Clinical Pain

  • 제20권2호
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  • Pages.105-121
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  • 2021
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  • 1598-5490(pISSN)
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  • 2765-5156(eISSN)
대한임상통증학회 (Korean Association of Pain Medicine)
권호 표지
DOI QR코드

DOI QR Code

무릎 관절염 환자에서 안쪽넓은근에 폴리디옥사논 봉합사 시술 연구

Clinical Study on Safety, Clinical Indicators of Polydioxanone Sutures Inserted into Vastus Medialis Muscle in Degenerative Knee Osteoarthritis

  • 김기철 (단국대학교병원 정형외과) ;
  • 이형준 (단국대학교병원 정형외과) ;
  • 이길용 (서울예스병원 신경외과) ;
  • 박희곤 (단국대학교병원 정형외과)
  • Kim, Ki-Choul (Department of Orthopedic Surgery, Dankook University College of Medicine) ;
  • Lee, Hyung-Jun (Department of Orthopedic Surgery, Dankook University College of Medicine) ;
  • Lee, Kil-Yong (Department of Neurosurgery, Seoul Yes Hospital) ;
  • Park, Hee-Gon (Department of Orthopedic Surgery, Dankook University College of Medicine)
  • 투고 : 2021.10.29
  • 심사 : 2021.11.22
  • 발행 : 2021.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: Physiologically, the vastus medialis muscle is the first muscle to undergo muscle atrophy, and it was thought that pain in patients with knee osteoarthritis could be reduced if this muscle could be strengthened and stabilized. The purpose of this study was to prove the effectiveness in knee osteoarthritis using polydioxanone sutures that have been tried in other musculoskeletal areas. Method: Forty knee osteoarthritis patients voluntarily participated in the study, and divided into 30 polydioxanone suture needle (MEST-B2375 produced by Ovmedi Co.) and 10 sham needle (without suture). And the needles were inserted into the vastus medialis muscle. In all patients, safety evaluation including blood tests and ultrasonography as well as efficacy evaluation including isometric maximal contractile strength of quadriceps muscle, weight bearing pain, impression of change, quadriceps angle, rescue drug intake were evaluated up to 30 weeks after the procedure. Results: Isometric maximal contractile strength showed a significant improvement at 4 weeks after the procedure in the polydioxanone suture group, and the weight-bearing pain showed a significant improvement at every visit in the polydioxanone suture group compared with baseline values. Patient global impression of change score showed significant improvement at 20 and 30 weeks, and clinical score showed improvement at every visit. Conclusion: Insertion of polydioxanone sutures showed improvement in muscle strength and knee pain by supporting and fixation of the vastus medialis muscle in patients with degenerative knee osteoarthritis. Insertion of polydioxanone sutures is considered to have a therapeutic effect in knee osteoarthritis patients.

키워드

과제정보

The authors has received the polydioxanone sutures and sham needle from Ovmedi company.

