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대한족부족관절학회지 = Journal of Korean Foot and Ankle Society, v.22 no.1, 2018년, pp.1 - 7
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Ankle arthrodesis is a common and standard treatment for patients with end-stage ankle arthritis. The surgical goals of ankle arthrodesis are to obtain bony union between the tibia and talus with adequate alignment, and provide a pain-free plantigrade foot for weightbearing activities. To achieve su...
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| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 관절염이 발생하면 어떻게 되는가? | 일단 관절염이 발생하면 통증 및 관절면의 부조화, 관절 운동 제한 등을 야기할 수 있다. 초기의 관절염에서는 보존적 치료를 시행하여 볼 수 있으며, 좀 더 진행된 관절염에서는 관절경적 변연 절제술, 활액막 절제술, 골극 제거술, 관절 신연술, 과상부 절 골술 등의 수술적 방법이 고려된다. | |
| 족관절은 고관절 및 슬관절과는 다른 해부학 및 생체역학을 가지고 있는데 그것은 무엇인가? | 족관절은 고관절 및 슬관절과는 다른 해부학 및 생체 역학을 갖고 있다. 고관절 및 슬관절에서는 퇴행성관절염이 주로 발생하는 것에 비해, 족관절에서는 이차적으로 외상성 관절염이 발생하는 경우가 많다.1,2) 이에 대한 원인으로는 족관절의 연골의 인장강도가 강하고, 더욱 단단한 연골하골을 갖고 있는 등의 이유로 고관절 및 슬관절에 비하여 일차성 관절염이 비교적 적게 발생하는 것으로 추정하고 있다. | |
| 관절염의 치료는 어떻게 시행하는가? | 일단 관절염이 발생하면 통증 및 관절면의 부조화, 관절 운동 제한 등을 야기할 수 있다. 초기의 관절염에서는 보존적 치료를 시행하여 볼 수 있으며, 좀 더 진행된 관절염에서는 관절경적 변연 절제술, 활액막 절제술, 골극 제거술, 관절 신연술, 과상부 절 골술 등의 수술적 방법이 고려된다.3,4) 하지만 이러한 술식은 심하게 진행된 말기 관절염에서는 제한이 된다. |
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