정형외과적 내고정물 제거술 전, 후의 삶의 질 비교 (Comparison of Quality of Life between Before and After Orthopaedic Implant Removal Surgery)

서지정보

· 발행기관 : 대한골절학회
· 수록지 정보 : Journal of Musculoskeletal Trauma / 29권 / 2호 / 101 ~ 106페이지
· 저자명 : 고상봉, 채승범

초록

Purpose: The purpose of this study is to determine whether or not a patient’s results are improved after removal of aninternal fixative from a patient with no related symptoms.
Materials and Methods: This prospective study included 87 patients who agreed to participate in the study and satisfiedthe criteria for selection and exclusion of patients who underwent the operation for removal of internal fixative due tobroken bones from March 1st, 2004 to December 31st, 2011 at Daegu Catholic University Medical Center. The averagereplication period was 27 months (12-64 months) and the average age at the time of the operation for removal was 41.5years (21-75 years) for 55 males and 32 females. The quality of life for all patients was evaluated using Short Form 36(SF-36) surveys before the operation for removal and after a minimum of one year.
Results: After an orthopedic operation for removal of internal fixative, physical health status showed statistically significantimprovement (p=0.001); however mental health status did not (p=0.411). A satisfaction test for the subjective surgery writtenby patients indicated an improvement of subjective health status in 52.9% after the surgery for removal but with no differencein 29.9% compared to preoperation.
Conclusion: In case of an operation for removal of internal fixative for patients with no related symptoms with internalfixatives used for treatment of fractures showing agglutination opinions, an improvement was observed in physical healthstatus, not in mental health status. When surgery for removal of internal fixative is performed for patients without relatedsymptoms, consideration that subjective satisfaction of patients shows an improvement only in 52.9% will be helpful.

영어초록

Purpose: The purpose of this study is to determine whether or not a patient’s results are improved after removal of aninternal fixative from a patient with no related symptoms.
Materials and Methods: This prospective study included 87 patients who agreed to participate in the study and satisfiedthe criteria for selection and exclusion of patients who underwent the operation for removal of internal fixative due tobroken bones from March 1st, 2004 to December 31st, 2011 at Daegu Catholic University Medical Center. The averagereplication period was 27 months (12-64 months) and the average age at the time of the operation for removal was 41.5years (21-75 years) for 55 males and 32 females. The quality of life for all patients was evaluated using Short Form 36(SF-36) surveys before the operation for removal and after a minimum of one year.
Results: After an orthopedic operation for removal of internal fixative, physical health status showed statistically significantimprovement (p=0.001); however mental health status did not (p=0.411). A satisfaction test for the subjective surgery writtenby patients indicated an improvement of subjective health status in 52.9% after the surgery for removal but with no differencein 29.9% compared to preoperation.
Conclusion: In case of an operation for removal of internal fixative for patients with no related symptoms with internalfixatives used for treatment of fractures showing agglutination opinions, an improvement was observed in physical healthstatus, not in mental health status. When surgery for removal of internal fixative is performed for patients without relatedsymptoms, consideration that subjective satisfaction of patients shows an improvement only in 52.9% will be helpful.

참고자료

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