no lengthening operation time as a simple procedure in uncomplicated primary total hip arthroplasty.
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