• Title/Summary/Keyword: 후방 십자 인대

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Biceps Rerouting Technique(Modification of Clancy) for Posterolateral Rotatory Instability (대퇴이두건 전환술(Clancy 변형 술식)을 이용한 후외측 회전 불안정성의 재건)

  • Kim Sung-Jae;Shin Sang-Jin;Kim Jin-Yong;Rhee Dong-Joo
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.1
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    • pp.25-31
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    • 2000

  • Introduction : This study compared the clinical results with biceps rerouting fer the isolated posterolateral instability (PLI) and for the PLI combined with PCL injuries. Methods : 21 cases of isolated PLI (group I) and 25 cases of PLI combined with PCL rupture were included in the study. The PLI was reconstructed by modified biceps femoris rerouting technique with PCL reconstructions performed prior to the PLI correction in cases of combined injury The clinical results were reviewed and analyzed. Results : Pre-operatively positive reverse pivot shift test turned negative in 43 cases post-operatively. Increased preoperative external rotation thigh foot angle (ERTFA) showed significant differences between the two groups and all fell within normal limits post-operatively At a mean follow-up of 40.3 months, the average Lysholm knee score and. The Hospital for Special Surgery Knee Ligament Score for group I and group II revealed above 90 points without statistically significant difference between the groups. 3 cases of tenodesis failure developed and re-operation was performed. Discussion and Conclusion : The advantages of modified Clancy technique include reduced surgical damages to the iliotibial band and fixation of the biceps tendon at the isometric position. The modified biceps rerouting technique is recommended for the reconstruction of both isolated and combined PLI except in patients with severe damages at the attachment of biceps tendon.

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Isometry of the Posterior Cruciate Ligament (후방 십자 인대의 등장성)

  • Lee, Byung Ill
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.15-20
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    • 1998

  • Less has been written about the PCL than the ACL. There has, however, been an increasing amount of the interest in the PCL recently. Surgical reconstructions using grafts are often performed. However, these procesures often fail to provide long-term stability and function. Graft attachment sites are critical determinants of success in the PCL reconstruction. The clinical literature contains conflicting recommendations for graft attachment sites. We present a review of the isometry of the PCL.

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Rationale and Technique of Arthroscopic Primary Repair of Posterior Cruciate Ligament (후방 십자 인대 관절경하 일차수복술의 이론적 근거와 술기)

  • Kim, Jung-Man
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.21-24
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    • 1998

  • There are many controversies in managing fresh substance tear of PCL. Conservative treatment of partial tear is generalby accepted idea, and less than 10mm posterior instability is known to be acceptable in terms of funtion. More than 10mm posterior instability and complete fresh tear of the ligament are regarded as candidates of reconstruction of the ligament. However, many authors believe that posterior instability may be a cause of early osteoarthritis in the long run. Author described the rationale and the technique of arthroscopic primary repair of the PCL in case of proximal and mid 1/3 substance tear. Postoperative rehabilitation program and their rationale were also described.

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Anatomy and Physical Examinations of the Knee (슬관절의 해부학과 신체 검진법)

  • Yoo, Jae Ho
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.50-57
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    • 2008

  • The anatomy which is the systemic understanding of a structure and the physical examinations which is the functional assessment of its role comprise the fundamental capability for a clinician providing medial care to the knee. This article provides the basic anatomy of the bones, meniscus, anterior and posterior cruciate ligaments, medial and lateral collateral ligaments, muscles, medial and lateral 3 layer concept, anterior and posterior aspect of the knee, bursae around the knee, and the physical examinations of the meniscus, medial and lateral collateral ligament, anterior and posterior cruciate ligament with posterolateral corner. The conceptual and systemic understanding of the anatomy and the physical examinations of the knee would be a compass or lighthouse for the physician providing medical care to the knee.

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