• Title/Summary/Keyword: Arthroscopy Surgery

Search Result 760, Processing Time 0.029 seconds

Arthroscopically assisted Operative Treatment of Tibial Plateau Fracture (관절경을 이용한 경골 고평부 골절에 대한 수술적 치료)

  • Byun, Jae-Yong;Kim, Bo-Hyun;Kang, Shin-Taek;Whang, Chan-Ha
    • Journal of the Korean Arthroscopy Society
    • /
    • v.10 no.1
    • /
    • pp.45-52
    • /
    • 2006
  • Purpose: We evaluated the results of operative treatment of tibial plateau fractures using both arthroscopy and fluoroscopy. Materials and Methods: From May 1999 to February 2003, tibial plateau fractures were treated with arthroscopy. Tweenty seven patients are followed up over two years and the average follow-up period was fourty one months. We classified the fractures according to the Schatzker classification. We reduced the fracture over 2mm depression and displacement on articular surface in simple radiologic finding. Firstly, we treated the associated injuries and reduced the fractures using Steinmann pins. Then, we accomplished internal fixation or external fixation. Both the postoperative clinical and radiological results were evaluated by Rasmussen system. Results: In all tweenty seven cases, the fractures were healed completely in average fourty one months. According to Rasmussen classification, we obtained the excellent or good results in 23 cases. An average range of motion was between 2.5 degrees and 130 degrees. However, postoperative infection developed in one case and the other had loss of reduction. Conclusions: We consider that arthroscopically assisted operative treatment of tibial plateau fracture is a useful method. We can reduce joint surface correctly and treat associated injuries with arthroscopy. There are less complications.

  • PDF

Arthroscopic Direct Removal of Popliteal Cyst by Posteromedial Portal (관절경하 후내측 도달법을 이용한 슬와 낭종의 직접적 제거술)

  • Cho, Jin-Ho;Kim, Yong-Hoon;Kim, Dong-Hwan
    • Journal of the Korean Arthroscopy Society
    • /
    • v.9 no.2
    • /
    • pp.232-237
    • /
    • 2005
  • Purpose: To evaluate the effectiveness of arthroscopic direct cystic removal of popliteal cyst using 70 degree arthroscopy and posteromedial portal. Materials and Methods: From January 2003 to January 2004, 21 patients(23 cases) with popliteal cyst have been treated by direct cystic decompression with arthroscopy. The average age of the 21 patients was 54 years(range 35 to 78 years). There were 5 males and 16 females. Of the 23 cases,8 cases were occured in right side and 11 cases were occured in left side. 4 cases were both sides. In all cases, preoperative MRI were performed to detect combined intraarticular pathology. At 6 months and 1 year postoperatively, follow-up ultrasonography were performed to detect recurrence of cyst. We used Rauschning and Lindgren criteria for clinical evaluation. Results: All cases had no recurrence and no complaints of pain, swelling, or functional impairment at 1 year after surgery. At ultrasonography, no recurrence were founded. One complication was occurred. Postoperatively, Rauschning and Lindgren criteria were more than grade 1. Conclusion: Arthroscopic direct cystic removal using arthroscopy and posteromedial portal is an effective method in popliteal cyst surgery.

  • PDF

Ankle Arthroscopy for Occult Injuries in the Acute Ankle Fracture (급성 족 관절 골절에서 잠재 손상에 대한 족 관절경)

  • Choi Chong-Hyuk;Yang Kyu-Hyun;Park Seong-Jin
    • Journal of the Korean Arthroscopy Society
    • /
    • v.5 no.2
    • /
    • pp.124-130
    • /
    • 2001
  • Purpose : To identify occult intra-articular pathologies in the acute ankle fracture using arthroscopy and to investigate the factors to predict its possibility of occult injuries that could be occurred. Materials and Methods : This prospective study included fifty patients who got operation for the ankle fractures. Ankle arthroscopy was performed to document the type and anatomical location of occult lesion. We investigated the correlation between incidence of occult injuries and specific fracture type. Results : Of fifty ankles, 37 ankles had occult lesion. Twenty five loose bodies including displaced fragments were found and various cartilage lesions were found in 31 ankles. Tibial avulsion fragment by anterior inferior tibiofibular ligament was occurred in 6 cases. There was no correlation between the incidence of occult lesion and various factors including age, sex, injury mechanism and fracture type(p>0.05). Conclusion : The ankle arthroscopy had an effective role for the detection and treatment of occult injuries and it was difficult to predict the occurrence or associated accurately in all of th ankle fractures.

  • PDF

Tophaceous Gout in the Rotator Cuff with Impingement Syndrome - A Case Report - (충돌증후군을 동반한 회전근개에 발생한 결절성 통풍 - 증례 보고 -)

  • Lee, Wooseung;Yoon, Jung Ro;Kim, Young-Bae;Kang, Kyu Bok;Yun, Ho Hyun;Lee, Jiwun
    • Journal of the Korean Arthroscopy Society
    • /
    • v.17 no.1
    • /
    • pp.61-65
    • /
    • 2013
  • Tophaceous gout, which is usually presented in the synovial fluid, bursal lining, cartilage or other soft tissues, may cause a nonoutlet impingement in the rotator cuff and bursa. In chronic tophaceous gout patient with the shoulder pain, a surgeon should consider the possibility of the tophaceous gout of the rotator cuff. We report a surgical experience of a 50-year-old man with tophaceous gout of the rotator cuff causing impingement syndrome. The patient was treated successfully with arthroscopic debridement and subacromial decompression.

  • PDF

Arthroscopic Evaluation of Graft Extrusion after Lateral Meniscal Allograft Transplantation - A Case Report - (외측 반월상 연골 이식술 후 이식물 탈출의 관절경적 평가 -증례 보고-)

  • Kim, Hee-Chun;Kim, Taik-Sun;Kim, Young-Bae;Yang, Jai-Hyuk;Kim, Jin-Kak;Yoon, Jung-Ro
    • Journal of the Korean Arthroscopy Society
    • /
    • v.17 no.1
    • /
    • pp.76-78
    • /
    • 2013
  • The meniscus is considered "extruded" when it extends beyond the tibial margins more than 3 mm in a coronal view of magnetic resonance imaging (MRI). However, identifying the meniscal extrusion intraoperatively may be difficult because of the simple fact that most of the arthroscopic procedures are done in knee flexion position while follow up MRI studies area taken at knee extension position. Here, we demonstrate the arthroscopic technique for evaluating the meniscal extrusion.

  • PDF

Arthroscopy Assisted 2 Cannulated Screw Fixation for Transverse Glenoid Fracture: A Case Report

  • Park, Sam-Guk
    • Clinics in Shoulder and Elbow
    • /
    • v.19 no.2
    • /
    • pp.105-109
    • /
    • 2016
  • Arthroscopy is recognized as an important adjunct in treatment of intra-articular fractures. The author reports on successful treatment of a displaced transverse glenoid cavity fracture, reduced and fixed with arthroscopic assist, using two cannulated screws perpendicular to the fracture surface, in a patient with frail chest. One screw passed through the Neviaser portal, and the other screw passed through the base of the coracoid process. Arthroscopy assisted reduction and 2 cannulated screw fixation through the Neviaser portal and coracoid base appears to be a good method for treatment of transverse glenoid fractures.