참고문헌

  1. Sung SC JS, Yoon KS. Change of the Tibio-femoral Angle according to Weight Bearing. J Korean Orthop Assoc 1984; 9:784-8.
  2. Shin DW NS, Ban YS, Lee JY. Estimation of the prevalence of Korean adults aged 50 years or more with knee osteoarthritis based on the data from fifth Korea National Health and Nutrition Examination Survey. J Korean Med Assoc 2013;56:431. https://doi.org/10.5124/jkma.2013.56.5.431
  3. Jung KH. Diagnosis and Treatment of Arthritis. J Korean Neurol Assoc 2017;35:25-30. https://doi.org/10.17340/jkna.2017.4.28
  4. Kim SB, Kwak H, Han SH. Exercise Prescription for Older Adults with Osteoarthritis. Korean J Clin Geri 2005;6:419-3.
  5. Bae SC. Effects of Glucosamine and Chondroitin in Patients with Osteoarthritis. National Evidence-based Heathcare Collaborating Agency. 2010. Available from: https://www.eca.re.kr/lay1/program/S1T11C145/report/view.do?seq=15.
  6. Young CE. A Research on Lateral Displacement of Patella of Degenerative Arthritis Threatening Lives of The Elderly. J Korean Entertain Ind Assoc 2016;10:251-7.
  7. Kang JS, Lee WH, Lee DJ, Hwang DY. Effect of a modified maneuver for quadriceps muscle setting with co-contraction of the hamstrings on patients with knee joint osteoarthritis. J Korean Soc Phys Med 2010;5:375-83.
  8. Hart HF, Ackland DC, Pandy MG, Crossley KM. Quadriceps volumes are reduced in people with patellofemoral joint osteoarthritis. Osteoarthritis Cartilage 2012;20:863-8. https://doi.org/10.1016/j.joca.2012.04.009
  9. Kim E, Kim YS, Kim YI, Jeon JH, Yoo HR, Park YC, et al. Effectiveness and Safety of Polydioxanone Thread-Embedding Acupuncture as an Adjunctive Therapy for Patients with Chronic Nonspecific Neck Pain: A Randomized Controlled Trial. J Altern Complement Med 2019;25:417-26. https://doi.org/10.1089/acm.2018.0228
  10. Lee NY, Kwon CS, Song HS. The Effect of Manual Joint Mobilization on Pain, ROM, Body Function and Balance in Patients with Knee Osteoarthritis. J Korean Soc Phys Med 2015;10:91-9.
  11. Moon G, Kim T. Study of Effects on Taping of Knee Joint for Patellofemoral Compressive Force During Stair Descent in Elderly Women. Phys Ther Korea 2015;22:12-22. https://doi.org/10.12674/ptk.2015.22.3.012
  12. Aeo K. Whole body balance according to spiral tapping. Seoul: Woojin Pub; 1998.
  13. Kim MH, Lee JH, Kim CK. The Change in Postural Balance Index by Kinesio Taping and Muscle Strength Exercises on Ankle Joint. J Korean Soc Phys Ther 2009;21:69-74.
  14. Son GS, Lee MH, Lee CR, Nam HC. The Effects of Kinesio Taping on the Pain and Functional Improvement in Patients With Degenerative Arthritis. Korean J Sport Biomech 2008;18:45-52. https://doi.org/10.5103/KJSB.2008.18.1.045
  15. Ruff G. Technique and uses for absorbable barbed sutures. Aesthet Surg J 2006;26:620-8. https://doi.org/10.1016/j.asj.2006.08.011
  16. Kim J, Zheng Z, Kim H, Nam KA, Chung KY. Investigation in the cutaneous change induced by face-lifting monodirectional barbed polydioxanone thread. Dermatol Surg 2017;43:74-80. https://doi.org/10.1097/DSS.0000000000000925
  17. Savoia A, Accardo C, Vannini F, Pasquale BD, Baldi A. Outcomes in thread lift for facial rejuvenation: A study performed with happy liftTM revitalizing. Dermatol Ther (Heidelb) 2014;4:103-14.
  18. Lee H, Yoon K, Lee M. Outcome of facial rejuvenation with polydioxanone thread for Asians. J Cosmet Laser Ther 2018;20:189-92. https://doi.org/10.1080/14764172.2017.1400167
  19. Jeong JH, Shin US, Song MH, Lee SS. Verification of wrinkle improvement effect by animal experiment of suture for skin wrinkle improvement by applying CO2 gas and RF radio frequency. J Korea Inst Inf Electron Commun Technol 2020;13:226-34.
  20. Wu WTL. Barbed sutures in facial rejuvenation. Aesthet Surg J 2004;24:582-7. https://doi.org/10.1016/j.asj.2004.09.007
  21. Tajirian AL, Goldberg DJ. A review of sutures and other skin closure materials. J Cosmet Laser Ther 2010;12:296-302. https://doi.org/10.3109/14764172.2010.538413