대한정형외과스포츠의학회지 (Journal of Korean Orthopaedic Sports Medicine)
- 제2권2호
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- Pages.142-148
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- 2003
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- 1598-5695(pISSN)
슬관절 박리성 골연골염에 대한 자가 골연골 이식술
Autogenous Osteochondral Grafts for the Osteochondritis dissecans of the Knee
- Hahn Sung-Ho (Department of Orthopedic Surgery, National Police Hospital) ;
- Yang Bo-Kyu (Department of Orthopedic Surgery, National Police Hospital) ;
- Yi Seung-Rim (Department of Orthopedic Surgery, National Police Hospital) ;
- Chun Shun-Wook (Department of Orthopedic Surgery, National Police Hospital) ;
- Seo Ji-Hyun (Department of Orthopedic Surgery, National Police Hospital)
- 발행 : 2003.10.01
초록
목적: 슬관절에 발생한 박리성 골연골염을 자가 골연골 이식술을 이용하여 치료한 후 치료 결과를 평가하였다. 대상 및 방법: 1990년 5월부터 2000년 5월까지 본원에서 자가 골연골 이식술을 사용하여 치료한 박리성 골연골염 환자 15명 19예 중 1 년 이상 추시가 가능하였던 13명 17예를 대상으로 하였다. 평균 연령은 23.4세 (20세
Purpose: This study was performed to evaluate the operative results of osteochondritis dissecans treated with autogenous osteochondral grafts. Materials and Methods: From May 1990 to May 2000, this study included 13 patients, 17 cases treated with autogenous osteochondral grafts. The mean age of patients at operation was 23.4 years (range,20 to 32 years), all cases were men, and the mean follow-up was for 24.2 months (range, 12 to 110 months). Treatment was done by open or arthroscopic method using with Osteochondral Autograft Transfer System (OATS, Arthrex, USA). Results: Trauma history existed in all cases, and major trauma history in 7 cases, and minor repetitive in 10 cases. The involved sites of lesion were medial femoral condyle in 11 cases, in which extended classic site was 9 cases, inferocentral site was 2 cases, and lateral femoral condyle in 6 cases, in which all cases were inferocentral site. Magnetic resonance imaging (MRI) staging was stage II in 1 case, stage III in 11 cases, stage IV in 5 cases, and arthroscopic staging was stage III in 12 cases, stage IV in 5 cases. The mean lesion size was 3.19