• 제목/요약/키워드: Ligament Reconstruction

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전방 십자 인대 재건술 후 발생한 전경골 결절종 - 1례 보고 - (Pretibial Ganglion Cyst after Arthroscopic Anterior Cruciate Ligament Reconstruction - A Case Report -)

  • 전호승;전승주;김종민;서영래
    • 대한관절경학회지
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    • 제14권2호
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    • pp.124-127
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    • 2010
  • 전방 십자 인대 재건술 후에 발생한 전경골 결절종은 매우 드문 합병증으로 국내외에 그 보고가 매우 적으며, 몇몇 저자들이 그 발생 시기 및 원인들이 다양하다고 보고하고 있다. 저자들은 34세 남자에서 아킬레스 동종건과 생체 흡수성 간섭나사를 이용한 관절경적 전방 십자 인대 재건술 후 발생한 전경골 결절종 1예를 치험하였기에, 그 발생 원인 및 치료를 포함하여 문헌 고찰과 함께 보고하고자 한다.

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PCL 재건술용 아킬레스 이식건의 종골편 고정법과 연부조직 고정법에 따른 활주거동 (Slippage Behavior Due to the Calcaneus Fixation and Achilles Tendon Soft Tissue in Posterior Cruciate Ligament (PCL) Reconstruction)

  • 김철웅;이호상;배지훈;왕준호;박종웅;오동준
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2008년도 추계학술대회A
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    • pp.1527-1532
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    • 2008
  • 45% of the sports accidents is the knee damage and the representative case is the damage of an Anterior Cruciate Ligament (ACL) and the Posterior Cruciate Ligament(PCL). Although the past different views of ACL reconstruction comes to an agreement, the disputes of PCL is remained yet. The most important engineering approach for these various surgery techniques is accurately to understand and to evaluate the fatigue behavior depending on the stress flow and the stress distribution under the allotted load and the cyclic load, which are caused by the graft fixing device, the proximal tibia of the PCL reconstructing structure. Therefore, this study is the basic research of these above facts. The current transtibial tunnel surgery using the cadaveric Achilles tendon grafts is chosen for the various PCL reconstruction. The relationships between the slippage, the extension ratio, and the slippage ratio by the heel bone fixing method and the soft tissue fixing method of the Achilles tendon were also defined. This research will be the essential data to help the resonable operating techniques for the next PCL reconstruction.

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관절경적 전방십자인대 재건술 (Anterior Cruciate Ligament Reconstruction using the Autogenous Bone-Patellar Tendon-Bone Graft)

  • 정영복;염재광
    • 대한관절경학회지
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    • 제1권1호
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    • pp.47-51
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    • 1997
  • A torn anterior cruciate ligament(ACL) is the most common serious ligamentous injury to the knee joint. The incidence of ACL tears seems to be increasing, at least partly as a result of the increasing participation of individuals of all ages in high-risk sports. The most commonly used graft source for ACL reconstruction is the autogenous bone-patellar tendon-bone graft unit. Despite a good success record. postoperative complications, such as infection, patellar contracture/patellar baja, patellar fracture, rupture of the patellar tendon, graft failure without reinjury, can occur following ACL surgery. The purpose of this paper is to provide guidelines regarding the key points of the reconstructive procedure in a sequence and how to prevent or minimize the complications that can follow ACL reconstructive surgery. We want this knowledge can help orthopaedic surgeons to understand the reasons for previous and current successes and failures of reconstruction of the ACL, and it can help them to plan the care of patients who have an injury of the ligament.

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앞십자인대 재건술 후 토구를 이용한 불안정한 표면에서 운동과 안정된 표면에서 운동 시 하지 근활성도와 균형의 비교 (Comparision of the Muscle Activity and Balance of Lower Extremities in Exercise Using TOGU on the Unstable Surface and Stable Surface after Reconstruction of the ACL)

  • 임창훈
    • 대한물리의학회지
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    • 제7권3호
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    • pp.251-258
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    • 2012
  • Purpose : The purpose of this study is to provide an efficient and basis for muscle activity of Quadriceps muscles and balance in anterior cruciate ligament reconstruction patients through unstable surface exercise and stable surface exercise. Methods : This study included 30 anterior cruciate ligament reconstruction patients belonging to A hospital and D orthopedic surgery clinic of province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 15 attended the unstable surface exercise program and 15 the stable surface exercise program. To increase muscle activity (%MVIC) and balance (WPL), the unstable surface exercise. Results : The %MVIC of lower extrmity muscle(RF, VL, VM) increased from before training to after training in the case of the participants who performed the unstable surface exercise, and the whole path length (WPL) decreased from before the training to after the training(p<.05). Conclusion : In conclusion, unstable surface exercise program helps to improve the balancing ability and musle activity in a anterior cruciate ligament recunstruction patients who requires both muscle activity and balance than stable surface exercise program.

