• Title/Summary/Keyword: Arthroscopic knee surgery

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Intra-articular Giant Cell Tumor of Tendon Sheath Arising from Posterior Cruciate Ligament - Arthroscopic Excision Using Posterior Trans-septal Portal - (후방 십자 인대에서 발생한 건초성 거대 세포종 - 후격막 통과 도달법을 이용한 관절경적 절제 -)

  • Ahn, Jin Hwan;Seo, Jai Gon;Ha, Chul Won
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.1
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    • pp.97-100
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    • 1998
  • The giant cell tumor of tendon sheath is very rarely present inside the knee joint. The authors report a case of intraarticular giant cell tumor of tendon sheath arising from posterior cruciate ligament which was successfully excised arthroscopically using posterior trans-septal portal at the time of arthroscopic reconstruction of anterior cruciate ligament.

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Arthroscopic Removal of Loose Bodies from the Knee (관절경을 이용한 슬관절 유리체 제거술)

  • Ahn, Jin Hwan;Ha, Chul Won;Hwang, Tae Kyu
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.155-158
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    • 1998
  • The purpose of this study is to evaluate the cause, size, number, nature and locaton of loose bodies in the knee joint and to describe the proper arthroscopic technique to remae the loose bodies according to the location of them. We retrospectively analysed thirty-three operations of arthroscopic removal of loose bodies from the knee. Eleven males and 22 females were included with average age of 38(range 7-71). Total number of removed loose bodies were more than sixty. The loose bodies were found most commonly at anterior intercondylar notch area. The most common associated pathology was degenerative arthritis. The most common size of loose bodies was in the range of 5mm to 10mm in diameter. The most common nature of loose bodies was osteochondral. The loose bodies located in suprapatellar pouch, medial gutter, lateral gutter. anterior intercondylar notch or posterior intercondylar notch were removed using standard portals such as anteromedial, anterolateral, superomedial and posteromedial portals. The removal of loose bodies located in upper portion of posteromedial or posterolateral compartment were greatly enhanced using posterior trans-septal portal. The proper portals for the visualization and removal of loose bodies were identified according to the location of loose bodies in the knee joint. More skill in the use of the arthroscope is required for the removal of loose bodies than for simple diagnostic arthroscopy.

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Arthroscopic Treatment of Osteoarthritis of the Knee(Comparison of the groups with and without mechanical symptom) (슬관절 퇴행성 관절염의 관절경적 치료 - 기졔적 증상이 있는 군과 없는 군과의 비교 -)

  • Kim Cheol-Ho;Lim Chang-Kyun;Cho Seong-Woo;Kim Gi-Hyung;Moon Jin-Woong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.2
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    • pp.149-152
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    • 2003
  • Purpose: The purpose of this study is to evaluate the clinical results for the treatment of osteoarthritis of the knee by arthroscopic procedure according to presence or absence of mechanical symptoms. Materials and Methods: We studied sixty patients (60 knees) who underwent arthroscopic procedure for the treatment of osteoarthritis of the knee from October,2000 to January,2002. The average follow up period was 15 months(12-30 months). We evaluated the mechanical symptoms by simple radiographs, history taking and physical examination. We analysed the clinical results by Baumgaertner's scale. Results: The Baumgaetner's score improved from 3.1 preoperatively to 8.1 postoperatively in the group with mechanical symptoms, whereas the scores in the group without mechanical symptom improved from 3.5 preoperatively to 5.4 postoperatively. The patients with mechanical symptoms were satisfied more than the patients without mechanical symptoms. Conclusion: The arthroscopic surgery could be one of good alternative treatment methods for the osteoarthritis of the knee with mechanical symptoms . But, more than these patients will be needed for further evaluation.

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Surgical Treatment of Popliteal Artery Injury as a Complication of Arthroscopic Surgery - 2 case reports - (관절경 수술 후 발생한 슬와동맥 손상의 외과적 치료 -2예 보고-)

  • Yie, Kil-Soo;Ryu, Se-Min;Cho, Seong-Joon;Cho, Byung-Ryul;Lee, Bong-Ki
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.772-776
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    • 2008
  • The indications and applications of arthroscopic surgery for the knee joint have increased with the development in surgical techniques and the improvement of arthroscopic equipment. The use of arthroscopic surgery has led to a significant decrease in morbidity for the patient with intra-articular abnormalities, in terms of both the diagnosis and the surgical treatments. Even though arthroscopy is a minimally invasive technique with relatively low morbidity, it is not without risk of complications, of which neurovascular complications are among the most serious and devastating. Here we report on 2 cases of popliteal artery injury during arthroscopic knee surgery and its specific diagnosis and treatment.

Arthroscopic Repair of the Postero-medial or Postero-lateral Capsule Tear in the Knee Joint - Technical Note - (슬관절 후내측 혹은 후외측 관절막 파열의 관절경적 봉합술 - 수술 수기 -)

  • Ahn Jin-Hwan;Cho Yang-Bum;Lee Yong-Seuk
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.2
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    • pp.135-139
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    • 2001
  • Purpose : Repair of the posterior capsule tear at the time of the operation for the chronic postero-lateral or postero-medial rotary instability has not been reported. We describe the arthroscopic repair of the posterior capsule tear using the posterior trans-septal portal. Method : After conducting basic arthroscopic examination of the knee, postero-medial and postero-lateral portals are secure to make the posterior trans-septal portal, through which the postero-medial and postero-lateral capsule tears are repaired using the suture hook under the arthroscopic guidance. Conclusion : When arthroscopic reconstruction of PCL insufficiency or postero-lateral rotaty instability that accompanies postero-medial or postero-lateral capsular tears. rising the posterior traits-septal portal could ensure better visualization of the capsule and a subsequent more accurate repair of the capsule. Since it significantly lessened instability, it could contribute to an achievement of successful clinical results.

