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김진영,이은희,이연수,한창환,차원진,김원유,황희주 대한슬관절학회 2000 대한슬관절학회지 Vol.12 No.1
A hemangioma in the knee joint of a 13-year-old girl was diagnosed by magnetic resonance imaging. There was pain and a tender localized swelling around to the patellar tendon. Arthroscopy verified the diagnosis but did not allow visualization of the full extent of the tumor. After arthroscopic excision of the associated hypertrophic medial plica, a miniarthrotomy was done, The tumor was attached to the periphery of the anterior horn of the medial meniscus, the anterior tibial plateau, and the fat pad. Its origin was from the venous plexus just below the anterior lip of the central tibial plateau. The patient was asymptomatic one and a half years after surgery. If the case is not amenable to arthroscopic surgery, open excision through miniarthrotomy ensures complete removal of the hemangiomas withont recurrence.
소관절천공술(Miniarthrotomy)로 시행한 슬관절 전방십자인대재건술 : One - tunnel 술식과 자가 슬개골건을 이용한 16 례의 임상결과 분석
김진영,박종훈,유경호,성진형,김원유 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.2
Anterior cruciate ligament(ACL) reconstructions using central one-third of bone-patellar tendon-bone aut with mioiarthrotomy and one-tunnel tcchnique were perfonned on 25 consecutive patients between January 1993 and Mareh 1995. 16 patients(11 deonic and 5 aeute cases)of them, followed up more than 12 rnonths were reviewed aad evaluated with Lysholm functional knee scoring system and radio 4ic patellar height. The average follow-up period was 17.5 months ranging from 12 months to 27 months and the avarage age of patients(14 male and 2 female) at operation was 34.8 years ranging froim 18 to S5years old. The average Lysholm functional kmee score was improved to 72(range, 37-90) from 59.4(range, 37-74) in 11 chronic cases aad 77.7(range, 68-89) in 5 acute cases after reconstruetion. To evaluatc the change of patellar tendon length, we meas the average patellar height value by Blackburne and Pcel mcthod. The average value was 0.78(range, 0.53-1.03) to 0.70(range, 0.52-1.09) after operation and there was no significant difference because both were in normal ranges. Minimthmtomy technique for ACL reconstmction using one-tunnel technique and central one-third bone patellar tendon-bone autograft may be a good procedure which is giving short operation time, adeqqate notchplasty, minimal operative smt due to elimination of lateral incision and improvement of clinical results.
후외방 - 후내방 도달법을 이용한 후반 구획 유리체의 관절경하 제거술
김진영,김정만,김창기,한창환,김원유,권중혁 대한슬관절학회 2000 대한슬관절학회지 Vol.12 No.1
Purpose: To report the advantages and the results of arthroscopic removal of loose bodies by posterior-posterior triangulation, using the posteromedial and posterolateral portal. Material and Methods: Sixteen cases in this study had loose bodies in the posterior compartment of the knee joint; nine cases in the posteromedial, three cases in the posterolateral and four cases in the both compartments. Under the supine position, the knee is flexed to a 90 angle, and an obturator was inserted in the posterolateral compartment through the fat areolar tissue eliminating the loose bodies in the posterior compartment. Result: In sixteen cases we eliminated all loose bodies under arthroscopy which were in the posterior compartment of the knee joint and there was no complication such as saphenous nerve palsy, common peroneal nerve palsy, or the rupture of popliteal artery. Conclusion: Arthroscopic removal of loose body in the posterior compartment of the knee joint using posterior-posterior triangulation was considered as one of the useful methods in terms of safety and good visualization.