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KMID : 0361619930280010352
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Journal of the Korean Orthopaedic Association
1993 Volume.28 No. 1 p.352 ~ p.363
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Hip Reconstruction in Young Ages by the Lizarov Techniques
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권칠수
김용욱/김응선
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Abstract
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In cases of the congenital dislocation of the hips neglected without proper treatments at their childhoods or young ages, or in cases of pyogenic or tuberculous arthritis of the hips of the infants or childhoods, hip deformities could be
developed,
and
they could lead to serious disabliies, and many difficult problems could be found in treating them. In such deformities of the childhoods or young adults, the patients are usually not so painful but serious physical and social disabilities such
as
severe limping, leg length discrepancy and psychological depression could be presented.
The total hip joint replacements and arthroplasties in such cases could have many difficult problems, because the femoral head and the acetabulum are not developed normally and are not in normal position, and contractures of the soft tissues and
muscles
around the hip joint could be existed. Even if the successful arthroplasties could be achieved, revision arthroplasties should be needed in several years. Also the total nip joint replacements and arthroplasties could not correct the severe leg
length
discrepancy.
Ilizarov suggested the meothod of hip reconstruction, in which by the valgus osteotomy of the subtrochanteric region of the femur, the tension of the gluteus medius could be restored and the unstable hip could be converted to the stable hip, and
the leg
length discrepancy could be corrected by the lengthening of the shagt of the femur, and mechanical axis, flexion or extension contracture of the hip could be corrected simultaneously. It is thougth to be a permanent procedure that needs not
revision
arthroplasty, because it is not an arthroplasty using endoprostheiss but a biological reconstruction using the hip joint and the femur of the patient himself.
Authors experienced of cases of the hip reconstruction and femoral lengthening by principle of the ilizrov treatment, and authors report them.
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KEYWORD
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Hip reconstruction, Ilizarov
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