Journal of the Korean Arthroscopy Society (대한관절경학회지)

Korean Arthroscopy Society (대한관절경학회)
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Treatment of the Septic Shoulder after Arthroscopic Rotator Cuff Repair in Diabetes Mellitus - A Case Report -

당뇨병 환자에서 관절경적 회전근 개 봉합술 후 발생한 화농성 견관절염의 치료 - 증례 보고 -

  • Park, Jae-Hyun (Department of Orthopaedic Surgery, School of medicine Catholic University of Daegu) ;
  • Choi, Won-Ki (Department of Orthopaedic Surgery, School of medicine Catholic University of Daegu) ;
  • Kim, Se-Sik (Department of Orthopaedic Surgery, School of medicine Catholic University of Daegu) ;
  • Choi, Chang-Hyuk (Department of Orthopaedic Surgery, School of medicine Catholic University of Daegu)
  • 박재현 (가톨릭대학교 의과대학 대구가톨릭대학병원 정형외과) ;
  • 최원기 (가톨릭대학교 의과대학 대구가톨릭대학병원 정형외과) ;
  • 김세식 (가톨릭대학교 의과대학 대구가톨릭대학병원 정형외과) ;
  • 최창혁 (가톨릭대학교 의과대학 대구가톨릭대학병원 정형외과)
  • Published : 2009.02.28
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Abstract

Two diabetes mellitus patients treated by arthroscopy and associated procedure for an infection after arthroscopic rotator cuff repair were involved. The time interval from rotator cuff repair to symptom development was 18 days in average and arthroscopic debridement and associated procedure for infection applied in average 65 days after symptom development. Patient evaluation was done according to the KSS, ASES, UCLA and Constant Score. We used antibiotics for average 22.5 days after arthroscopic debridement and associated procedure, the infection was treated in average 4 months. At final follow-up, the mean KSS score was 82 points, the mean UCLA score was 33 points, the mean ASES score was 91 points, the mean Constant score was 71 points. All infections following arthroscopic rotator cuff repair were cured by arthroscopy and associated procedure. ROM and functional results were much improved, the pain and satisfaction were also much improved.

당뇨환자로서 관절경적 회전근 개 봉합술을 시행 후 견관절의 화농성 관절염으로 진단된 2예에 대해 관절경적 치료 및 추가적인 개방성 치료를 시행하였다. 관절경적 회전근 개 봉합술 후 감염은 평균 18일 뒤에 발생하였으며, 증상 발현으로부터 수술까지의 평균 기간은 65일이었다. 또한 기능 평가는 KSS, ASES, UCLA, Constant 점수를 이용하였다. 관절경적 변연 절제술과 추가적인 시술 후 평균 22.5일의 항생제 치료로 4개월에 염증이 치료되었으며 최종 결과는 KSS점수가 82점, UCLA점수가 33점, ASES점수가 91점, Constant점수가 71점이었다. 관절경적 회전근 개 봉합술 후 발생한 화농성 견 관절염은 관절경적 치료 및 추가적인 시술로 치료되었고, 관절 운동 범위 및 기능적 결과와 통증 및 만족도는 많이 개선되었다.

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