• Title/Summary/Keyword: Arthroscopy Surgery

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Arthroscopic Anterior Cruciate Ligament Reconstruction Using Autogenous Hamstring Tendon Graft Without Detachment of the Tibial Insertion (경골 종지부를 분리하지 않은 자가슬괵건을 이용한 관절경적 전방십자인대 재건술)

  • Kim Sung-Jae;Lee Yun-Tae;Kim Hyun-Kon
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.81-85
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    • 1997
  • This article describes a modified arthroscopic technique of anterior cruciate ligament (ACL) reconstruction using quadrupled hamstring tendon graft. The autogenous semitendinosus and gracilis grafts are harvested without detachment of the tibial insertion. To obtain longer graft, the accessory tibial insertions of the hamstring tendons are dissected. The EndoButton(Acupex Microsurgical, Andover, MA) is used for femoral fixation and two spiked staples are used for tibial fixation in a belt buckle fashion. Then the residual anterior laxity is restored by additional absorbable interference screw fixations. In this technique. more viable graft is obtained and firmer distal fixation is achieved by preservation of the tibial insertion of hamstring tendons.

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Localized Form of Tenosynovial Giant Cell Tumor Arising from the Posterior Cruciate Ligament of the Knee - 2 Cases Report - (슬관절 후방십자인대에 발생한 건막 거대세포종 - 2예 보고 -)

  • Chung Whan-Yong;Kim Yong-Chan;Jo Sung-Kwun
    • Journal of the Korean Arthroscopy Society
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    • v.7 no.1
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    • pp.87-91
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    • 2003
  • Localized form of tenosynovial giant cell tumor rarely affects the knee joint, only a few cases can be found in the literatures and there is no case report of the giant cell tumor arising from the posterior cruciate ligament in Korea. We experienced two cases of giant cell tumor arising from the posterior cruciate ligament, they were excised arthroscopically and pathologically confirmed. So we report these cases with a review of the literatures.

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Discoid Medial Meniscus - case report - (내측 원판형 연골 1례 보고 - 증례 보고 -)

  • Bae, Dae Kyung;Yim, Chang Moo;Chun, Young Soo
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.177-180
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    • 1998
  • Discoid meniscus is an uncommon cause of internal derangement of the knee joint. The discoid medial meniscus is much less common than the discoid lateral meniscus. A 15-year-old male student had a incomplete discoid medial meniscus of right knee combined with a horizontal tear. This was confirmed by magnetic resonance imaging(MRI) and arthroscopic procedure. Partial meniscectomy was performed arthroscopically. An unevenful recovery followed. We report a case of discoid medial meniscus with brief review of literature.

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Subacromial Impingement Syndrome following Hook Plate Fixation for Distal Clavicle Fracture -A Case Report- (원위 쇄골 골절에 대한 금속판 고정술 이후 발생된 견봉하 충돌 증후군 - 증례보고 -)

  • Moon, Kyu-Pill;Kang, Min-Soo;Choi, Sung-Jong
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.19-21
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    • 2011
  • Clavicle Hook pate was commonly used in the injury around distal clavicle such as fractures, acromio-clavicular joint injury. We experienced a case of impingement syndrome following operation of distal clavicle fracture using Clavicle Hook plate. So we report this case with a reiview of current literatures.

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Unusual Pattern of Simultaneous Bilateral Anterior Cruciate Ligament Ruptures in an Adolescent - A Case Report - (청소년기의 비전형적 양측 전방 십자인대 동시 파열 - 증례 보고 -)

  • Min, Kyung-Dae;Ahn, Young-Joo;Kim, Jun-Bum;Choi, Hyung-Suk;Lee, Byung-Ill
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.1
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    • pp.65-69
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    • 2005
  • It is well known that the two main variants of the anterior cruciate ligament (ACL) ruptures in an adolescent include tibial eminence fractures and midsubstance tears. Authors report a case of 17-year-old girl with simultaneous bilateral anterior cruciate ligament ruptures at the ligamento-osseus junction of tibial attachment which was treated with arthroscopic primary repair.

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Concomitant Subscapularis tear (견갑하근의 동반 파열)

  • An, K.Y.;Moon, Young-Lae;Kang, J.H.
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.201-204
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    • 2009
  • 견갑하근 파열의 손상과 치료방식이 발전하면서 견갑하근의 중요성이 더욱 대두되었고 이에 견갑하근의 파열양상, 봉합방법 그리고 후상방 회전근 개 파열과의 관련성 등이 여러 저자들에 의해서 연구 되고 있다. 즉, 이전까지 관심의 대상에서 제외 되었던 견갑하근의 부분파열이 점차적으로 회전근 개 파열의 중요한 역할을 하며 상완 이두건초염과 오구상완 인대의 내측활차의 손상이 이러한 부분파열의 원인을 제공할 수 있음을 알 수 있다. 그러나 견갑하근 파열에 대한 정확한 원인 인자는 아직 불투명하다. 이에 본 교실에서는 견갑하근 파열의 치료와 견갑하근 파열과 동반 손상된 상완 이두건 손상및 탈구 등을 치료하고 이에 대해 문헌 고찰과 함께 손상 종류에 따른 치료방법을 살펴보고 이에 대해 알아보고자 한다.

