• Title/Summary/Keyword: 관절 형성술

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Postoperative Irradiation for Prevention of Heterotopic Bone Formation after Total Hip Replacement Arthroplasty (고관절전치환 성형술 후 관절주위 골형성 예방을 위한 수술 후 방사선 요법)

  • Park Woo Yoon;Kim Il Han;Ha Sung Whan;Park Charn Il
    • Radiation Oncology Journal
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    • v.4 no.1
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    • pp.75-80
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    • 1986
  • Heterotopic bone formation is a complication which occurs in 0.6 to $61.7\%$ of patients after total hip replacement arthroplasty. We reviewed 4 patients (8 hips) who received postoperative irradiation on their hi ps for prevention of heterotopic bone formation in the Department of Therapeutic of Therapeutic Radiology, Seoul National University versify Hospital from January 1981 through August 1985. Radiation therapy was started 6 to 10 days postoperatively with the dosage of 2,000 cGy given in 10 fractions. As a result, 7 hips had Grade 0 and 1 hip had Grade 1 heterotopic ossification according to modified Blocker system. Our result and review of the literatures strongly support that the postoperative radiotherapy is effective for prevention of heterotopic bone formation in high risk group.

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Clinical Results after ACL Reconstruction using Tibialis Anterior Tendon Allograft and Hamstring Tendon Autograft (동종 전경골건과 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술의 결과 비교)

  • Yoon, Kyoung-Ho;Bae, Dae-Kyung;So, Dong-Hyuk;Lee, Jeong-Hwan;Kim, Jeong-Weon;Park, Soo-Yeon
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.2
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    • pp.85-91
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    • 2007
  • Purpose: To analyze the clinical results and second look arthroscopic findings of anterior cruciate ligament(ACL) reconstruction with a tibialis anterior tendon allograft and a hamstring tendon autograft. Materials and Methods: We reviewed the cases of athroscopic ACL reconstructions using allogenous tibialis anterior(TA) tendon and autogenous hamstring tendon done from March, 2002 to August, 2005 and followed-up more than 1 year. The 250 cases were included in this study and allogenous TA tendon was used in 150 cases and autogenous hamstring tendon in 100 cases. The mean follow-up period was 15 months and 14 months, respectively. The clinical evaluation was done by Lachman test, Pivot shift test, KT-1000 arthrometer and International Knee Documentation Committee(IKDC) knee score. Graft tension, synovial coverage were observed in cases of second look arthroscopy. Results: At final follow-up, there was no significance between the two groups in clinical examination. On second look arthroscopy, synovial coverage was better in autogenous hamstring tendon group than allogenous TA tendon group(p=0.005). But no difference was found in graft tension(p>0.05). Conclusion: There were no significant differences between the two groups in the clinical results. But autogenous hamstring tendon group had better synovial coverage than allogenous TA tendon group in second look arthroscopy.

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POSTAURICULAR APPROACH FOR SURGERY OF THE TEMPOROMANDIBULAR JOINT REGION (악관절부 수술에서의 후이개접근법에 대한 고찰)

  • Kim, Myung-Jin;Seo, Byoung-Moo;Kim, Jong-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.2
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    • pp.82-87
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    • 1990
  • There are some methods of approach to the temporomandibular joint. The preauricular, the endaural and the postauricular incision are frequently used among those. The preauricular incision necessiates a preauricular scar, possible postopertive facial nerve damage and is the least cosmetically desirable incision. The endaural incision is more esthetic than preauricular incision, but it is not sufficient. The postauricular approach allows adequate exposure with decreased occurence of injury to facial nerve and excellent cosmetic results. The purpose of this report is to discuss the surgical approach of postauricular incision to the cases of TMJ ankyloses, internal derangement and condylar fracture of mandible.

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Two to Four Year Follow-Up Results after Anterior Cruciate Ligament Reconstruction Using Transtibial Femoral Tunnel at 10 or 2 O'clock Position (10시 혹은 2시 방향의 경경골 대퇴 터널을 이용한 전방 십자 인대 재건술 후 2~4년 추시 결과)

  • Cho, Sung-Do;Youm, Yoon-Seok;Jeong, Ji-Young;Park, Han-Chang
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.1-7
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    • 2009
  • Purpose: To evaluate the 2 to 4-year follow-up results after arthroscopic anterior cruciate ligament (ACL) reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position. Materials and Methods: Eighty-six ACL reconstructions could be evaluated. Evaluations included 2000 International Knee Documentation Committee (IKDC) subjective knee score, Lachman test, Pivot-shift test, KT-1000 arthrometer measurement, 2000 IKDC knee examination and second-look arthroscopy. Results: Seventy-five patients (87.2%) had over 80 in 2000 IKDC subjective knee score. Eighty-three patients (96.5%) had 1+firm end or negative Lachmann test. Seventy-eight patients (90.7%) had a negative Pivot-shift test. Eighty-three patients (96.5%) had less than 5 mm difference by KT-1000 arthrometer. Eighty patients (93.0%) were normal or nearly normal by 2000 IKDC knee examination. Second-look arthroscopy was done in fifteen cases. Nine cases showed good synovialization, four cases showed partial synovialization, two cases showed poor synovialization and graft failure was noted in one case. Conclusion: ACL reconstruction using transtibial femoral tunnel at 10 or 2 O'clock position resulted in a good outcome in terms of rotatory stability as well as antero-posterior stability.

