• Title/Summary/Keyword: 관절경수술

Search Result 464, Processing Time 0.04 seconds

Ventricular Tachycardia during Arthroscopic Shoulder Surgery - A Case Report - (관절경하 견관절 수술 시 발생한 심실성 빈맥 - 증례 보고 -)

  • Jo, Seung-Hyeon;Lee, Jin-Ung;Jo, Nam-Su;Lee, Yong-Geol
    • The Academic Congress of Korean Shoulder and Elbow Society
    • /
    • 2008.03a
    • /
    • pp.84-84
    • /
    • 2008
  • 최근 견관절 질환의 상당수가 관절경 수술로 이루어지고 있다. 좌체위(beath chair position)를 이용한 관절경 수술은 시술 중 관헐적 방법으로의 전환이 용이하고 공간에 대한 orientation을 쉽게 잡을 수 있어 선호되고 있다. 또한 관절경 수술 시 시야 확보를 위해 epinephrine을 혼합한 세척액이 통상적으로 사용되고 있다. 관절경 수술 시 심부 정맥 혈전증(deep vein thrombosis), 가스 색전증, 세척액에 사용하는 epinephrine에 의한 심실성 빈맥 등과 같은 치명적인 부작용이 가끔 보고되어 있다. 관절경하 견관절 수술 도중 심실 빈맥의 발생은 매우 드문 경우이며 이에 대한 보고도 거의 없는 상태이다. 저자들은 2주의 기간 동안 좌체위로 관절경하 견관절 수술을 하는 도중 갑작스럽게 발생한 심실 빈맥 2예를 경험하였기에 원인 및 치료 과정을 보고하고자 한다. 좌체위로 인한 뇌혈류 저하, 가스 색전증 등의 증세는 없었다. 관절경술 도중 세척액에 투입된 소량의 epinephrine이 동시에 체내로 급속히 유입되어 심실 빈맥이 왔으리라 추정하고 있으며, 실험을 통해 이를 증명하고자 하였다.

  • PDF

Arthroscopic Portals of the Shoulder Joint (견관절의 관절경 삽입구)

  • Song, Hyun Seok
    • Journal of the Korean Arthroscopy Society
    • /
    • v.16 no.1
    • /
    • pp.87-91
    • /
    • 2012
  • A making appropriate portals is most important start in the arthroscopic surgery, and a step which determines the easiness of the operation procedures. It affects the precision of the examination of the target joints, making the next portals, and handling the instrument in the joint space. The knowledge about the normal and pathologic structures and understanding the portals should be needed to make an arthroscopic surgery ease.

  • PDF

Postoperative Deep Infection after Arthroscopic Knee Surgery (슬관절 관절경 수술 후 발생한 심부 감염)

  • Kim, Key-Yong;Ha, Dong-Jun;Shim, Hyung-Nam;Seo, Seung-Suk
    • Journal of the Korean Arthroscopy Society
    • /
    • v.11 no.1
    • /
    • pp.20-23
    • /
    • 2007
  • Purpose: The purpose of this study is to evaluate characteristics of a deep infection after arthroscopic knee surgery. Materials and Methods: We selected 894 patients who underwent arthroscopic knee surgery between February 1994 and August 2006. We analyzed the results of the patients with definite infection. Results: Seven cases out of the 894 knee arthroscopic surgery which was performed by one surgeon during 12 years were diagnosed as postoperative deep infection (0.9%). Infection developed in one repair case among the meniscal surgeries (1419=0.2%). There were six infection cases in intraarticular ligament reconstruction (6/343=2%); 3 in ACL surgeries (3/152), 2 in PCL surgeries (2/70) and 1 in combined cruciate ligament surgery and extra-articular reconstruction (l/26). Conclusion: Postoperative infection rate of arthroscopic knee surgery was relatively low. However an attention for the prevention of postoperative deep infection should be paid in intraarticular ligament reconstruction because of its relatively high risk of infection.

  • PDF

Arthroscopic Ankle Fusion (관절경적 족관절 고정술)

  • Kim, Hak-Jun
    • 대한관절경학회:학술대회논문집
    • /
    • 2009.10a
    • /
    • pp.93-98
    • /
    • 2009
  • 족관절 고정술은 족관절에 발생한 심한 관절염(end-stage arthritis)에서 전통적으로 시행하던 술식으로 현재 사용되고 있는 인공 족관절 치환술이 발달되기 전까지는 gold standard 로 알려져 있었으며 현재에도 심한 족관절의 변형이나 파괴, 족관절 인공 관절의 실패시에 시행되고 있다. 1897년 Albert가 처음으로 족관절 고정술을 소개한 이후로 30여가지가 넘는 방법이 행해지고 있으나 개방적 관절 고정술의 단점인 수술 후 염증, 유합 지연, 연부조직의 손상에 의한 피부 괴사 등을 극복하고 유합물을 높이기 위해 다양한 내고정 및 외고정 장치를 사용하고 있다. 관절경 술식이 발달하면서 Schnider가 1983년 최초로 관절경을 이용한 족관절 고정술을 발표한 이후로 관절경하의 족관절 고정술은 개방적 족관절 고정술 보다 높은 유합율과 적은 수술 합병증으로 인해 관심의 대상이 되었지만 족관절의 변형이 심한 경우에는 시행하기 어려운 단점이 있는 것으로 알려져 왔다.

