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인공 고관절 전치환술에서 Harris-Galant형 반구 포말형 비구컵의 방사선학적 분석
이상홍 ( Sang Hong Lee ),위윤철 ( Yuen Chul Wee ),표영배 ( Young Bae Pyo ),하상호 ( Sang Ho Ha ),김영철 ( Young Chul Kim ) 대한고관절학회 1996 Hip and Pelvis Vol.8 No.2
The results of fifty-five consecutive primary total hip arthroplasties in which a Harris-Galante porous coated acetabular component had been used were reviewed after a minimum of five years. Areas of gaps between the porous mesh at the periphery of the acetabular component and the bone were seen on the immediate postoperative radiographs of twenty-eight hips(50.9%). At the second year follow up, a radiolucent line was found in twenty-six hips(47.3%). These radiolucent lines were never wider than one milimeter and were most frequently located in zone I[. At the time of last follow-up evaluation, a progressive radiolucent line was identified around eight hips and a discontinous radiolucent line was present in all three zones around eleven. The continous radiolucent line was identified in two hips. A progressive radiolucent line developed around only two of twenty-seven hips that were not associated with an initial peripheral gap, but a progressive radiolucent line developed around six of the twenty-eight hips that were associated with such a gap. An initial peripheral gap will subsequently show a progressive radiolucent line. None of the acetabular components were loose, however, six acetabular component were revised due to dissociation of polyethylene liner, postoperative femoral fractures and revision of femoral stem in two hips each. In six cases of the author's experience with revision, bone ingrowth around the porous surface of acetabular components was well developed. Our experience with Harris-Galante porous coated acetabular components suggests that the tech- nique used for implantation may be important not only for initial fixation and ingrowth of bone, but also, more importantly, for the design of the liner-metal back locking mechanisms.
Phemister 수술법을 이용한 급성 견봉 쇄골 관절탈구의 치료
표영배,임만택 朝鮮大學校 附設 醫學硏究所 1992 The Medical Journal of Chosun University Vol.17 No.1
The authors have experienced 26 Patients of complete dislocation of acromioclavicular joint from March 1985 to February 1990, who were treated at Chosun University Hospital with at least 12 months follow up, and we obtained following results. There were twenty-one males and five females. The age ranged from eighteen to fourty-six, the average was 34.5 years. We treated the patients with the Phemister technique in the all patients. The coracoclavicular ligament was repaired in 16 patients and not repaired in 10 Patients, and the general outcome did not differ between these two groups. Slight loss of reduction was developed in 9 patients after implant removal, but the functional results was not influenced at all. Clinical results were excellent and good in 21 cases (80%) according to Weitzman classification, Complications developed in the 8 cases: 3 arthritis, 2 K-wire migration, 1 K-wire breakage and 2 superficial wound infection. We concluded that the Phemister method is relatively simple and a good procedure for the treatment of acute complete dislocation of acromioclavicular joint, especially in young adult.