• Title/Summary/Keyword: Cruciate ligament

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Pretibial Ganglion after Anterior Cruciate Ligament Reconstruction with Bioabsorbable Interference Screw fixation $(Bioscrew^{\circledR})$ - A Case Report - (생분해성 간섭나사를 이용한 전방 십자 인대 재건술 후 발생한 결절종 - 증례보고 -)

  • Song, Eun-Kyoo;Shim, Sang-Don;Kim, Myung-Sun
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.188-191
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    • 2002
  • The complication caused by a bioabsorbable interference screw composed of Poly-L-Lactic-Acid is rare after anterior cruciate ligament (ACL) reconstruction. We reported a case of a pretibial ganglion at the orifice of the tibial tunnel where the graft tendon had been fixed with a bioabsorbable interference screw $(Bioscrew^{\circledR})$ for ACL reconstruction using autogenous hamstring tendon. The patient was underwent ganglion excision and interference screw removal.

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A Case Report of Surgical Treatment in a Lamed Hunting Dog with Cranial Cruciate Ligament Rupture and Medial Meniscal Injury (사낭견에서 내측반월판 손상을 수반한 전방십자인대단열의 외과적 치유예)

  • 정순욱;김영대;박수현;정월순;이충헌;신영규
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.497-500
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    • 1999
  • A 4 years old male mixed breed dog, which weighed 25.5 kg, referred to Veterinary Teaching Hospital at College of Veterinary Medicine in Chonnam National University, because of chronic hindleg lameness. Click sound by flexion and extension of stifle joint, positive reaction by cranial drawer movement, fat pad sign and tibial position in cranial drawer position on the lateral radiographic view, medial patellar luxation (grade II), and lameness score 2.5 at standing and 2 at walking in right hindleg were showed. Under general anesthesia with enflurane, after medial arthrotomy, it was performed to remove remnants of cranial cruciate ligament and torn medial menisci and joint closed. In modified retinacular imbrication technique, one lateral fabellar/tuberosity suture, one medial fabellar/tuberosity suture, and one imbrication suture adjacent to the patella were placed. At 9 days after operation, lameness score 0 was observed and general condition was excellent.

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A study on modelling for ACL and PCL using various strain energy functions (다양한 변형률 에너지 함수를 사용한 전방 및 후방 십자 인대의 모델링에 관한 연구)

  • Lim, Jun-Taek;Choi, Deok-Kee;Kim, Young-En
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.658-663
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    • 2008
  • The mechanical study on the anterior and posterior cruciate ligament(ACL, PCL) is of importance because the recent increase of outdoor and indoor activities is directly related to causing sport injuries on the knee joints. Constitutive models for many biological tissues have been known as hyperelasticitic models. The elastic behavior of ACL and PCL may be described by the free energy function which accounts for the matrix and the collagen fibers. This paper addresses a comparison of different types of the free energy function to the existing results.

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Graft Length of the Bone-patellar Tendon-bone for Reconstruction of ACL (골-슬개건-골을 이용한 전방십자인대 재건술에서 이식물의 길이)

  • Kim, Jung-Man
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.55-62
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    • 1997
  • Various surgical techniques has been advocated for reconstruction of anterior cruciate ligament using the bone-patella tendon-bone graft. Recently endoscopic technique provides good clinical results, with minimal skin incision, accurate positioning of the graft to the femoral tunnel, and decreasing wear rate of the graft. But the graft-tunnel mismatch remains problematic in endoscopic technique. The purpose of this paper is to described causes of the graft-tunnel mismatch and to provide important steps to prevent or minimize the graft-runnel mismatch following anterior cruciate ligament while using the endoscopic technique. Our guideline for prevention of the graft-tunnel mismatch are as follows: (1) The tunnel should he positioned closely to isometric point as much as possible. (2) Anterior placement of the tunnel should be avoided. (3) The change of graft length should be within 2mm between flexion and extension position.

