Journal of the Korean Arthroscopy Society (대한관절경학회지)
- Volume 9 Issue 1
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- Pages.51-55
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- 2005
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- 1226-9352(pISSN)
Arthroscoic Anterior Cruciate Ligament Reconstruction with Autogenous Hamstring Gratt - Effect of the Additional Fixation after Fixation of the Graft with Intrafix -
자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술 - INTRAFIX system을 이용한 경골부 고정 후 부가적 고정의 효과 -
- Yoo, Jae-Doo (Department of Orthopedic Surgery, Mokdong Hospital, Ewha University) ;
- Roh, Kwon-Jae (Department of Orthopedic Surgery, Mokdong Hospital, Ewha University) ;
- Shin, Sang-Jin (Department of Orthopedic Surgery, Mokdong Hospital, Ewha University) ;
- Yoon, Jong-Suk (Department of Orthopedic Surgery, Mokdong Hospital, Ewha University) ;
- Yeo, Sung-Gu (Department of Orthopedic Surgery Seoul Red-Cross Hospital)
- 유재두 (이화여자대학교 의과대학 목동병원 정형외과) ;
- 노권재 (이화여자대학교 의과대학 목동병원 정형외과) ;
- 신상진 (이화여자대학교 의과대학 목동병원 정형외과) ;
- 윤종석 (이화여자대학교 의과대학 목동병원 정형외과) ;
- 여성구 (서울적십자병원 정형외과)
- Published : 2005.06.30
Abstract
Purpose: To compare the stability and clinical result after anterior cruciate ligament reconstructed knee after graft fixation using Intrafix in tibial tunnel with or without additional tibial post fixation. Materials and Methods: We analyzed 37 cases which were treated with four-strand hamstring tendon autograft during the period from May 2002 to January 2003. The grafts were fixed with Rigidfix system (Mitek Product, Johnson and Johnson, USA) in femur tunnel and Intrafix system (Mitek Product, Johnson and Johnson, USA) in tibial tunnel. After tibial fixation, additional tibial post fixation was done, which was determined by the serial case number prospectively. Patients were followed for average of fourteen months(range, thirteen to twenty-five months) At the time of final follow-up, patients were evaluated in terms of Lachman test, pivot shift test, Lysholm scores, IKDC (International Knee Documentation Committee) assessment, side-to-side KT-1000 maximum-manual arthrometer differences. Results: At last follow-up, Lysholm score was average 93.1(range: 65 to 98), IKDC assessment revealed that 26 cases had score of A, 10 cases had score of B and 1 case had score of C. The average maximum-manual KT-1000 arthrometer side ?to-side difference was 2.5 mm
목적: 자가 슬괵건을 이용한 전방 십자 인대 재건술 후 대퇴 터널 내의 고정은 2개의 생흡수성 핀인 Rigidifix system (Mitek Product, Johnson and Johnson, USA)를 이용하여 고정하고, 경골 터널 내는 Intrafix system을 이용한 생간섭나사로 고정 후 이식건의 경골 족에 인대 고정 나사를 이용한 부가적 고정이 수술 후 슬관절 전방 안정성에 영향을 주는지를 알아 보고자 하였다. 대상 및 방법: 2002년 5월부터 2003년 1월까지 Rigidfix와 Intrafix를 이용하여 관절경적 전방 십자 인대 재건술을 시행 받은 39명 중 추시 관찰이 되지 않은 2명을 제외한 37명의 환자를 대상으로 하였다. 평균 추시 기간은 14개월(범위:
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