• Title/Summary/Keyword: Knee Arthroscopy

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Localized Pigmented Villonodular Synovitis Developed on the Posterior Cruciate Ligament of the Knee: Treatment Using Posterior Trans-septal Portal - A Case Report - (후방 십자 인대에 발생한 국소형 색소 융모 결절성 활액막염 : 관절경하 후방 경격막 삽입구를 이용한 치료 - 증례 보고 -)

  • Lee, Gyu-Yeong;Lee, Hwa-Sung;Chang, Dong-Gune
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.264-267
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    • 2009
  • Pigmented villonodular synovitis (PVNS) is a benign proliferative disorder of the synovium of joints. It occurs most commonly in the knee joint. The disease is composed of 2 different forms: diffuse and localized. The localized form is less frequent than the diffuse one. Most cases of localized PVNS involve the anterior compartment of the knee and can be usually easily diagnosed and treated with arthroscopy. We experienced a patient of localized PVNS developed on the posterior cruciate ligament, whose main symptom was persistent pain after trauma. This case occurs rarely and complete removal of the lesion was performed arthroscopically, using posterior trans-septal portal. We report this case with review of literatures.

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Intra-articular Synovial Hemangioma of the Knee - A Case Report - (슬관절의 관절내 활액막 혈관종 - 증례 보고 -)

  • Kim, Jin-Wan;Cho, Hyung-Lae;Ku, Jung-Hoei;Ko, Young-Chul;Hong, Seong-Hwak
    • Journal of the Korean Arthroscopy Society
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    • v.10 no.1
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    • pp.91-94
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    • 2006
  • Synovial hemangioma of the knee joint has been reported as a rare cause of pain, limitation of motion and hemarthrosis, often seen as an internal derangement of the knee. A 39-year-old woman presented with spontaneous hemarthrosis of the left knee joint and physical exam revealed a small painful mass adjacent to the medial side of the patella. Magnetic resonance imaging revealed an intra-articular tumor. Arthroscopic excision was performed and the histology was characteristic of hemangioma. Through this case, we discuss the diagnosis and treatment options for the synovial hemangioma of the knee.

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Observation of Lateral Compartment through Posteromedial Trans-posterior Septal Portal in Knee Joints (슬관절 후내측 후격막 통과 도달법을 이용한 외측 구획의 관찰)

  • Lee, Ghun-Shik;Park, Han-Sung;Kim, Sang-Hyo
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.1
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    • pp.56-59
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    • 2005
  • Trans-posterior septal posterior arthroscopic portals are useful in performing arthroscopic diagnosis and treatment of the lesions located in posterior aspect of knee joints. Except inferior surface of posterior horn of lateral meniscus, we easily observed entire lateral compartment, especially inferior surface of anterior horn and lateral tibial condyle by figure of 4 position through posteromedial trans-posterior septal arthroscopic portal. And it was possible to obtain visual field from posterior aspect and we could use anteromedial and anterolateral portals for instrumentation without clouding. So, this procedure may be useful in performing surgery of lateral compartment especially, anterior aspect in the knee joints.

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Discoid Medial Meniscus in the Knee - A case report - (슬관절 내측 원판형 연골 - 1례 보고 -)

  • Kyung, Hee-Soo;Kim, Kyung-Hoon;Oh, Chang-Wug
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.58-62
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    • 2009
  • A discoid medial meniscus is a relatively rare pathology of the knee joint, and we recently encountered a patient with discoid medial meniscus, and this report is a case of therapeutic experience in this patient. The patient was twenty years old man who had a persistent dull pain for several years without specific trauma history. He was presumptively diagnosed as discoid medial meniscus by MRI, and arthroscopic examination confirmed the presence of the complete type of discoid medial meniscus with horizontal tear. We performed arthroscopic partial meniscectomy, and the patient could get free from symptom.

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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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Mosaicplasty for The Treatment of the Chondral Defect of The Knee (슬관절의 연골결손에 대한 자가 골연골 이식술)

  • Choi, Nam-Hong
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.147-153
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    • 2008
  • Several methods to resurface the lost cartilage of the knee have been used; multiple drilling, microfracture, abrasion arthroplasty. Resurfaced cartilages resulting from above techniques are mostly fibrocartilage. Autologous osteochondral graft transfer and autologous chondrocyte transfer are known to resurface the lost cartilage with mostly hyaline cartilage. This article reviews basic researches, indications, operative technique, and clinical results of autologous osteochondral graft transfer.

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Rehabilization after ACL Reconstruction (전방십자인대 재건술후 재활치료)

  • Shin, Dong-Min
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.86-90
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    • 1997
  • Good stability and complete range of motion should be the ultimate goal of a rehabilitation program after ACL reconstruction. In previous years. the rehabilitation of the ACL reconstructed knee focused on protecting the new ligament by blocking terminal knee extension, hut, despite good stability, this approach led to numerous postoperative complications. Nowadays, most of surgeons agree the accelerated rehabilitation program based on the concept of ligamentization and clinical experience. Accelerated rehabilitation program consists of maintain of full extension of the knee, early weight bearing and prompt recovery of ROM, and closed kinetic chain exercise. Meeting this goal requires effective communication between-members of the health care team-the physician, physical therapist, atheletic trainer, and the patient. We have to know the importance of rehabilitation, knowlege about the physical therapy, and to introduce for special physical therapist and equipment.

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Meniscal Ossicle in the Knee - Case Report - (슬관절의 반월상연골내 소골 - 증례 보고 -)

  • Kwon, Sai-Won;Choi, Hyung-Suk;Cho, Sang-Ik;Yoo, Jae-Eung;Park, Jong-Seok
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.268-271
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    • 2009
  • Meniscal ossicle in the knee is very rare disease and is important to distinguish with loose body. We experienced a case of meniscal ossicle that had knee joint pain and clicking on standing up and met with a good result with arthroscopic meniscectomy. Therefore, we report this case with a review of relevant literature.

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Arthroscopic Debridement of the Knee Joint (슬관절의 관절경적 변연절제술)

  • Suh, Jeung Tak;Park, Byung Guk;Song, Jin Heon
    • Journal of the Korean Arthroscopy Society
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    • v.2 no.2
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    • pp.159-163
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    • 1998
  • We reviewed the cases of 35 knees of 34 patients who had arthroscopic debridement for degenerative osteoarthritis of the knee. The patients were followed up for an average of 29 months (range: 13 months to 45 months). The mean age of the patients at operation was 54 years (range: 44 years to 75 years). At the time of follow up, the patients were evaluated using the nine-point scale by Baumgaertner et al. We divided the knee into 4 stages according to the classification system by Jackson et al. Satisfactory results were achieved in 80%(stage I), 75%(stage II), 55.6%(stage III) and 25%(stage IV) of the patients. Arthroscopic debridement is of significant value in the earlier stages of degenerative osteoarthritis (stage I and II) for the symptom relief as a simple procedure with rare complication as well as in the later stages(stage III and IV) as a time buying procedure before the total knee arthroplasty.

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