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Seong-Il Bin(빈성일),Tae-Seok Nam(남태석),Ji-Hyun Ahn(안지현),Se-Kwan Oh(오세관) 대한정형외과학회 2005 대한정형외과학회지 Vol.40 No.8
15세 이상 40세 이하의 활동기 연령에서 외측 원판형 반월상 연골 파열과 동반된 연골 손상 정도의 상관 관계에 대해서 알아 보고하고자 하였다. 1998년 10월에서 2004년 7월까지 외측 원판형 반월상 연골 파열로 관절경하 반월상 연골 절제술을 받은 144예 중 외측 원판형 반월상 연골에 단독 손상을 보인 15세 이상 40세 이하의 환자 56명, 65예에서 나이, 증상 기간, 관절경하 반월상 연골 파열 형태, 하지 정열 상태와 동반된 연골 손상의 정도를 조사, 분석하였다. 수술 전 가장 흔한 증상은 동통(89.2%)이었다. 관절경 검사에서 완전 원판형 반월상 연골 파열은 22예였으며, 파열 양상은 선형(longitudinal) 파열이 11예로 가장 많았다. 불완전형 원판형 반월상 연골 파열은 43예로, 이중 방사형(radial) 파열이 18예로 가장 많았다. 선형 파열로 분류된 전례에서 양동이 손잡이형(bucket-handle) 파열의 형태를 보였다. 65예 중 33예(47%)에서 경골 혹은 대퇴골 외과의 연골이 Outerbridge 분류상 3, 4등급의 소견을 보였으며, 21예의 선형 파열 중 15예(65%)에서 다른 형태의 파열에 비해 많은 비율에서 관절 연골의 손상이 관찰되었다. 증상 기간은 연골 손상 정도와 의미 있는 상관 관계를 보였으나, 나이, 방사선 검사상 하지 정열 상태는 동반된 연골 손상의 정도와는 상관 관계가 없었다. 15세 이상 40세 이하의 활동기 연령에서의 외측 원판형 반월상 연골 파열 중 선형 파열(양동이 손잡이형)에서 외측 경골 및 대퇴골 연골의 손상이 비교적 많았으며, 증상 기간과 연골 손상 정도가 상관 관계가 있어, 이 경우 비교적 조기에 적절한 외과적 치료를 시행하는 것이 바람직할 것으로 사료된다. Purpose: To report the correlation between tears in the lateral discoid menisci and cartilage damage in patients under 40 years old. Materials and Methods: Arthroscopic meniscectomy was performed on 144 cases of tears in lateral discoid menisci from September 1998 to July 2004, of which 65 cases were in 56 patients aged 15 to 40 year old and showed isolated tears of lateral discoid menisci. For these 65 cases, we inspected clinical symptoms and tear patterns and analyzed the relationships among age, duration of clinical symptoms, tear pattern of the meniscus on arthroscopic findings, the alignment of the lower extremities on X-rays and the severity of associated cartilage damage. Results: The most common pre-operative symptom was pain (89.2%), followed by locking (32.3%), a clicking sound (16.9%), and giving way (16.9%). Arthroscopic findings showed, 22 cases of complete type-discoid meniscus, consisting of 11 longitudinal tears, 5 simple horizontal tears, 5 complicated horizontal tears, 1 radial tear and no complex or degenerative tears. There were 43 cases of incomplete type-discoid meniscus, consisting of 18 radial tears, 10 longitudinal tears, 8 complicated horizontal tears, 3 simple horizontal tears, 3 complex tears and 1 degenerative tear. All longitudinal tears showed a pattern of bucket-handle tears. Associated cartilage damage greater than grade 3 according to the Outerbridge classification was observed in 33 cases, 11 complete and 22 incomplete discoid-type, on the lateral femoral condyle or tibial plateau. Of the 21 cases of longitudinal tear, 15 had associated cartilage damage significantly increased rate in comparison with other types of clinical tear pattern. Of the 15 cases of grade 4 cartilage damage, 9 had longitudinal tears. The duration of clinical symptoms was correlated with cartilage damage, but there was no significant associated between cartilage damage and age or the alignment of the lower extremities on X-rays. Conclusion: Longitudinal (bucket-handle) tears of the lateral discoid meniscus inpatients 15 to 40 years old, showed significant associated with cartilage, damage. The duration of symptoms was also correlated with cartilage damage, indicating that prompt initiation of appropriate surgical treatment should be considered in these cases.
슬관절 내측부와 전방십자인대 급성 동반 손상환자의 치료
빈성일(Seong Il Bin),김지철(Ji Chul Kim),유정현(Jeong Hyun Yoo) 대한슬관절학회 1999 대한슬관절학회지 Vol.11 No.2
Purpose : We introduce the management protocol of medial structures-ACL combined injury patients in Asan Medical Center and evaluate the results of the management according to severity of medial injuries. Materials and Methods : From Jan.1994 to May 1998, we treated 30 cases of acute combined injuries of medial structures and ACL. Unless the medial structures shows grade Ⅲwithout end point, we man-aged the medial structures conservatively and conducted ACL reconstuction . After that, we analysed the results of the management. Evaluation was based on the Lysholm knee scoring system, physical examina-tion and stress radiographs. Results : The functional result by Lysholm knee scoring revealed 92.4/95.3(medial structures conserva-tive / repair groups) respectively. Except 1 case of persistent medial laxity in medial structures repair group, there was no severe complication in both groups. Conclusion : There was no significant medial laxity after conservative management in grade Ⅰ,Ⅱ,Ⅲ with end point injury of medial supporting structures and we had good results in severe medial injury involving MCL, posterior oblique ligament in terms of ROM and stability with open repair of medial structures and delayed arthroscopic ACL reconstruction.
빈성일(Seong Il Bin),김지철(Ji Chul Kim),김종민(Chong Min Kim),윤동진(Dong Jin Youn) 대한슬관절학회 2001 대한슬관절학회지 Vol.13 No.1
Purpose: The purpose of this study is to prevent the graft-tunnel mismatching by N+7 method and to present the experience of the authors in anterior cruciate ligament reconstruction, using the patellar ten- don by N+7 method. Materials and Methods: Authors analyzed 34 cases who had taken the anterior cruciate ligament reconstruction from April 1998 to July 1999, at Asan Medical Center, by N+7 method. By measuring the patellar tendon length(N), tibial guide was set an angle of N+7 degree. We analyzed the results by dividing the cases into 3 groups by the degree of extrusion of the bone plug from the tibial tunnel. Results: Clinical results were acceptable in 79.4%(27 cases), protrusion in 8.8%(3 cases) and recession in 11.8%(4 cases). When the angle of tibial tunnel was less than 50 degrees, there wasn’t a protruded case in 19 cases. Comparing with 15 cases of the angle which was larger than 50 degrees, there were three protruded cases. Conclusion: Clinical results of anterior cruciate ligament reconstruction using the patellar tendon, with N+7 method is superior to empirical methods which was performed by authors, previously at the point of positioning of ideal tibial tunnel and conveniency of the technique. Especially, if the graft tendon length is shorter than 43mm, N+7 method is preferable.