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Arthroscopic Procedure in the Treatment of Chronic Lateral Ankle Instability (만성 발목 불안정증의 치료에서 관절경 수술)

  • Lee, Ho Jin;Jeong, Bi O
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.25-31
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    • 2021
  • The open Broström procedure is considered the surgery of choice for treating chronic lateral ankle instability. The role of arthroscopy has gained popularity in the surgical treatment of chronic lateral ankle instability, partly for the ability to manage the intra-articular pathology combined with ankle instability. Arthroscopic techniques can be divided broadly into the arthroscopic-assisted Broström technique and arthroscopic all-inside ligament repair. The clinical results of these arthroscopic techniques are similar to open procedures. The arthroscopic technique may be an excellent alternative to the open Broström procedure in treating chronic lateral ankle instability when applying the appropriate indications.

Subtalar Arthroscopy : Indication and Results (거골하 관절경 : 적응증과 그 결과)

  • Ahn, Jae-Hoon;Lee, Kwang-Won;Kim, Ha-Yong;Lee, Seung-Hun;Choy, Won-Sik;Kim, Seung-Kwon
    • Journal of the Korean Arthroscopy Society
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    • v.11 no.1
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    • pp.39-44
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    • 2007
  • Purpose: To evaluate the results of subtalar arthroscopy and to define the indications for the procedure. Materials and Methods: Fifty-four patients were followed up for more than 1 year after subtalar arthroscopy. The mean age was 40 years, and the mean follow-up period was 18 months. Preoperative diagnoses included sinus tarsi syndrome in 19 cases, degenerative arthritis in 13 cases, calcaneal fracture in 10 cases, arthrofibrosis in 5 cases, os trigonum syndrome in 3 cases, talar fracture in 3 cases, talocalcaneal coalition in 3 cases and calcaneal tumor in 1 case. Clinically AOFAS ankle-hindfoot scale and satisfaction of the patients were evaluated. Results: There were 23 synovectomies, 13 subtalar fusions, 11 diagnostic arthroscopies, 5 adhesiolyses, 4 loose body removals, 3 excisions of os trigonum and 1 arthroscopic reduction of fracture. Twenty-five ankle arthroscopies and 11 modified Brostrom's operations were performed for the accompaning 17 ankle impingment syndromes, 11 chronic ankle instabilities and 7 osteochondral lesions of talus. AOFAS ankle-hindfoot scale was increased from 33 points preoperatively to 77 points postoperatively in subtalar fusion group, and was increased from 69 points preoperatively to 89 points postoperatively in other-than-fusion group. Ninety one percent of patients were satisfied with the procedures. There were no serious complications related to the subtalar arthroscopy. Conclusion: Subtalar arthroscopy appears to be safe and highly accurate procedure for subtalar pathology, although it requires technical expertise.

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Bilateral Congenital Deficiency of The Anterior Cruciate Ligament (선천성 양측 전방십자인대 결핍)

  • Park Seung Rim;Kim Hyoung Soo;Kang Joon Soon;Lee Woo Hyeong;Lee Joo Hyung;Lee Tong Joo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.108-111
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    • 1997
  • Congenital deficiency of the anterior cruciate ligament (ACL) is a rare disorder that has been reported in association with other knee dysplasia like as congenital knee dislocation. congenital short femur, congenital absence of menisci, congenital ring meniscus, and thrombocytopenia-absent radius syndrome. There has been no published explanation about the etiology of bilaeral ACL deficiencies without other abnomality. The patient of congenital ACL deficiency must be carefully inspected about combined anomaly. Those efforts may be helful in treatment or ACL deficient patients and evaluation of pathophysiology or ACL deficiency. However there has not been a ruptured congenital deficiency of the ACL without other dysplasia or the knee and other congenital skeletal abnomalities. We reported a case of symptomatic bilateral congenital deficiencies of the ACL which have not been associated with other skeletal abnormalities.

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Septic Arthritis after Arthroscopic Meniscal Repair (관절경적 반월연골판 봉합술 후 발생한 수술 후 화농성 관절염)

  • Jeon, Ho Seung;Woo, Young Kyun;Hwang, Seok Ha;Suh, Seung Pyo;Jeong, Ho Wong
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.97-102
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    • 2017
  • The incidence of septic arthritis after knee arthroscopy surgery has rarely been reported in approximately 0.04% to 3.4%. Moreover, septic arthritis after arthroscopic meniscal repair is more rare. There have been some reported cases, but in Korea, it has not been reported thus far. Herein, we report two cases of septic arthritis after arthroscopic meniscal repair with review of literature.