  • PDF

Changes in Temperature during Arthroscopic Knee Surgery (관절경 수술시 슬관절내 온도변화)

  • Lee Tong Joo;Kim Hyoung Soo;Park Seung Rim;Kang Joon Soon;Yeoum Seung Hoon;Kim Shin
    • Journal of the Korean Arthroscopy Society
    • /
    • v.6 no.1
    • /
    • pp.49-53
    • /
    • 2002
  • Purpose : To document the change in the temperature of the knee joint at the initiation and conclusion of an arthroscopic procedure and correlate this temperature change with other intra-operative variables. Material and Methods : Temperature measurements were performed in 40 consecutive patients(42 cases) that underwent arthroscopic surgery. Temperature measurements were taken at the initiation of the procedure, before and after inflation of the tourniquet. The last measurement was recorded at the end of the surgical procedure. Results : The mean knee joint temperature evaluated before inflation of the torniquet was $35.1{\pm}1.0$, at the end of surgery, $24.6{\pm}1.5^{\circ}C$. The mean temperature change observed from the beginning to the end of the procedure was $10.5^{\circ}C$. The student t test showed a statistically significant difference of the initial joint temperature(p<0.01) between the patient with no and+1 effusion / between the patient with no and +2 effusion. The temperature at the end of the procedure was found to be statistically low correlated (p<0.01) with the lower temperature of the irrigant and the lengthening of the arthroscopic procedure. Conclusion : Consideration should be given to maintaining the saline irrigant to more physiologic temperature to protect the articular cartilage from any possible temperature induced damages.

  • PDF

The Effect of Thromboprophylaxis in Lower Extremity Arthroscopic Surgery on Coagulation Test : Enoxaparin versus Rivaroxaban (하지 관절경 수술에 대하여 시행된 항응고 요법에 의한 혈액 응고 검사의 변화 : Enoxaparin versus Rivaroxaban)

  • Park, Sang Eun;Back, Young Woong;Kim, Jong Dai
    • Journal of the Korean Arthroscopy Society
    • /
    • v.16 no.2
    • /
    • pp.121-127
    • /
    • 2012
  • Purpose: To compare coagulation test results of the arthroscopic surgery patients who received thromboprophylaxis with typical two kinds of anticoagulation drugs, we performed coagulation tests before and after surgery with two groups and then compared the results. Materials and Methods: Forty-seven patients who underwent arthroscopic surgery were randomly divided into two groups to rivaroxaban and enoxaparin group, and we performed coagulation tests before and 5 days after arthroscopic surgery to two drugs groups in order to investigate about the difference in clotting capacity. Results: Preoperative coagulation tests did not differ significantly between the two groups. However, coagulation tests after 5 days of the surgery, the level of prothrombin time-international normalized ratio (PT-INR), activated partial thromboplastin time (aPTT) increased, particularly in patients with rivaroxaban compared with enoxaparin (P<0.05). Conclusion: Anticoagulation for arthroscopic surgery with a drug is effective and has safe range in terms of bleeding tendency, but in the rivaroxaban group, there was one patient who showed high bleeding tendency with abnormal range. Therefore it should be careful of using rivaroxaban for thromboprophylaxis.

  • PDF

Various Regimens for the Functional Recovery after Arthroscopic Shoulder Surgery (견관절 관절경 수술 후 기능 회복 치료법)

  • Oh, Joo Han;Yoon, Ji Young
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.2
    • /
    • pp.103-116
    • /
    • 2020
  • The incidence of rotator cuff tear is increasing rapidly due to the aging of the population and the advancement of radiological diagnosis, and so on. Recently, arthroscopic rotator cuff repair is common way of surgery, and the surgical outcome is comparable to open rotator cuff repair. Arthroscopic repair is one of the minimally invasive procedures itself and may have additional benefits of postoperative pain reduction and early functional recovery. Recently, there has been increasing interest in various methods for improving the functional recovery of patients after arthroscopic shoulder surgery. Various protocols of functional recovery after arthroscopic shoulder surgery are classified by the postoperative period, and they are being studied actively and improved at each stage. On the other hand, there are a range of methods according to the postoperative period, rehabilitation stage, characteristics of individual patients, degree of rotator cuff tear, and underlying disease. Therefore, for functional recovery after arthroscopic rotator cuff repair, it is essential to establish proper regimens for functional recovery.