지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 86 - 91 (6page)
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초록· 키워드
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Purpose: Neurogenic myositis ossificans (NMO) in patients with traumatic spinal cord or brain injuries can cause severe joint ankylosis or compromise neurovascularture. The purpose of this study was to evaluate the clinical and radiological outcomes of and review considerations relevant to surgical resection of NMO of the hip joint. Materials and Methods: Six patients (9 hips) underwent periarticular NMO resection between 2015 and 2017. The medical records of these patients were retrospectively reviewed. Preoperative computed tomography including angiography was performed to determine osteoma location and size. Improvement in hip motion allowing sitting was considered the sole indicator of a successful surgery. The anterior approach was used in all patients. The ranges of motion (ROM) before and after surgery were compared. Results: The mean time from accident to surgery was 3.6 years. Average ROM improved from 24.3。(flexion and extension) to 98.5。(flexion and extension) after surgery, and improvement was maintained at the last follow-up. No commom complications (e.g., deep infection, severe hematoma, deep vein thrombosis) occurred in any patient. Improvement in ROM in one hip in which surgical resection was performed 10 years after the accident was not satisfactory owing to the pathologic changes in the joint. Conclusion: Surgical excision of periarticular NMO of the hip joint can yield satisfactory results, provided that appropriate preoperative evaluation is performed. Early surgical intervention yields satisfactory results and may prevent the development of intra-articular pathology.
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등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Sakellariou VI / 2012 / Heterotopic ossification following traumatic brain injury and spinal cord injury: insight into the etiology and pathophysiology / J Musculoskelet Neuronal Interact 12:230~240
van Kuijk AA / 2002 / Neurogenic heterotopic ossification in spinal cord injury / Spinal Cord 40:313~326
Garland DE / 1991 / A clinical perspective on common forms of acquired heterotopic ossification / Clin Orthop Relat Res (263):13~29
Garland DE / 1988 / Clinical observations on fractures and heterotopic ossification in the spinal cord and traumatic brain injured populations / Clin Orthop Relat Res (233):86~101
Genet F / 2009 / Impact of late surgical intervention on heterotopic ossification of the hip after traumatic neurological injury / J Bone Joint Surg Br 91:1493~1498
van Kuijk AA / 2002 / Neurogenic heterotopic ossification in spinal cord injury / Spinal Cord 40:313~326
Garland DE / 1991 / A clinical perspective on common forms of acquired heterotopic ossification / Clin Orthop Relat Res (263):13~29
Garland DE / 1988 / Clinical observations on fractures and heterotopic ossification in the spinal cord and traumatic brain injured populations / Clin Orthop Relat Res (233):86~101
Genet F / 2009 / Impact of late surgical intervention on heterotopic ossification of the hip after traumatic neurological injury / J Bone Joint Surg Br 91:1493~1498
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