• Title/Summary/Keyword: 관절경하 봉합술

Search Result 62, Processing Time 0.023 seconds

Arthroscopic UU-Tension Band Suture for Rotator Cuff Tear above 4 cm - Comparative Study with Simple Suture - (큰 크기의 회전근 개 파열에서 UU-Tension Band Suture를 이용한 관절경 감시하의 봉합술 - 단순 봉합술과의 비교 -)

  • Ko, Sang-Hun;Lee, Chae-Chil;Shin, Seung-Myeong;Kim, Sang Woo;Cho, Bum-Keun
    • Clinics in Shoulder and Elbow
    • /
    • v.15 no.2
    • /
    • pp.99-108
    • /
    • 2012
  • Purpose: To evaluate the clinical results of arthroscopic repair with UU-Tension Band suture for full thickness rotator cuff tear above 4 cm sized. Materials and Methods: From January 2006 to October 2011, in 71 full thickness tears above 4 cm sized which is possible to arthroscopic repair to medial margin of greater tuberosity. The group I is 71 patients which is arthroscopic repair with UU-Tension Band suture, and the group II is 20 cases which is arthroscopic repair with simple suture. Both groups were compared with a VAS score for pain, Activity of Daily Living, UCLA score, KSS score in pre operation, 7 months, 1 year and last follow-up. Statistical analysis was performed by student t test and paired t est. Mean age was 63.2 (52~80) year old, mean follow-up was 38.4 (13~62) months. Results: The VAS scores for pain decreased from 8.1 at preoperative period to 1.6 at postoperative last follow-up period in group I (p<0.05), the score decreased from 7.6 at preoperative period to 1.8 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). Mean ADL scores increased from 12.5 at preoperative period to 29.0 post operative last follow-up period in group I (p<0.05), the score increased from 11.3 in pre op to 27.5 post-operative last follow-up in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). The UCLA score increased from 12.9 at preoperative period to 28.7 postoperative last follow-up period in group I (p<0.05), the score increased from 13.8 at preoperative period to 30.1 postoperative last follow-up period in group II (p<0.05). The significant difference was not noted between two groups (p<0.05). In comparing of retear which was checked by MRI and ultrasound evaluated at postoperative period 7 months (mean: 27.5 weeks), the retears were 28% in the group I, and 11 shoulders out of 20 shoulders in the group II. The significant differences were noted between two groups (p<0.05). Conclusion: Arthroscopic repair with UU-Tension Band suture and simple suture for full thickness rotator cuff tear above 4 cm sized were not different clinical result between both groups. However, the significant differences were noted in point of failure rate between both groups.

Arthroscopic Vertical Enclosing Meniscus Suture -Technical Note- (관절경하 반월상연골의 수직 포위 봉합술 - 수술 수기 -)

  • Kim Jung-Man;Jahng Yoon-Jong
    • Journal of the Korean Arthroscopy Society
    • /
    • v.7 no.2
    • /
    • pp.230-232
    • /
    • 2003
  • To avoid incomplete coaptation of the peripheral tear of the meniscus an arthroscopic vertical enclosing meniscus suture technique was developed. In this technique the meniscus was not penetrated with any instruments or suture materials. This technique seems to be simple and easy to learn and to practice.

  • PDF

Septic Arthritis after Arthroscopic Meniscal Repair (관절경적 반월연골판 봉합술 후 발생한 수술 후 화농성 관절염)

  • Jeon, Ho Seung;Woo, Young Kyun;Hwang, Seok Ha;Suh, Seung Pyo;Jeong, Ho Wong
    • Journal of the Korean Orthopaedic Association
    • /
    • v.52 no.1
    • /
    • pp.97-102
    • /
    • 2017
  • The incidence of septic arthritis after knee arthroscopy surgery has rarely been reported in approximately 0.04% to 3.4%. Moreover, septic arthritis after arthroscopic meniscal repair is more rare. There have been some reported cases, but in Korea, it has not been reported thus far. Herein, we report two cases of septic arthritis after arthroscopic meniscal repair with review of literature.

회전근 개 질환의 치료방침

  • Yu, Jae-Cheol
    • The Academic Congress of Korean Shoulder and Elbow Society
    • /
    • 2007.11a
    • /
    • pp.88-94
    • /
    • 2007
  • 회전근개의 치료의 방침은 거의 전층 파열인 부분파열과 전층파열이고 봉합이 불가능하거나 봉합의 비적응증을 제외하고는 모두 수술로 봉합하여주는 것이 좋으며 그 방법으로는 관절경과 관절경하 miniopen 술식이 적절한 봉합방법으로 생각된다. 봉합의 기본적인 원칙은 최대한 파열된 건의 anatomic footprint reconstruction과 force couple의 balancing (견갑하근과 극하근건의 복원)이 중요하며 적절한 재활과 함께 동반 시 좋은 결과를 얻을 수 있을 것으로 사료된다.

  • PDF

Result of a Long-Term Follow-Up of Arthroscopic Partial Repair for Massive Irreparable Rotator Cuff Tears Using a Biceps Long Head Auto Graft (봉합 불가능한 광범위 회전근 개 파열에서 상완 이두근 건 장두를 이용한 관절경하 부분 봉합술의 장기 추적 관찰 결과)

  • Ko, Sang-Hun;Park, Ki-Bong;Park, Gil-Young;Kwon, Sun-Hwan;Kim, Myung-Seo;Park, Sun-Jae
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.2
    • /
    • pp.135-142
    • /
    • 2020
  • Purpose: This paper presents the long term follow-up results of arthroscopic partial repair for massive irreparable rotator cuff tears using a biceps long head auto graft. Materials and Methods: Forty-one patients with massive irreparable rotator cuff tear, who underwent arthroscopic repair, were reviewed retrospectively. Patients who underwent arthroscopic partial repair using a biceps long head auto graft were assigned to group 1, and patients in group 2 underwent arthroscopic partial repair alone. Patients with a less than 50% partial tear of the long head biceps tendon were included in this study. The clinical scores were measured using a visual analogue pain scale (VAS) for pain, range of motion (ROM), The University of California, Los Angeles shoulder score (UCLA), American Shoulder and Elbow Surgeons Shoulder Score (ASES), and Korean Shoulder Scoring System (KSS) scores preoperatively and at the final follow-up. The acromiohumeral interval (AHI) was measured using plain radiographs taken preoperatively and at the final follow-up, and re-tear was evaluated using postoperative ultrasound or magnetic resonance imaging at the last follow-up. Results: The mean age of the patients was 62.1±12.7 years, and the mean follow-up period was 90.3±16.8 months. No significant differences in the VAS and ROM (forward flexion, external rotation, internal rotation) were found between the two groups (p=0.179, p=0.129, p=0.098, p=0.155, respectively). The UCLA (p=0.041), ASES (p=0.023), and KSS (p=0.019) scores showed functional improvements in group 1 compared to group 2. At the last follow-up, the measured AHI values were 9.46±0.41 mm and 6.86±0.64 mm in group 1 and 2, respectively (p=0.032). Re-tear was observed in six out of 21 cases (28.6%) in group 1 and nine out of 20 cases (45.0%) in group 2; the retear rate was significantly lower in group 1 than in group 2 (p=0.011). Conclusion: Arthroscopic partial repair for a massive irreparable rotator cuff tear using a biceps long head auto graft has significant clinical usefulness in functional recovery and decreases the re-tear rates after surgery than arthroscopic partial repair alone, showing favorable results after a long-term follow-up.