• Title/Summary/Keyword: 재건

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Intraarticular Migration of Intrafix Sheath during Arthroscopic ACL Reconstruction (관절경적 전방 십자 인대 재건술 중 발생한 IntraFix Sheath의 관절 내로의 이동)

  • Cho, Suk-Hoon;Seo, Young-Jin;Kim, Yong-Kuk;Yoo, Yon-Sik
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.120-123
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    • 2010
  • An inappropriate insertion of a interference device to fix the graft in the tibial tuunel can cause potential complications. We describe a case of 27-year-old man who underwent anterior cruciate ligament reconstruction using IntraFix device(DePuy Mitek, Raynham, MA). In this report we present a case of migration of IntraFix sheath by inappropriate insertion of IntraFix screw along with a review of the current literature.

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Pretibial Ganglion Cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction - A Case Report - (전방 십자 인대 재건술 후 발생한 전경골 결절종 - 1례 보고 -)

  • Jeon, Ho-Seung;Jeon, Seung-Ju;Kim, Jong-Min;Seo, Young-Ray
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.124-127
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    • 2010
  • Pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction is a very rare complication, and a few are reported in and outside the country. Some authors report that it may break out with a variety of causes at any time. We experienced a case of pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction using Achilles tendon allograft and bioabsorbable interference screw in 34-year-old male. So we report this case including the cause and the treatment with a review of the literature.

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Graft Selection in ACL Reconstruction (전방 십자 인대 재건술에서 이식건 선택)

  • Lee Dong-Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.92-99
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    • 2003
  • The prevalence of anterior cruciate ligament (ACL) injury is continuously increased due to sports activities and traffic accident. Simultaneously ACL reconstruction operations are on the increase. Several kinds of autografts and allografts are used in ACL reconstruction. Although ACL reconstruction using an autogenous bone-patellar tendon-bone graft is the good standard, it might have potential morbidity, anterior knee pain and minimal extension loss. To minimize the complications and disadvantages on each graft and to select appropriate graft for each patient, it is necessary to understand the unique characteristics of each graft for biomechanical aspect, morbidity and disadvantage. Selecting the appropriate graft depends on numerous factors including surgeon's preference and experience, patient's activity level and age, extent of ligament injury, tissue availability, and patient's selection for graft .

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DENTO-MANDIBULAR RECONSTRUCTION WITH FREE FIBULAR FLAP AND OSSEOINTEGRATION (유리혈관화비골 미세이전과 골유착성 임프란트를 이용한 심미 기능적 편측하악골 결손 재건)

  • Lee, Jong-Ho;Chung, Hyun-Ju;Bae, Jeong-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.220-230
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    • 1995
  • In this report, a case is presented in which resected mandible was reconstructed immediately with vascularized bone graft and adjunctive implantation of osseointegrated dental implants. The primary was central odontogenic myxoma of mandible extending from symphysis to the left condylar neck. The hemimandibulectomy defect was restored with free fibular flap. Three months after 1st surgery, the transplant received five $IMZ^{(R)}$ implants. The masticatory function was restored with the implant borne denture. The result including facial appearance was very satisfactory.

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Distraction Osteogenesis Combined with a Plate to Treat Brachymetacarpia (금속판과 병합한 신연 골형성술을 이용한 단중수증의 치료)

  • Jegal, Midum;Kim, Hyo Kon;Ha, Sung Han;Lee, Gi Jun
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.457-462
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    • 2019
  • The treatment of a brachymetacarpia using conventional distraction osteogenesis requires holding an external fixator following distraction for stability, which causes prolonged discomfort that adversely affects the patient's daily activities. This paper reports a case of a 20-year-old male of brachymetacarpia treated with distraction osteogenesis combined with a plate reducing the period of an external fixator, allowing rapid return to the daily activities, and presenting good clinical results.

Reconstruction of Distal Radius Using Ultrahigh Molecular Weight Polyethylene Liner after Excision of Giant Cell Tumor - A Case Report - (원위 요골에 발생한 거대 세포종의 일괄 절제 후 초고분자량 폴리에틸렌 삽입물을 이용한 재건술 - 증례보고 -)

  • Jeon, Dae-Geun;Song, Won-Seok;Oh, Jung-Moon
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.1
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    • pp.29-33
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    • 2004
  • A giant cell tumor (GCT) of the distal radius is not common. Curettage with bone cementation is considered as a treatment of choice but, in the case of recurrence, marked cortical disruption, or articular invasion, en bloc excision and reconstruction with proximal fibular bone graft is usual procedure. In reconstruction of en bloc resected distal radius which had recurred GCT after conservative operation, we used the ultrahigh molecular weight polyethylene (UHMWPE) liner with intramedullary rod and bone cement, because the contamination was extent in previous operation and recurrence after fibular bone graft was fearful. This article introduce our new surgical procedure.