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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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The Natural History of Anterior Cruciate Ligament Deficient Knee (전방십자인대 손상 슬관절의 자연적 병의 경과)

  • Kim, Hyoung-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.41-46
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    • 1997
  • The natural history of the anterior cruciate ligament(ACL)-deficient knee remains controversial. although numerous investigation have tried to ascertain the course that the knee would follow once the ACL has lost functional integrity. An extensive review of the literature performed according to symptoms. physical examinations, associated surrounding tissue injuries. returns to activity level and radiological changes in the knee joint. An active individual with a non-functioning ACL was susceptible to injury to the menisci and deteriorate the articular cartilage, followed radiographic changes. An activity levels in general also changed after injury. The most common symptom was pain. But instability varied in these individuals. Conclusively we believe that all these factors will eventually, if not initially, result in a symptomatic knee. which will result in significant limitations to the individual's desired level. So we recommend an aggressive approach in person who desired to return to a relatively active life style in young person as well as in middle aged individuals who have significant symptomatic ACL deficient knee.

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Pretibial cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Autograft - A Case Report - (자가 슬괵근을 이용한 전방 십자 인대 재건술 후 발생한 전경골 낭종 - 증례 보고 -)

  • Seo, Seung-Suk;Kim, Chang-Wan;Ha, Dong-Jun;Jung, Hun-Jae
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.53-57
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    • 2009
  • The pretibial cyst is a very rare complication after anterior cruciate ligament (ACL) reconstruction. It occurs whatever kind of graft choice or kind of graft fixation method at tibial side. It have been known such as graft necrosis at tibial side, extra-articular leakage of joint fluid through tibial tunnel, foreign body reaction due to breakdown of the bioabsorbable screw and incomplete incorporation of graft to bony tunnel as the cause of pretibial cyst. We experienced one case of pretibial cyst which had undergone ACL reconstruction with autogenous hamstring graft fixed with biodegradable interference screw. We report a rare case of pretibial cyst with literature review.

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The Effects of Knee Brace on the Knee Muscular Neuro-Biomechanical Variables during the Rebound in Female Highschool Basketball Players (여자 고등학교 농구 선수들이 리바운드 점프 후 착지할 때 무릎보호대가 무릎의 근신경 생체역학적 변인에 미치는 효과)

  • Han, Ki-Hoon;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.107-113
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    • 2007
  • The purpose of this study were to investigate the effects of knee brace on the knee muscular neuro-biomechanical variables during the rebound in female highschool basketball players. Twelve high school female ($17.9{\pm}0.8years$) basketball players rebound jumped for maximal vertical height to sufficiently stress the anterior cruciate ligament with and without knee brace. Kinematic data were collected to estimate the knee flexion, abduction angles and jump height. The EMG data from the biceps femoris and rectus femoris was used to estimate the ratio of quadriceps muscle activity. Female athletes with knee brace showed more reduced the knee abduction angle and the ratio of quadriceps muscle activity at foot contact phase than without knee brace. In conclusion, Female athletes with brace reduced knee anterior cruciate ligament loads.

Tunnel Position for Anatomical Reconstruction of the Anterior Cruciate Ligament (해부학적 전방십자인대 재건술을 위한 터널의 위치)

  • Lee, Jin Kyu;Yang, Jae-Hyuk
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.4
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    • pp.305-310
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    • 2020
  • The review provides updated concepts regard to the anatomy of the anterior cruciate ligament (ACL) footprints. The concept of anatomical ACL reconstruction, in which the graft is placed in the native ACL insertion area, has been introduced. However, there is still no consensus on the anatomical positioning of the femoral and tibial tunnel. In this study, authors review and update the literature regarding the tunnel position for anatomical ACL reconstruction.

Localized Giant Cell Tumor of Tendon Sheath Arising from the Anterior Cruciate Ligament of the Knee - 2 Cases Report - (슬관절 전방십자인대에 발생한 국소형 건막 거대세포종 - 2례 보고 -)

  • Koo, Bon Seop;Kim, Kyung Chul;Lee, Ho Jooog
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.146-149
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    • 1999
  • The localized form of a giant cell tumor of tendon sheath rarely affected the large weight-bearing joints. Only four cases of localized giant cell tumor arising in the knee joint could be found in the literatures. Physical examination of the affected knee could show pain, swelling, locking, giving way and limitation of extension, but it was difficult to differentiate from meniscal tear or cruciate ligament tear. Two cases of localized giant cell tumor of tendon sheath were incidentally found in the knees during the reconstruction of the anterior cruciate ligaments. Both tumors arising from the anterior cruciate ligament were excised arthroscopically and were confirmed to be localized giant cell tumor of tendon sheath by microscopic examination. The clinical results were good after complete excision, so we reported these cases with a review of the literatures.

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