• 대한족부족관절학회지
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• 제13권1호
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• pp.34-39
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• 2009

Purpose: We try to evaluate the clinical results of the acute Achilles tendon rupture treated with Krackow suture technique. Materials and Methods: We reviewed 27 patients with acute Achilles tendon rupture treated between October 2005 and September 2007. There were 26 complete ruptures and 1 incomplete rupture. All were ruptured at tendinous area. There were 21 men and 6 women, and mean age was 38 years. We repaired ruptured Achilles tendon with Krackow suture technique. The results were evaluated with Arner-Lindholm scale for patients' satisfaction, strength of calf muscle power, calf circumference, and ankle motion. The average follow-up was 29 months. Results: The patients' subjective clinical results was excellent in 25 cases and good in 2 cases. There were 15 cases of less than 1 cm, 6 cases of 1${\sim}$3 cm, and 1 case of more than 3 cm in the calf circumference difference between the normal and affected leg. There were 20 cases of less than 5 degrees, and 2 cases of more 5 degrees in the difference of range of motion between the normal and affected ankle. We had an experience of postoperative deep infection in one diabetic patient. Conclusion: We had a good clinical result for acute Achilles tendon rupture treated with Krackow suture method. So we recommand Krackow suture technique for acute Achilles tendon rupture.

• 대한족부족관절학회지
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• 제7권2호
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• pp.223-231
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• 2003

Purpose: Achilles tendon rupture has become more common in the recent years. As suture with foreign material has been blamed for impaired healing, better results should be expected from the use of autogenous material such as plantaris tendon. We have evaluated the surgical results of end-to-end anastomosis using the plantaris tendon as suture material. Materials and Methods: Between Jan 1997 and Jan 2002, the 60 patients were included this study during one year follow-up. We performed the operations with end-to-end suture technique using modified Lynn's method. The plantaris tendon has been used as a autogenous suture material and can be utilized in the end-to-end anastomosis of ruptured Achilles tendon with modifed Bunnel suture technique. We used a clinical scoring system reported by Leppilahti to evaluate the results. Results: The overall results were excellent in thirty eight(63.3%), good in sixteen(26.6%), fair in five(8.3%) cases, and poor in only one (1.6%) case. Fifty four cases(90%) had the score more than good. We had no deep infection, rerupture, deep vein thrombosis, and skin necrosis as major complication. In just 2 cases, although there were superficial skin infection, the wounds did not proceed necrosis due to using antibiotics. Conclusion: End-to-end anastomosis using the plantaris tendon as suture material was good treatment option that had low infection rate and no foreign body reaction because of using autogenous material, and therefore we can get rapid healing of ruptured tendon due to early ragne of motion and accerlerated rehabilitation.

• 대한족부족관절학회지
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• 제20권2호
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• pp.73-77
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• 2016

Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.

• 대한족부족관절학회지
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• 제18권3호
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• pp.115-118
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• 2014

Purpose: The purpose of this study is to report on the result of repairing Achilles tendon using absorbable suture under nerve block. Materials and Methods: We retrospectively reviewed 20 patients with acute Achilles tendon rupture who were followed up for at least six months after the operation. We repaired Achilles tendon using two absorbable sutures using the Krackow technique for the proximal stump and the Kessler technique for the distal stump. A programmed postoperative management including non-weight bearing with a short leg cast for four weeks after the operation was applied for all patients. We evaluated clinical results using American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) for satisfaction, range of motion of ankle, functional recovery rate, and the starting time of single heel raise. Results: The mean VAS score for satisfaction and AOFAS score was 9.2 and 93.0, respectively. The affected ankle showed a mean dorsiflexion rate of 90% and plantar-flexion rate of 94% compared to the uninjured side. The single heel raise could start at a mean of 3.5 months after the operation. Conclusion: Treatment of Achilles tendon rupture with absorbable suture material using the hybrid suture technique of proximal Krackow and distal Kessler showed sufficient stability and minimal chronic inflammatory reaction.

