Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Recurrent Traumatic Glenohumeral Instability Associated with Glenoid Bone Defect - 3 Case Report -

관절 와 골 결손이 동반된 재발성 견관절 외상성 불안정증 - 3례 보고 -

  • Tae, Suk-Kee (Department of Orthopedic Surgery, Dongguk University International Hospital) ;
  • Oh, Jong-Soo (Department of Orthopedic Surgery, Dongguk University International Hospital) ;
  • Kim, Jin-Young (Department of Orthopedic Surgery, Dongguk University International Hospital)
  • 태석기 (동국대학교 의과대학 일산병원 정형외과학교실) ;
  • 오종수 (동국대학교 의과대학 일산병원 정형외과학교실) ;
  • 김진영 (동국대학교 의과대학 일산병원 정형외과학교실)
  • Published : 2009.06.15
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Abstract

Purpose: Capsulolabral reconstruction in a traumatic anterior instability of the glenohumeral joint is successful not only for the prevention of recurrent instability but also for the restoration of function. Materials and Methods: However, a capsulolabral procedure alone cannot guarantee a successful result when there is severe bone loss of the glenoid. Results: We report the surgical technique and results of capsulolabral repair and extraarticular bone block with an autogenous iliac crest graft performed on three cases (all male, average age 28 years, minimum follow-up 12 months) with traumatic anterior instability associated with more than 30% glenoid bone loss.

목적: 견관절 전방 외상성 불안정증에서 관절 낭-순 재건술은 재발성 불완정증 예방 및 기능 회복에 있어 매우 성공적인 술식이다. 대상 및 방법: 그러나 관절 와의 30 % 이상의 심한 골 결손이 존재 할 때 관절 낭-순 재건술 만으로는 성공적인 결과를 가져오기 힘들다. 결과: 본 연구는 관절 와의 심한 골 결손을 가진 재발성 전방 외상성 불안정성 견관절에서 관절외자가 장골 이식으로 보강한 관절 낭-순 재건술의 술기와 결과를 보고하고자 한다.

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References

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