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CONTOUR RECONSTRUCTION OF FACIAL DEFECT WITH SPLIT STERNOCLEIDOMASTOID MUSCULAR FLAP FOLLOWING PAROTIDECTOMY (이하선 적출술 후 흉쇄유돌근을 이용한 안모결손부의 외형재건)

  • KIM, Myung-Jin;KIM, Taek-Kyoung;YOU, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.2
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    • pp.144-152
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    • 1991
  • Various muscular flaps are used in oral and maxillofacial reconstructive surgery for the defects caused by tumor resection and trauma or for the correction of head and neck deformities. The sternocleidomastoid(SCM) muscle may be widely used as a muscular or myocutaneous flap in these lesion. The authors used SCM muscular flap for the expected parotid defect following benign tumor related conservative parotidectomy in three cases. We expected that prevention of post-operative facial deformity, reduction of dead-space and protection of denuded facial nerve etc. is lead by SCM muscular flap. But the total SCM flap can lead to some complications such as "flat neck deformity", limitation of neck movement and overcontouring of parotid defect. Therefore, the authors used split pedicled SCM muscular flap and it lead good favorable results of post-operative functional and esthetic problems.

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Removal of a Femoral Interference Screw that Migrated Posteriorly after ACL Reconstruction, Using Posterior Trans-septal Portal - A Case Report - (전방 십자 인대 재건술 후 후방으로 전위된 대퇴 간섭 나사의 후방 경격막 도달법을 이용한 제거 - 증례 보고 -)

  • Ahn, Jin-Hwan;Lee, Sang-Hak;Ha, Hae-Chan
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.2
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    • pp.187-191
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    • 2006
  • Few cases have been reported in which the femoral interference screw has migrated into the posterior compartment after an ACL reconstruction. It usually requires removal, because it leads usually to mechanical symptom. However, the arthroscopic removal of a screw is a technically demanding procedure, especially in the case of an intact integrated ACL graft or one that is encapsulated around the screw. We present a case in which a displaced femoral interference screw migrated within the posterior compartment 11 years postoperatively, after the graft had been successfully incorporated at the femoral site and showed good continuity on MRI and arthroscopic examination. Although it is often technically challenging, through the use of a posterior trans-septal portal, we can successfully remove a displaced femoral interference screw even in the most difficult locations in the posterior compartment without damage to ACL graft.

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Clinical Results of the Single-bundle, Transtibial Posterior Cruciate Ligament Reconstruction: A Systematic Review (경경골 단일다발 후방십자인대 재건술의 임상 결과: 체계적 고찰)

  • Kim, Yeong-Mo;Lee, Cassandra A.;Matava, Matthew J.
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.57-57
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    • 2009
  • 관절경적 경경골 단일 다발 후방십자인대 재건술은 전통적으로 가장 흔하게 사용되는 사용되는 술기이다. 그러나, 후방십자 단독 파열시 이 술기의 결과에 대한 임상 평가 및 효용성에 대한 임상적 분석 자료가 거의 없는 실정이다. 이 술기를 시행받은 환자군들에서 객관적 슬관절 이완이 존재함에도 불구하고 주관적 슬관절 기능 장애는 우수한 결과를 나타낸다고 인정되어 왔다. 후방십자인대 단독 파열 후 경경골 단일 다발 재건술을 시행한 문헌 10개를 대상으로 잔존하는 후방 이완과 주관적, 객관적인 기능 평가, 활동성 정도, 환자 만족도, 골관절염의 발생 빈도, 술후 합병증을 체계적으로 고찰하였다. 술전 후방 슬관절 이완은 8.38~12.3 mm에서(4문헌) 술후 1.96~5.9 mm으로(9 문헌) 호전되었다. Lysholom 점수는 평균 81~100점이었다(9 문헌). IKDC는 75%에서 정상 또는 거의 정상의 결과를 보였다(6 문헌). 평균 Tegner 활동도는 4.7~6.3점이었다(8 문헌). 이번 고찰을 통한 결과에서 이 술기 후 퇴행성 변화가 관찰되었으며 보고된 합병증은 거의 없었다. 후방십자인대 단독 파열에서 경경골 단일 다발 재건술은 정상 슬관절의 안정성까지 회복하지는 못하나 한 등급 정도의 후방 슬관절 이완의 호전을 기대할 수 있다. 재활 및 운동으로의 회복에 대한 주관적 슬관절 점수는 80점이며 75%의 정상 또는 정상에 가까운 객관적 결과를 보여주었다. 이 술기가 퇴행성 관절염을 예방할 수는 없더라도 이러한 결과는 후방십자인대 재건 술기의 평가에 도움이 될 것으로 사료된다.

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EXPERIENCE WITH 6 LATISSIMUS DORSI MYOCUTANEOUS FLAPS ON HEAD AND NECK AREA RECONSTRUCTION (두경부 영역의 종양 절세후 광배근피판을 이용한 재건술)

  • Lee, Jong-Ho;Park, Kwang;Seo, Ku-Jong;Park, Ki-Deog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.105-116
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    • 1992
  • Latissimus dorsi myocutaneous flap is useful for the breast reconstruction, chest wall coverage, free flap transfer, and head and neck area reconstruction, especially in large defect. We have had some experience of 5-pedicled and 1-free latissimus dorsi myocutaneous flap in head and neck area and found many advantages and some problems. The conclusions were as follows : 1. Potentially large flap size enabled us agressive tumor resection and reconstruction. 2. Speedy and easy flap elevation and long vascular pedicles reduced operation time and flap failure. 3. Due to fewer complication and functional loss of doner site, pedicled latissimus dorsi flap was a good choice for large head and neck reconstruction. 4. Because of flap bulkness, thin and small defect was not appropriate for reconstruction.

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