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Arthroscopic Diagnosis of Polyethylene Wear of Meniscal Bearing in Unicompartmental Knee Arthroplasty - A Case Report - (인공 슬관절 단일구획 치환술 후 폴리에틸렌 마모의 관절경적 진단 - 증례 보고 -)

  • Kang, Kyu-Bok;Yoon, Jung-Ro;Park, Sung-Chul;Song, Seungyeop;Yang, Jae-Hyuk
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.190-194
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    • 2012
  • The role of arthroscopy for the diagnosis of polyethylene wear after total knee arthroplasty has been reported previously. In this report, we demonstrate a case of wear of meniscal bearing in unicompartmental knee arthroplasty (UKA) and recurrent meniscal bearing subluxation which was diagnosed by arthroscopy. Arthroscopic examination has its role in diagnosing the wear and subluxation of polyethylene bearing after UKA.

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Arthroscopic Reduction of Irreducible Posterolateral Knee Dislocation with Interposition of the Vastus Medialis: A Case Report

  • Sim, Jae-Ang;Kim, Byung-Kag;Lee, Beom-Koo;Yoon, Yong-Cheol;Choi, Eun-Suk
    • Journal of Trauma and Injury
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    • v.29 no.4
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    • pp.167-171
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    • 2016
  • Irreducible traumatic knee dislocation is rare. The knee dislocation is classified depending on the incarcerated structures. Complete reduction is achieved by extracting the incarcerated structure. Several reports introduce the reduction of irreducible traumatic knee dislocation by open surgery or arthroscopy. This case describes irreducible posterolateral knee dislocation with interposition of the vastus medialis. Closed reduction failed in the emergency room, and complete reduction was attained by arthroscopically sectioning the muscle and fascia of the vastus medialis in the intercondylar notch.

Thromboembolism After Arthroscopic Partial Menisectomy - A Case Report - (관절경하 반월상 연골 절제술 후 발생한 혈전색전증 - 1예 보고 -)

  • Lee, Kee-Byung;Song, Si-Young;Lee, Yong-Beom;Hyun, Ho-Seung;Shin, Jun
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.222-224
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    • 2008
  • Pulmonary embolism appears to be a very rare complication of arthroscopic knee surgery. Most cases of pulmonary embolism have been clinically silent in the literature. We describe a case of symptomatic pulmonary embolism after arthroscopic partial menisectomy in 40-year-old male patient.

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Irrigation Solutions in the Knee Arthroscopy - Comparison with Normal Saline and Lactated Ringer's Solution (슬관절 관절경 수술시 세척액 - 생리 식염수와 Lactated Ringer 용액의 비교)

  • Lee, Woo-Suk;Bae, In-Tak;Hur, Yun-Moo;Park, Won-Ki;Oh, Byung-Hak;Chung, Whan-Yong
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.2
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    • pp.125-128
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    • 2008
  • Purpose: The object of this study is to compare the clinical results of noraml saline and Lactated Ringer's solution in the arthroscopic meniscus surgery on the knee. Materials and Methods: The study group included 64 patients who had an medial meniscus tear and received arthroscopic partial medial meniscectomy. The group I was normal saline group, which was used as an irrigation solution during operation. The group II was Lactated Ringer's solution group. We measured the visual analogue scale, painless active knee flexion angle, and the ratio of the knee swelling at postoperative one day for all patients. Results: The visual analogue scale and the painless active knee flexion angle were no significant differences in comparing with normal saline and Lactated Ringer's solution group. The ratio of the knee swelling in Lactated Ringer's solution group was significantly less than those of noraml saline group. Conclusion: Lactated Ringer's solution has an advantage of decreasing the knee swelling in the arthroscopic meniscus surgery on the knee.

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Arthroscopic Treatment of Synovial Chondromatosis (활액막 연골종증의 관절경적 치료)

  • Bae Dae Kyung;Kwon Oh Soo;Lee Jeong Heui;Lim Chan Teak
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.1
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    • pp.43-48
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    • 2002
  • Purpose : We evaluated the results of the arthroscopic treatment of nine cases of synovial chondromatosis in the knee joints. Materials and Methods : From June 1989 to September 1999, eight patients nine cases with synovial chondromatosis involving knee joints underwent arthroscopic total synovectomy and removal of loose bodies. There were 6 females and 2 males. The average age at surgery was 44.1 years(range, 20-57 years). The average follow-up period was 5.9 years (range, 2.5-7.3 years). All cases had pain and swelling and two cases had locking preoperatively. Flexion contracture was found in three cases. Results : Pathologic finding revealed Milgram I in one case, Milgram II in six cases and Milgram III in two cases. There were six cases of generalized synovial hypertrophy and one case of localized type. All patients had symptomatic relief by arthroscopic total synovectomy and loose body removal. Second arthoroscopic surgery was performed in one patient due to recurred lesions 11 months after the primary surgery. Conclusion : Clinical results of the synovial chondromatosis with arthroscopic total synovectomy and loose body removal were satisfactory. Arthroscopic total synovectomy was also effective for the recurred case.

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