• Title/Summary/Keyword: Anchor suture

Search Result 114, Processing Time 0.028 seconds

The Prognostic Factor Analysis Through Rowe Scoring System in Arthroscopic Bankart Operation Used Suture-anchor Method (Suture-anchor를 이용한 관절경적 Bankart 술식에서의 Rowe 점수를 통한 예후 인자 분석)

  • Han Jae-Hyeung;Seo Jae-Sung
    • Journal of the Korean Arthroscopy Society
    • /
    • v.7 no.1
    • /
    • pp.81-86
    • /
    • 2003
  • Purpose : The clinical consequences of arthroscopic Bankart repair using suture anchor with non-absorbable suture as well as various factors, expected to have an effect on the prognosis of disease, have been evaluated and compared through preoperative and postoperative modified Rowe score. Materials and Methods : Twenty-eight cases were evaluated for the subject of this study, which enabled us to follow up at least for more than 18 months from lune, 1997 to May, 2001. Modified Rowe score was used for the evaluation of preoperative and follow-up shoulder function and stability. After setting up 9 factors expected to affect a prognosis, a statistical verification was conducted. Results : The postoperative Rowe score was 87.3, while preoperative Rowe score was 28.4 and the Rowe score was improved significantly(p=0.000). There were 1 case of redislocation and 2 cases of limitation of motion in the shoulder. In prognostic factor analysis through Rowe scoring system. Rowe score of their age at a trauma under 20 years was greater than that of above 20 years and it was significant(p=0.023). Conclusion : It was thought that arthroscopic Bankart repair using suture anchor was one or useful treatment method for recurrent shoulder dislocation patients. It was considered that their age at initial trauma was the factor to affect a prognosis.

  • PDF

Arthroscopic Repair of Anterior Root Injury in Lateral Meniscus Using Suture Anchor - Case Report and Technical Note - (Suture anchor를 이용한 외측 반월판 연골 전방 뿌리 파열의 관절경적 치료 -증례 및 술기 보고-)

  • Kim, Do-Young;Yoo, Yon-Sik;Lee, Sang-Soo;Jeong, Un-Seob;Seo, Eun-Min;Park, Seung-Jae
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.10 no.1
    • /
    • pp.41-45
    • /
    • 2011
  • As awareness of root tear of meniscus have been increased, it became necessary to have an intensive repair. Posterior horn tear, especially for a lot of repair methods and the results have been reported recently. The report of the anterior root tear has yet to be found. We recently encountered a patient with an iatrogenic meniscal subluxation caused by past experienced partial menisectomy for discoid meniscus. Thus, we repots the technique and clinical results of arthroscopic repair of subluxated lateral meniscus anterior root tear using suture anchor.

  • PDF

Surgical Treatment Using Anchor Suture of Coracoid Process Fracture with Acromioclavicular Joint Dislocation - A Case Report - (견봉-쇄골관절 탈구를 동반한 오구 돌기 골절의 봉합나사를 이용한 수술적 치료 - 증례 보고 -)

  • Jeong, Woon-Seob;Lee, Sang-Soo;Yoo, Yon-Sik;Kim, Do-Young;Park, Keun-Min
    • Clinics in Shoulder and Elbow
    • /
    • v.12 no.2
    • /
    • pp.240-244
    • /
    • 2009
  • Purpose: This study examined the outcomes of closed reduction and fixation of the coracoid process fracture using a suture anchor in a patient with combined acromioclavicular dislocation for which the coraco-clavicular ligament was intact. Materials and Methods: A 26 year-old male patient with a coracoid process fracture that was associated with a type III acromioclavicular joint dislocation was operated on with anchor suture fixation. This is the first trial of this operative procedure. Results: At the postoperative follow-up at 3 months, complete union of the coracoid process fracture was seen. The shoulder had a full range of motion and the shoulder function was normal. Conclusion: Closed reduction and fixation using one suture anchor for treating coracoid process fracture is a safe, effective procedure.

Arthroscopic Bankart Repair with Suture Anchor (Bankart 병변의 봉합나사를 이용한 관절경적 봉합술)

  • Kim Kyung Taek;Kim Chul Hong;Kim Sung Hoo
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.1 no.2
    • /
    • pp.149-153
    • /
    • 2002
  • Purpose: To evaluate the efficacy of arthroscopic Bankart repair using suture anchors for treatment of traumatic anterior instability of shoulder joint .Materials and Methods: We performed arthroscopic Bankart repair using suture anchor in 54cases and evaluated the results with the functional grading system of Rowe and Zarins after patients were followed up for more than 12 months. Results: Combined pathologies identified under arthroscopy were Hill-Sachs lesion in 28 cases, SLAP lesion in 6 cases and chondromalacia of humeral head in 6 cases. The results were excellent or good in 50 cases(92.6$\%$), and redislocation was happened only two cases. Conclusion: We conclude that arthroscopic Bankart repair with suture anchors is one of the reliableand effective method for treatment of recurrent shoulder dislocation with Bankart lesion.

  • PDF

Arthroscopic repair of medial meniscal root tear using suture anchor in adolescent - A case report - (소아에서 발생한 내측 반월상 연골 후방 골 기시부 파열의 봉합 나사를 이용한 수술적 치료 - 증례 보고 -)

  • Kang, Min Soo;Kim, Kyung Taek;Choi, Sung Jong;Park, Won Ro
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.10 no.2
    • /
    • pp.133-136
    • /
    • 2011
  • The medial meniscal root tear is relatively common internal derangement of knee that is occurred in middle age without trauma. We experienced a case of traumatic medial meniscal root tear in 11 years old child and repaired it with a metallic suture anchor. Thus we report this case with a review of current literature.