이중 다발 전방십자인대 재건술의 임상적 결과 (Clinical Review in Double-Bundle Anterior Cruciate Ligament Reconstruction)

  • 이주홍
    • 대한관절경학회지
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    • 제13권2호
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    • pp.111-114
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    • 2009
  • 단일 다발 십자인대 재건술의 임상적 결과를 보다 향상하고자 제안된 이중 다발 전방십자인대 재건술은 해부학적, 생역학적, 생물학적, 운동역학적으로 많은 이론적 장점이 있고 이에 따른 임상적 측면에서의 결과 향상이 기대되지만 이를 입증할 만한 충분한 관찰 기간을 가진 임상적 연구들이 매우 부족한 실정이다. 따라서 저자는 이중 다발 전방십자인대 재건술에 관련되어 최근까지 발표된 문헌을 통해 임상적 결과를 분석하고 이에 제기된 문제점을 살펴보고자 한다.

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한방 치료와 연속 수동 운동(CPM)을 병행한 전방 십자인대 파열 환자의 수술 후 재활 치료에 대한 증례 보고 (The Clinical Case Report about Postoperative Rehabilitation for the Tear of Anterior Cruciate Ligament Treated with Korean Medical Treatment and Continuous Passive Motion)

  • 박창현;송윤경
    • 척추신경추나의학회지
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    • 제11권1호
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    • pp.97-107
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    • 2016
  • Objectives : The objective of this study is to report the effect of Koran medical treatment and CPM exercise on recovery after reconstruction surgery of torn anterior cruciate ligament Methods : A 27-year-old male patient who had anterior cruciate ligament reconstruction surgery was treated by Korean medical treatment and CPM exercise from March 24th 2015 to April 16th 2015. Results : After treatments, VAS were generally decreased, ROM of Lt. knee got better from $95^{\circ}/10^{\circ}$(flexion/extension) to $120^{\circ}/-5^{\circ}$ (flexion/extension), Lysholm Score increased from 26 to 63. Conclusions : This study showed that Korean medical treatments and CPM exercise has meaningful effect on recovery after reconstruction surgery of anterior cruciate ligament. And it is considered that we need to apporoach recovery of these kinds of operation with more active Korean medical treatment, and further researches should be done steadily.

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인대 불안정성이 동반된 말기 족근 관절염 환자의 자가 인대 재건술과 인공관절 치환술의 치료 결과 (End Stage Ankle Arthritis with Ankle Instability Patients Treatment Results Using Autograft Ligament Reconstruction with Total Ankle Arthroplasty)

  • 최재혁;김정렬;김동현;정우철;윤정로;여의동;이경태
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.47-52
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    • 2010
  • Purpose: We report the clinical and radiographic result of ligament reconstruction using plantaris and total ankle replacement in end-stage ankle arthritis with ankle instability. Materials and Methods: The study is based on the 9 cases among total 48 patients of end-stage ankle arthritis that were treated with total ankle prosthesis and ligament reconstruction from 2007 to 2009 at least 12 months follow-up. We evaluated the VAS (Visual analogue scale) pain score, AOFAS (American orthopedic foot and ankle society) score and radiographic measurements. Results: Average age was 59.4 years (53~67 years) old. VAS pain score improved from preoperative average $8.2{\pm}0.9$ (range, 7~10) to $2.7{\pm}1.7$ (range, 0~6) and the AOFAS score improved from $46.4{\pm}14.6$ points (range, 23~69) to $80.1{\pm}9.3$ points (range, 65~95) at final follow-up. Anterior draw test improved $15.2{\pm}3.4$ mm (range, 12~23 mm) to $8.8{\pm}2.6$ mm (range, 6~13mm), varus stress test improved from $13.9{\pm}4.6^{\circ}$ (range, $10-18^{\circ}$) to $6.2{\pm}4.7^{\circ}$ (range, $2-18^{\circ}$) at final follow up. Conclusion: Plantaris ligament reconstruction is good option as part of the management of ankle instability with end-stage ankle arthritis. We achieved good clinical and radiographic results.