대한관절경학회지 (Journal of the Korean Arthroscopy Society)

대한관절경학회 (Korean Arthroscopy Society)
권호 표지

관절경적 전방십자인대 재건술시에 골-슬개건-골과 네가닥 반건양건-박건을 이용한 방법의 비교연구

Comparative Study of Arthroscopic ACL Reconstruction Using Bone-Patellar Tendon-Bone Versus Four-Stranded Semitendinosus-Gracilis Tendon

  • 김진구 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 임영 (서울정형외과의원) ;
  • 김병직 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 고한석 (인제대학교 의과대학 서울백병원 정형외과학교실) ;
  • 문형태 (인제대학교 의과대학 서울백병원 정형외과학교실)
  • Kim, Jin Goo (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Lim, Young (Seoul Orthopaedic Clinic) ;
  • Kim, Byung Jik (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Ko, Han Suk (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University) ;
  • Moon, Hyung Tae (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University)
  • 발행 : 1998.12.01
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초록

This study is retrospective analysis of 31 patients treated by arthroscopically assisted ACL reconstruction, from September 1995 to September 1996. ACL reconstructions using autogenous bone patellar tendon bone (B-PT-B) were done in 18 patients, and using hamstring tendon were done in 13 patients. We used four-stranded hamstring tendon grafts and fixed the grafts using Endobutton and screw. The mean postoperative Lysholm knee score was 87.2 points in B-PT-B. group, and 89.0 points in hamstring tendon group. There were no clinically significant results between two groups in Telos test, quadriceps atrophy, Lachman test, anterior drawer test and pivot shift test, but the incidences of anterior knee pain were lower in hamstring group. Four-stranded hamstring tendon graft showed enough stability and good functional outcome similar to that of patellar tendon graft, and had an advantage of quicker return of quadriceps function and less donor site morbidity.

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과제정보

연구 과제 주관 기관 : 인제연구장학재단