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성진형,김영균,김진영,이성근 ( Jin Hyung Sung,Yung Kyun Kim,Jin Yung Kim,Seong Keun Lee ) 대한슬관절학회 1994 대한슬관절학회지 Vol.6 No.2
The degree of severity of an injury of the knee joint is estimated on the basis of the history given by the patient, stability testing and hemarthrosis, but without using MRI and CT scan,the accurate diagnosis is difficult by plain radiograph only.The early diagnosis and appropriate treatment of the injuries are very important in order to prevent disability. The objective of this study was to define the mle of early diagnostic and therapeutic knee arthroscopy under local anesthesia for patients with an acute hemarthrosis without instability, Arthmscopy under local anesthesia was performed in twenty-three patients with an acute hemarthrosis from April 1993 to September l994. All patients were males and their q@an age was 22.6 years (between 21 and 29 years of age). Main cause of injuries was sports. Mean d 'on betwaan bautna and operation was 5.9 days(range fmm I to 14 days) and mean doration between admission and o 'on was 3 daygrange from adm. Day to 8 days). 30ml of 0,25/o bupivacaine mixed with epinephrine(1:200,000) was injected into the knee joint as a local aaesdetics at tweaty minutes before opereion, The portals of entry were infiltrated witb 10 15ml of the mixture of 1% lidocaine and epinephrine (1:200,000). Injury of the anterior cruciate ligament was found in 10 cases(43,5%) and meniscal tears were noted in 15 patients(65.2%), 3 patients had an osteochondral iracture and 4 patients had a capsular tear. Combined injuries were found in 9 patients(39,1%). Partial or subtotal meniscectomics were performed in 12 cases of the 15 meniscal injuries and multiple drillings were performed in 3 cases of osteochondral fractme, In the 6 cases of injury of anterior cruciate ligament that require surgical treatment, primary repairs under general anesthesia were performed in 3 cases and secondary reconstructive operations were recommanded in the remained 3 cases, Mean time of operation was 48 minutes. No side effect of local aoesthesia was found during intra or postoperative period. W'e conclude that a traumatic hemarthrosis suggests a significant knee injury and arthmseopy uoder local anesthesia is a simple, safe and economie diagnostic and therapeutic method,
반월상 연골 파열에 대한 최소 피부 절개 및 Inside-Out 술식을 이용한 관절경적 봉합술
성진형(Jin Hyung Sung),류재덕(Jae Duk Ryu),김원유(Weon Yoo Kim),한창환(Chang Hwan Han),최민석(Min Seok Choi),김진영(Jin Young Kim) 대한슬관절학회 1999 대한슬관절학회지 Vol.11 No.2
Purpose : The purpose of this study was to investigate the effect of the Inside-Out arthroscopic repair technique using minimized skin incision for the peripheral tear of the meniscus. Material & Method : We treated 44 meniscal tears of 39 patients with Inside-Out arthroscopic repair technique using minimized skin incision from December 1995 to November 1997 and evaluated the result retrospectively. Follow-up period was from 23 months to 50 months(average 34.5 months) and patient age was from 4 to 55(average 26.7). Twenty cases(45%) were injured during sports and 34 cases(77%) were chronically injured case. Ninteen cases(43%) were combined with ligament injuries and among them, 18 cases had an anterior cruciate ligament injury. All cases had peripheral tear and 12 cases were bucket handle tear and 8 cases were tear of discoid meniscus and 3 cases had meniscal cyst. Result : During follow-up period, 41 cases(95%) were satisfied and had excellent or good results which were based on the evaluation form of Tapper & Hoover’s criteria. Recurrences of meniscal tear were occurred in two cases and they were resutured arthroscopically. As complications, three cases had skin dimplings at the suture site and they were treated with subcutaneous dissection at the out patient clinic. Conclusion : Even if not many cases and short follow-up periods, we obtained good result. Therefore, we recommend the Inside-Out arthroscopic repair technique using minimized skin incision for the periph-eral tear of the meniscus in any repairable condition.