• 대한족부족관절학회지
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• 제26권4호
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• pp.171-176
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• 2022

Purpose: This study reports on a series of patients with chronic lateral ankle instability that underwent the Brostrom procedure with suture tape augmentation and allowed early unrestricted weight-bearing in a simple stirrup brace. Materials and Methods: This retrospective study was conducted on 36 patients (22 males and 14 females of mean age 34 years [range 23~48 years]) with chronic lateral ankle instability treated using the Brostrom procedure using suture tape augmentation and inferior extensor retinaculum reinforcement with a fiber-wire connected to a SwiveLock screw inserted into the talus. When possible, patients started unrestricted weight-bearing in a stirrup brace from the third postoperative day. Demographics and functional outcomes, including American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot, visual analogue scale (VAS), and satisfaction scores, were recorded. In addition, varus stress radiographs obtained before and 24 months after surgery were compared. Patients were followed for a mean 29 months (range 25~40 months). Results: Mean AOFAS ankle-hindfoot scores increased from 51 points preoperatively to 92 points at final follow-up, and mean VAS decreased from 6.8 to 1.2 points. Mean patient satisfaction scores were 8.7 at 12 months and 9.6 at 24 months. Stress radiographs demonstrated that talar tilt decreased from a mean 18 degrees preoperatively to 7 degrees at 24 months. Conclusion: Early unrestricted weight-bearing in a stirrup brace following the Brostrom procedure with suture tape augmentation is a successful protocol for treating chronic lateral ankle instability.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권6호
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• pp.374-376
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• 2019

Last week, after our receiving online journal regarding Journal of the Korean Association of Oral and Maxillofacial Surgeons, we found a recently published original article by Alawode et al., entitled "A comparative study of immediate wound healing complications following cleft lip repair using either absorbable or non-absorbable skin sutures". Although this clinical article was well written and provided a great deal of information regarding the suture materials in the cleft lip repair, I would like to add a few additional comments based on the importance of skin suture during cheiloplasties in the primary cleft lip or secondary revision patients with representative figures.

• Journal of Yeungnam Medical Science
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• 제23권1호
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• pp.108-112
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• 2006

The frequency of a bladder foreign body in the female is lower than in the male, and bladder stones attached to foreign bodies such as non-absorbable suture material are not common. Moreover, vesicovaginal fistulas due to migration or puncture of suture materials into the bladder are rare. In this report, we present a case of bladder stone and vesicovaginal fistula formation in a 29-year-old female patient who had been treated with the McDonald operation for an incompetent internal os of the cervix (IIOC) during pregnancy. The patient was successfully treated by cystoscopic removal of the bladder stone with suture material and conservative treatment for the vesicovaginal fistula.

• Clinics in Shoulder and Elbow
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• 제6권2호
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• pp.149-160
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• 2003

Purpose: to determine the results after open intramedullary nailing and tension band suture technique in proximal humerus fracture for improving the stability and decreasing the complications. Materials and Method: Authors reviewed 27 patients treated by open intramedullary nailing and tension band suture technique. Mean follow-up period was 39 months (24-59months). Surgical neck fracture were 6 cases, surgical neck fracture with shaft fracture were 3 cases, three part fracture with greater tuberosity fracture were 17 cases, four part fracture was 1 case and fracture and dislocation were 2 cases Results: We got the bony union in 26 cases. Average pain scale was 1 point (0-6), Neer score was 86 point(45-99) and ASES score was 85 point(40-100). We separate all cases in two groups based on age (65 years), L-spine t-score (-2.5) and Neer classification (2 and 3 part). There is no significance in pain scale, Neer score and ASES score between each group. Conclusion: As a method of surgical treatment on severe proximal humeral fractures, we recommend intramedullary nailing and tension band suture technique and it may have particular advantages in early exercise and satisfactory functional outcome.

