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장재석 ( Jae Suck Jang ),정철영 ( Chul Young Jung ),이수호 ( Soo Ho Lee ),김기용 ( Key Yong Kim ) 대한고관절학회 1997 Hip and Pelvis Vol.9 No.1
Although the rate of vascular complication of reconstruction is uncommon in total hip arthroplasty, human life could be threatened or patients may lose their lower limbs by the vascular injuries'. As the numbers of revision surgery are increasing, the surgeon should be alert to recognize the vascular accident and make a prompt management to save limbs. We have experienced four cases of vascular injuries during total hip arthroplasties. Two cases were happened during revision surgeries, one case of secondary operation after a fixation failure of trochanteric fracture and a primary total hip arthroplasty with Cushing syndmme. Two cases of vascular injuries were found during acetabular replacement, screw fixation and temporary steinmann fix- ation of bone graft. And there were two cases with bleeding tendency and significant blood loss was found even from small vascular branches, which was managed by the angiographic embolization in one case. All cases could be managed by vascular surgery or angiographic embolization. We realized that the vascular injuries needed urgent management including vascular surgery and angiogram. And embolization under angiogram was safe and very helpful even in bleeding tendency.
이수호(Soo Ho Lee),장재석(Jae Suck Jang),김병철(Kim Byeong Choel) 대한고관절학회 1999 Hip and Pelvis Vol.11 No.1
We studied the diagnostic value of preoperative computed tomography in 15 patients(17 hips) with deformed geometry and who underwent total hip arthroplasty(THA) at the Department of Orthopaedic Surgery, Asan Medical Center in Seoul from March 1990 to February 1998. The center edge(CE) angle and neck shaft angle(NSA) on the plain pelvis anterior/posterior view was measured, as was the anterior acetabular sector angle(AASA) and the posterior acetabular sector angle(PASA) on the axial slice of computed tomography. Femoral anteversion was also measured by use of computed tomography. 3 hips which were classified as Crowes class were excluded. 4. The mean value of CE angle was 17+- 10.4 degrees and that of NSA was 141.7+- 11.7 degrees. AASA was 41.2 +- 14.4 degrees and PASA was 75.2+- 16.6 degree. The mean value of femoral anteversion was 29.1+- 14.3 degrees. The results demonstrated reduced anterior acetabular and deficient posterior coverage in most cases of hip dysplasia. The femoral anteversion was greater than normal in most hips and this dictated the choice of specially designed prosthetic component. In conclusion, we recommend computed tomography in case of a deformed hip for which THA is planned