• Title/Summary/Keyword: Ligament Reconstruction

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

  • Jeon, Ho-Seung;Jeon, Seung-Ju;Kim, Jong-Min;Seo, Young-Ray
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.124-127
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    • 2010
  • Pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction is a very rare complication, and a few are reported in and outside the country. Some authors report that it may break out with a variety of causes at any time. We experienced a case of pretibial ganglion cyst after arthroscopic anterior cruciate ligament reconstruction using Achilles tendon allograft and bioabsorbable interference screw in 34-year-old male. So we report this case including the cause and the treatment with a review of the literature.

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

  • Kim, Cheol-Woong;Lee, Ho-Sang;Bae, Ji-Hoon;Wang, Joon-Ho;Park, Jong-Woong;Oh, Dong-Joon
    • Proceedings of the KSME Conference
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    • 2008.11a
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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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Anterior Cruciate Ligament Reconstruction using the Autogenous Bone-Patellar Tendon-Bone Graft (관절경적 전방십자인대 재건술)

  • Jung, Young-Bok;Yum, Jae-Kwang
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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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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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 (앞십자인대 재건술 후 토구를 이용한 불안정한 표면에서 운동과 안정된 표면에서 운동 시 하지 근활성도와 균형의 비교)

  • Lim, Chang-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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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.

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

  • Lee, Ju-Hong
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.111-114
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    • 2009
  • Double-bundle anterior cruciate ligament reconstruction (DBACLR) has been developed to produce better clinical outcomes in traditional single-bundle reconstruction, which showed considerable rate of dissatisfaction in restoration of stability and function of the anterior cruciate ligament deficient knee. There is plenty of evidence that DBACLR has theoretical advantages in anatomical, biomechanical, biological, kinematical, and possibly clinical standpoint compared with traditional one but still a lack of available clinical outcome studies with sufficient follow-up to demonstrate the substantial advantages of DBACLR. The purpose of this article is to review the clinical outcomes of double-bundle technique and to address controversy exists over the usefulness of this technique.

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

  • Park, Chang-Hyun;Song, Yun-Kyung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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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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End Stage Ankle Arthritis with Ankle Instability Patients Treatment Results Using Autograft Ligament Reconstruction with Total Ankle Arthroplasty (인대 불안정성이 동반된 말기 족근 관절염 환자의 자가 인대 재건술과 인공관절 치환술의 치료 결과)

  • Choi, Jae-Hyuck;Kim, Jeong-Ryoul;Kim, Dong-Hyun;Chung, Woo-Chull;Yoon, Jung-Ro;Yeo, Eui-Dong;Lee, Kyung-Tai
    • Journal of Korean Foot and Ankle Society
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    • v.14 no.1
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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.