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정형외과 수술에서 골대체제로써 Beta-Tricalcium Phosphate 사용에 대한 방사선학적 결과

Radiologic Outcome of Beta-Tricalcium Phosphate as a Bone Substitute in Orthopaedic Surgery

보건의료산업학회지 2019년 13권 4호 p.133 ~ 144
박형석 ( Park Hyung-Seok ) - 조선대학교 의과대학 정형외과학교실

문정은 ( Moon Jeong-Eun ) - 호남대학교 간호학과
조용진 ( Cho Yong-Jin ) - 조선대학교 의과대학 정형외과학교실

Abstract


Objectives: To analyze the radiologic results of patients treated with bone defects treated with beta-tricalcium phostphate (β-TCP) in orthopedic surgery.

Methods: Medical records of 49 patients, consisting of 24 (49.0%) men and 25 (51.0%) women were retrospectively reviewed. Graft incorporation was evaluated based on Irwin’s radiologic staging.

Results: The explanatory power of the total regression equation in Irwin’s stage at 3 months postoperatively according to three explanatory variables, namely graft tightness, age at diagnosis, and lesion volume, was 65.6%; the explanatory power of Irwin’s stage at 6 months postoperatively according to two variables, namely lesion volume and graft tightness, was 32.9%; and the explanatory power of Irwin’s stage at 9 months postoperatively for two variables, namely longitudinal lesion length and graft tightness in the total regression, was 30.8%.

Conclusions: Graft tightness, lesion volume, age at diagnosis, and longitudinal lesion length are the common factors affecting graft incorporation.

키워드

골대체제; 베타-트리컬슘 인산염; 뼈이식; 방사선 촬영; 정형외과
Bone Substitute; Beta-tricalcium Phosphate; Bone Transplantation; Radiography; Orthopedics
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