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소아마비 후유증으로 인한 극심한 고관절 및 슬관절 변형에 대하여

Surgical Treatment for Marked Deformity of Hip and knee as Residua of Poliomyelitis

대한정형외과학회지 1970년 5권 4호 p.201 ~ 205
이태영, 손한철,
소속 상세정보
이태영 (  ) - 부산대학교 의과대학 정형외과학교실
손한철 (  ) - 부산대학교 의과대학 정형외과학교실

Abstract


We experience still a number of cases of residual polipmyelitis with severe deformities which have not been treated for more than 10 years in Korea.
During the period of January to August in 1970, 40 cases of residual poliomyelitis had corrective operations performed at Department of Orthopedic Surgery, Pusan National University Hospital.
Among those Two cases showed extreme deformities of hips and knees, having not been treated at all for past 18 years.
There were flexion contractures of hips 50°/80°(Rt/Lt) and knees 90´,/90´ in case 1 and flextion contractures of hips 75°/90° and knees 80°/100° in case 2.
Various controversial methods of surgical treatment have been described since 1914 when Soutter introduced a procedure for flexion contracture.
In case 1 the procedures of Soutter and Yount, division of the hamstring tendons and posterior capsulotomy of knee were performed by the authors.
The bilateral contractures were not corrected completely and the residual deformities remained.
In case 2 a compelet correction was obtained by release of iliopsoas insertion and supracondylar osteotomy combined with the operations done in case 1.
From this clinical observation the authors reached to the conclusion that the release of insertion of iliopsoas muscle and supracondylar osteotomy are the essential procedures for correction of flexion contracture of hip and knee.

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