  • PDF

Tenorrhaphy using Suture anchor in delayed rupture of the flexor digitorum profundus tendon in the distal phalanx - A case report - (Suture anchor를 이용하여 건봉합술을 시행한 심수지 굴건 지연파열 - 증례 보고 -)

  • Kim, Seong Wan;Yi, Seung Rim;Yang, Bo Kyu;Kim, Woo;Lee, Sung Yup
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.10 no.2
    • /
    • pp.117-120
    • /
    • 2011
  • Avulsion rupture of the flexor digitorum profundus tendon at the distal phalanx is a rare injury. It usually occurs during extension of the DIP joint, while the flexor digitorum profundus tendon is contracted, or when strong extension force is applied, to the distal phalanx. We experienced a patient, combat policeman who had avulsion rupture of flexor digitorum profundus tendon at the distal phalanx after 2 days of combat exercise. Here, we would like to report unusual case of rare tendon injury with studies from other papers.

  • PDF

Osteolysis-Related Bioabsorbable Suture Anchor Fixation in a Medial Collateral Ligament Avulsion Fracture during Total Knee Arthroplasty (슬관절 인공관절 치환술 중 발생한 내측 측부 인대 견열 골절에 대해 생흡수성 봉합 나사못을 이용한 고정 후 발생한 골용해)

  • Huh, Jung-Wook;Park, Man-Jun;Hong, Seong-Hwak;Park, Joon-Hyung
    • Journal of the Korean Orthopaedic Association
    • /
    • v.55 no.6
    • /
    • pp.545-549
    • /
    • 2020
  • Although rare, the treatment options for a medial collateral avulsion fracture during total knee arthroplasty (TKA) range from conservative management using a cast and orthosis to internal fixation using metal screws. Bioabsorbable suture anchors have been used to replace metal fixators with distinct advantages, such as biocompatibility, radiolucency, and unnecessary second removal surgery, but complications, such as osteolysis, have been reported. This paper reports a potential risk of an extensive osteolysis-related suture anchor fixation of a medial collateral ligament (MCL) avulsion fracture during TKA in conjunction with a literature review.

Evaluation of the effects of miniscrew incorporation in palatal expanders for young adults using finite element analysis

  • Seong, Eui-Hyang;Choi, Sung-Hwan;Kim, Hee-Jin;Yu, Hyung-Seog;Park, Young-Chel;Lee, Kee-Joon
    • The korean journal of orthodontics
    • /
    • v.48 no.2
    • /
    • pp.81-89
    • /
    • 2018
  • Objective: The aim of this study was to evaluate the stress distribution and displacement of various craniofacial structures after nonsurgical rapid palatal expansion (RPE) with conventional (C-RPE), bone-borne (B-RPE), and miniscrew-assisted (MARPE) expanders for young adults using three-dimensional finite element analysis (3D FEA). Methods: Conventional, bone-borne, and miniscrew-assisted palatal expanders were designed to simulate expansion in a 3D FE model created from a 20-year-old human dry skull. Stress distribution and the displacement pattern for each circumaxillary suture and anchor tooth were calculated. Results: The results showed that C-RPE induced the greatest stress along the frontal process of the maxilla and around the anchor teeth, followed by the suture area, whereas B-RPE generated the greatest stress around the miniscrew, although the area was limited within the suture. Compared with the other appliances, MARPE caused relatively even stress distribution, decreased the stress on the buccal plate of the anchor teeth, and reduced tipping of the anchor teeth. Conclusions: The findings of this study suggest that the incorporation of miniscrews in RPE devices may contribute to force delivery to the sutures and a decrease in excessive stress on the buccal plate. Thus, MARPE may serve as an effective modality for the nonsurgical treatment of transverse maxillary deficiency in young adults.

A Suture Bridge Transosseous-Equivalent Technique for Bankart Lesions with Deficient Bony Stability - Technical Note - (골안정성 결손을 가진 Bankart 병변에 대한 경 골-유사 교량형 봉합술식 - 술기 보고 -)

  • Choi, Chang-Hyuk;Kim, Shin-Kun;Chang, Il-Woong;Chae, Sung-Bum
    • Journal of the Korean Arthroscopy Society
    • /
    • v.13 no.2
    • /
    • pp.179-182
    • /
    • 2009
  • Purpose: Point fixation at the margin of the glenoid is a limitation of conventional arthroscopic stabilization using suture anchors, and does not afford sufficient footprint healing, especially in glenoid bone deficiency. So, we introduce an arthroscopic suture bridge transosseous-equivalent technique for bony Bankart lesions to avoid the technical disadvantage of point contact with anchor fixation and to improve mechanical stability through cross compression of the labrum. Surgical approach: The technique was adapted from the transosseous-equivalent rotator cuff repair technique using suture bridges, which improved the pressurized contact area and mean pressure between the tendon and footprint. After preparation of the glenoid bed by removal, reshaping, or mobilization of the bony lesion, two anchors (3.0 mm Biofastak, $Arthrex^{(R)}$, Naples, FL) were inserted into the superior and inferior portion of the bony Bankart lesion. Using a suture hook, medial mattress sutures were applied around the capsulolabral portion of the IGHL complex to obtain sufficient depth of glenoid coverage. A 3.5 mm pushloc anchor ($Arthrex^{(R)}$, Naples, FL) hole was made in the articular edge of the anterior glenoid rim. distal, suture bridge was applied, and proximal was inserted to mobilize the labrum in the proximal direction. This avoided the technical disadvantage of point contact with anchor fixation and decreased the level of gap formation through cross-compression of the labrum.

  • PDF