• Title/Summary/Keyword: 관절경적 견인 봉합

Search Result 112, Processing Time 0.034 seconds

Current Concept of Anterior Shoulder Instability Repair (견관절 전방 불안정성의 봉합술에 대한 최신 지견)

  • Kim, Young-Kyu
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.1-7
    • /
    • 2006
  • 견관절 전방 불안정성의 관절경적 치료는 환자 개개인의 병리 상태를 잘 파악하여 적절한 복원술을 시행함으로써 보다 좋은 결과를 기대할 수 있다. 현재 관절경적 Bankart 복원술시 봉합 나사못이 가장 이상적인 봉합기구로 알려져 있으며 여러 병리 상태를 고려하여 관절경적 복원술을 시행한 결과 여러 학자들이 과거에 비해 좋은 결과를 보고하고 있다(Table 2). 따라서 술기상으로 보다 숙련된 술식을 통해 재발율을 낮출 수 있으며 보다 좋은 결과를 얻기 위하여 수술 후 적극적인 재활 프로그램이 요할 것으로 생각된다.

  • PDF

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;Choi, Won-Ki;Kim, Se-Sik;Choi, Chang-Hyuk
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.1
    • /
    • pp.72-76
    • /
    • 2009
  • 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.

  • PDF

Arthroscopic Repair of Type II SLAP lesion with Bio-knotless Anchor (제 2형 SLAP 병변에 대하여 흡수성 봉합 나사못을 이용한 관절경적 봉합 수술의 임상적 결과)

  • Yum, Jae-Kwang;Chung, Hyung-Jin;Ra, Ho-Jong
    • Clinics in Shoulder and Elbow
    • /
    • v.10 no.1
    • /
    • pp.73-77
    • /
    • 2007
  • Purpose: This study reports the clinical results of the arthroscopic repair of type II SLAP lesion with bio-knotless anchor. Materials and Methods: 25 cases of 25 patients (20 male, 5 female) were included in this study. The average age was 44.5 years old. Preoperative ASES score was average 44. Arthroscopic SLAP repair with 1 or 2 bio-knotless anchors were performed in all cases. The average follow up period was 15 months. Results: The ASES score improved to average 92.7 at last follow up period and 23 cases had full range of motion of the shoulder. 2 case had mild limited range of motion of the shoulder without any problem in normal activity. Conclusion: Arthroscopic repair with bio-knotless anchor in type II SLAP lesion is one of the good methods because of the good clinical results.

Suture Anchor Capsulorraphy in the Traumatic Anterior Shoulder Instability: Open Versus Arthroscopic Technique (봉합나사를 이용한 Bankart 봉합술의 관절경적 및 개방적 수술의 비교)

  • Kim Seung-Ho;Ha Kwon-Ick;Kim Sang-Hyun
    • Clinics in Shoulder and Elbow
    • /
    • v.2 no.2
    • /
    • pp.157-169
    • /
    • 1999
  • Eighty-nine shoulders in eighty-eight patients with traumatic unilateral anterior shoulder instability were evaluated for Rowe and UCLA scores, recurrence, return to activity, and range of motion by an independent examiner at an average of 39 months after either arthroscopic or open Bankart repair using suture anchors. The arthroscopic technique included a minimum of 3 anchors, and a routine incorporation of capsular plication and proximal shift. Twenty­six shoulders(86.6%) out of thirty in the open Bankart repair group had excellent or good results while fifty­four(91.5%) of the fifty-nine shoulders with arthroscopic Bankart repair had excellent or good results. The arthroscopic group revealed significantly better results in the Rowe(p=.041) and UCLA scores(p=.026). Two shoulders in each group developed redislocation. There were no significant differences in the loss of external rotation and return to prior activity between the two groups(p>.05). The residual instability occurred more frequently in the group of patients with lesser anchors. Arthroscopic suture anchor capsulorraphy has results equal to or better than the open Bankart procedure.

  • PDF