대한관절경학회지 (Journal of the Korean Arthroscopy Society)
- 제8권1호
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- Pages.19-25
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- 2004
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- 1226-9352(pISSN)
자가 슬개건과 네 겹 슬괵건을 이용한 전방 십자 인대 재건술의 비교
Comparison of Anterior Cruciate Ligament Reconstruction using Autogenous Patellar Tendon versus Quadruple Hamstring Tendon
- 김석중 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
- 권오수 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
- 최동원 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
- 송호욱 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
- 강현택 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실) ;
- 인용 (가톨릭대학교 의과대학 의정부성모병원 정형외과학교실)
- Kim, Seok-Jung (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea) ;
- Kwon, Oh-Soo (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea) ;
- Choi, Dong-Won (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea) ;
- Song, Ho-Wook (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea) ;
- Kang, Hyun-Taek (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea) ;
- In, Yong (Department of Orthopedic Surgery, Uijongbu St. Mary's Hospital, The Catholic University of Korea)
- 발행 : 2004.06.30
초록
목적: 자가 슬개건과 네 겹의 슬괵건을 이용한 전방 십자 인대 재건술의 결과를 비교하고자 한다. 대상 및 방법: 2000년 5월부터 2002년 2월까지 전방 십자 인대 재건술을 시행받고 최소 2년이상 추시가 가능하였던 41예를 대상으로 하였으며 평균 추시기간은 슬개건 군이 35.9
Purpose: To compare the results of two different autografts used to reconstruct the anterior cruciate ligament(ACL): bone-patellar tendon-bone and quadruple hamstring tendon. Materials and Methods: Forty one cases (20 bone-patellar tendon-bone cases and 21 quadruple hamstring tendon cases) were followed up more than 2 years postoperatively. Patellar tendons were fixed with interference screws and hamstring tendons were fixed with cross pins and intrafix sheaths and screws. Follow-up results were evaluated with KT-2000 arthrometer, International knee Documentation Committee(IKDC) evaluation form and follow up X-ray Donor site morbidity was analysed. Results: Final IKDC) scores more than B grade and side to side differences of manual maximum test using KT-2000 arthrometer showed insignificant differences(p>) between the two groups. Plain radiographs of hamstring group showed marked widening of the femoral and tibial tunnels at postoperative 2 years. Patellar tendon group showed 30% rate of anterior knee complications. Conclusion: ACL reconstruction using autogenous hamstring graft with new fixation method showed comparable clinical results to using autogenous patellar tendon graft with fewer anterior knee symptoms.
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