http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
파열된 반월상 연골판의 관절경적 봉합술 - 파열 위치와 동반 손상 여부에 따른 비교 -
정영복,태석기,진휘재,정재원,박철경,Jung, Young-Bok,Tae, Suk-Kee,Jin, Whui-Jae,Chung, Jai-Won,Park, Cheol-Kyoung 대한관절경학회 2001 대한관절경학회지 Vol.5 No.2
목 적 : 반월상 연골판의 관절경적 봉합술후 파열 위치나 동반 손상 여부에 따라 어떠한 결과의 차이가 있었는지 알아보고자 하였다. 대상 및 방법 : 1994년부터 관절경적 봉합술을 시행 후 1년 이상 추시가 가능했던 73례를 대상으로 하였다. 위치에 따라서는 red-red zone이 29례, red-white zone이 36례 그리고 white-white zone이 8례이었다. 26례에서 동반 손상이 있었고 동측 전방 십자 인대 파열이 17례가 있어 동시에 치료하였다. 결과는 OAK system에 의한 기준을 사용하여 평가하였다. 결과 : 양호 이상의 결과를 나타낸 것은 연골판 단독 손상인 경우 $94\%$, 동반 손상이 있었던 경우 $88\%$이었는데, 특히 전방십자인대 파열후 재건술을 동시에 한 경우는 $94\%$로 좋았다. 연골판 파열의 위치에 따른 결과에서는 red-red zone은 $90\%$, red-white zone은 $91\%$, white-white zone은 모든례에서 양호 이상의 결과를 보였다. 결론 : 전방 십자 인대 파열이 동반된 경우는 동시에 치료하는 것이 좋고, white-white zone의 봉합도 가능한 것으로 사료되었다. Purpose : The purpose of this study was to determine the clinical outcome of meniscal repairs according to tern location and combined injury. Materials and Methods : From 1994, 73 meniscal repairs were underwent by arthroscopy and followed more than 1 year. The locations of torn meniscus were 29 red-red Bone, 36 red-white zone, 8 white-white zone. Twenty-six patients also had combined lesion including ACL injury 17 cases and treated simultaneously. Clinical result was evaluated by OAK system. Result : Healing rates(above good) were $94\%$ in isolated injury and $88\%$ in combined injury, especially $94\%$ in ACL injury. The result according to tern location were $90\%$ in red-red zone, $91\%$ in red-white zone, all in white-white zone. Conclusion : Meniscus tear with ACL injury should be repaired by arthroscopy, simultaneously. The meniscal tear of white-white zone could be healed by arthroscopic meniscal suture.
정영복(Young Bok Jung),태석기(Suk Kee Tae),양동렬(Dong Lyul Yang),박철경(Cheol Kyoung Park),김종원(Jong Won Kim),한정우(Jung Woo Han) 대한슬관절학회 2001 대한슬관절학회지 Vol.13 No.2
Purpose : To evaluate the outcome of the retensioning and augmentation of posterior cruciate ligament(PCL) in chronic PCL deficient patients. Materials and Methods : Twenty-three patients who underwent retensioning and augmentation of PCL were evaluated at average 24.9 months(16~43) after operation. Retensioning of remnant fiber of PCL by distally transferring of tibial bony attachment and augmentation with autogenous or allograft tendon were performed through a posterior approach in supine position. We assessed the posterior instability by stress radiographs with Telos^? stress device(Telos stress device; Austin & Associates, Inc.,G. Scheuda, HD) and maximal manual test with KT-1000 arthrometer(KT-1000(tm), MED metric, USA), and the clinical results by IKDC and OAK knee score before operation and after operation. Results : Average side to side difference in posterior stress radiograghs by Telos(r) stress device decreased from preoperatively 9.4mm(6~20) to postoperatively 2.0mm(0~8). Average side to side difference in maximal manual test with KT-1000 arthrometer also decreased from preoperatively 7.0mm(5~10) to postoperatively 1.7mm(0~5). Final IKDC score was A in four patients, B in fourteen and C in five, which was C in eleven and D in twelve preoperatively. Postoperative OAK score was excellent in eight patients, good in thirteen and fair in two, which was fair in nine and poor in fourteen preoperatively. Average OAK score improved from 66.3(42~79) to 87.3(79~97). Conclusion : The above results show favorable outcome after retensioning and augmentation of PCL without sacrificing the remaining fibers in reconstructive surgery for chronic PCL injury.