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Diffuse Pigmented Villonodular Synovitis of Knee Presenting as a Popliteal Cyst - One case report - (슬와 낭종을 형성한 슬관절의 미만성 색소 융모 결절성 활액막염 - 1례 보고 -)

  • Kim, Myung Ku;Ko, Suk Myun;Oh, In Suk;Kim, Ryuh Sup;Shin, Jin Ho
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.48-50
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    • 1999
  • Pigmented villonodular synovitis most commonly occurs in the knee joint and rarely extends into the popliteal space, which not only has mimicked Baker's cyst but also has been misdiagnosed as malignant tumor. We report a case of a diffuse pigmented villonodular synovitis of knee joint which is extended into the popliteal space as like a popliteal cyst. We treated this case by arthroscopic total synovectomy and excision of cyst. There was no recurrence during more than one year after operation.

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Heterotophic Ossification in Recipient Site of the Knee after Autologous Chondrocyte Implantation - A Case Report - (자가 연골세포 이식술 이후에 발생한 이식부의 골 형성 병변 - 증례 보고 -)

  • Choi, Eui-Sung;Park, Kyoung-Jin;Kim, Yong-Min;Kim, Dong-Soo;Shon, Hyun-Chul;Cho, Byung-Ki;Park, Ji-Kang;Lee, Hyung-Joon;Lee, Ok-Jun
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.1
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    • pp.36-40
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    • 2010
  • Autologous chondrocyte implantation is a widely used technique for treating cartilage defect or osteochondral lesion, which is the method of transplantation of self chondrocytes after cultivation in the laboratory. We experienced the rare case of heterotophic ossification in the recipient site of the knee after autologous chondrocyte implantation. So we want to report this case with review of the relevant literatures.

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Tunnel Position for Anatomical Reconstruction of the Anterior Cruciate Ligament (해부학적 전방십자인대 재건술을 위한 터널의 위치)

  • Lee, Jin Kyu;Yang, Jae-Hyuk
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.4
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    • pp.305-310
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    • 2020
  • The review provides updated concepts regard to the anatomy of the anterior cruciate ligament (ACL) footprints. The concept of anatomical ACL reconstruction, in which the graft is placed in the native ACL insertion area, has been introduced. However, there is still no consensus on the anatomical positioning of the femoral and tibial tunnel. In this study, authors review and update the literature regarding the tunnel position for anatomical ACL reconstruction.

Heterotopic Ossification Mimics Neurogenic Tumor: A Case Report (신경원성 종양으로 오인된 이소성 골 형성: 증례 보고)

  • Yang, Hyun-Kee;Jung, Sung-Taek;Jo, Ah-Reum;Moon, Jae-Young
    • The Journal of the Korean bone and joint tumor society
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    • v.19 no.2
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    • pp.92-96
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    • 2013
  • Heterotopic ossification is an abnormal bone formation after surgery or without any reason. Large joint, such as hip and knee joint, is a known most common site. Operation itself and postoperative early range of motion exercise are risk factors. We present a case of heterotopic ossification mimics neurogenic tumor after high tibial osteotomy.

Arthroscopic Rotator Cuff Repair by Single Row Technique (회전근 개 파열에 대한 관절경적 봉합술 중 일열 봉합술의 유용성)

  • Yum, Jae-Kwang
    • Clinics in Shoulder and Elbow
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    • v.11 no.2
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    • pp.77-81
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    • 2008
  • The goal of rotator cuff repairs is to achieve high initial fixation strength, minimize gap formation, maintain mechanical stability under cyclic loading and optimize the biology of the tendon-bone interface until the cuff heals biologically to the bone. Single row repairs are least successful in restoring the footprint of the rotator cuff and are most susceptible to gap formation. Double row repairs have an improved load to failure and minimal gap formation. Transosseous equivalent repairs (suture bridge technique) have the highest ultimate load and resistance to shear and rotational forces and the lowest gap formation. Even though the superior advantages of double row and transosseous equivalent repairs, those techniques take longer surgical time and are more expensive than single row repairs. Therefore single row repairs can be useful in bursal side partial thickness or small size full thickess rotator cuff tear.

Arthroscopic Rotator Cuff Repair: Single Row Technique (관절경적 회전근 개 봉합술: 일열 봉합 수기)

  • Park, Hyung-Bin
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.155-159
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    • 2007
  • Arthroscopic single-row rotator cuff repair is a well established surgical technique for the treatment of rotator cuff tears. However, the problem of postoperative retear remains a concern. Various avenues are being explored to address this problem. Some studies have suggested that restoring the anatomical footprint may improve the healing and initial strength of the repaired rotator cuff tendon. The double-row technique was introduced as a method of reconstructing the anatomical footprint. According to biomechanical studies on cadavers, this technique improved mechanical strength and reduced gap formation. However, the biological properties of reattached tendon such as tension, and vascularity have not been proved yet. Furthermore, the apparent mechanical superiority of the double-row over the single-row construction has not resulted in better functional outcomes. Therefore, the less complicated and less costly single-row technique is still the recommended treatment for rotator cuff repairs.