대한정형외과스포츠의학회지 (Journal of Korean Orthopaedic Sports Medicine)
- 제2권1호
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- Pages.15-19
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- 2003
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- 1598-5695(pISSN)
전방십자인대 재건술의 합병증
Complications of Anterior Cruciate Ligament Reconstruction
- Song Eun-Kyoo (Department of Orthopedic Surgery, Chonnam National University Hospital) ;
- Kim Jong-Seok (Department of Orthopedic Surgery, Chonnam National University Hospital)
- 발행 : 2003.03.01
초록
Although the number of anterior cruciate ligament reconstruction is increasing, complications after primary ACL reconstruction are more difficult to determine. Intraoperative and postoperative complications can lead to ultimate failure of a primary reconstructive procedure. Therefore, surgical success in ACL reconstruction requires detailed knowledge and technical advancements about ACL reconstruction. Preoperatively surgeon must pay attention to selection of grafts and methods of fixation, and intraoperatively, attention to the harvest of graft, passage of graft, intraarticuar placement of the graft, notchplasty, proper tensioning of the graft, and others. Postoperative complications must be detected early, including infection, abnormal healing responses, arthrofibrosis, graft rejection, and reflex sympathetic dystrophy. Careful patient selection, appropriate surgical timing, careful surgical technique, and supervised preoperative and postoperative rehabilitation can minimize postoperative complications.
키워드