• Clinics in Shoulder and Elbow
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• 제12권2호
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• pp.207-214
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• 2009

목적: 관절경 하 회전근 개 봉합에서 일반적으로 건-봉합간 접촉면 (tenon-suture interface) 에 약한부위 (weak link)가 형성되어 있어 관절경 하 회전근 개 봉합은 개방적 봉합술보다 높은 재파열율을 가진다. 이 연구의 목적은 봉합사를 뼈에 고정할 때 관절경으로 사용할 수 있는 UU (Ulsan University) 봉합과 개방적 변형 MA (Mason-Allen) 봉합의 강도를 비교하는 것이다. 대상 및 방법: 한 구의 사체 극상근 건을 채취하여 절반으로 나눈 후 다시 절반을 나누어 사체의 어깨 관절 한 구당 네 개의 건을 만들어 총 24개의 검체를 만들었다. 두 봉합 형태 (UU, MA)는 무작위로 선택하였으며 각각의 건에 시행하였다. 검체는 0.25 Hz에서 5~30N의 조절된 외력하에서 50회 주기 부하 (cyclic loading)를 받았다. 각 검체는 초당 1mm의 전이가 되는 상황하에서 파열이 발생할 때(ultimate tensile load)까지 부하를 받았다. 조건 이완 (condition elongation), peak-to-peak 전이(displacement), 기울기 (stiffness), 최대 인장력 (ultimate tensile load), 파열 양상 (mode of failure) 등을 기록하였다. 결과: 주기 부하 실험에서 두 봉합 형태 간 유의 있는 차이는 없었다. 최대 장력 실험에서 UU 봉합과 변형 MA (Mason-Allen) 봉합 간에 통계학적으로 유의한 차이는 없었다 (109.4 N, and 110.6 N). 양 봉합 형태에서 가장 흔한 파열 양상은 봉합의 빠짐 (suture pull-out)이었다. 결론: UU 봉합과 변형 MA 봉합은 유사한 생역학적 특성을 가진다.

• 구강회복응용과학지
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• 제37권3호
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• pp.130-137
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• 2021

목적: 다양한 봉합술을 통해 임플란트 주변에 최적화된 각화점막을 확보하려는 시도가 진행되었다. 본 연구의 목적은 임플란트 식립 후 2개의 서로 다른 봉합술 시행 후 연조직의 치유 양상을 평가하는 것이다. 연구 재료 및 방법: 15명의 환자에서 18개의 임플란트가 식립되었고 연구에 포함되었다. 부가적인 골이식 없이 단순 임플란트 식립만 진행하였다. 2개의 서로 다른 봉합술을 이용해 paramarginal flap design을 시행한 협측 판막을 임플란트 치유 지대주 하방으로 고정하였다. 디지털 구내 스캐너를 이용하여 초진, 수술 직후, 발사, 3개월 시점에 스캔을 진행하였다. 각 시점에 따른 스캔 데이터를 인접치의 교두, 소와, 치유지대주 등의 여러 점들을 기준으로 초진 데이터와 중첩하였다. 각 시점의 스캔 데이터를 초진 데이터와 subtraction한 다음 임플란트 주위 연조직의 증가량에 해당하는 폐곡면의 부피를 측정하였다. 폐곡면의 부피는 mm³ 단위로 계측하였다. 3개 시점에서 2개의 서로 다른 봉합술에 의한 부피 변화를 비교하기 위해 nonparametric rank-based 분석을 시행하였다. 결과: 양쪽 군 모두 치유는 양호하였다. 양쪽 봉합군은 수술 후 즉시 연조직 부피의 증가를 보여주었다. 3개월에 걸쳐 부피는 시간에 따라 유의성 있게 감소하였다(P < 0.001). Flap folding suture 군의 연조직 부피는 3개월 시점에서 interrupted suture 군보다 더욱 높은 중앙값을 보였으나 통계적 유의성은 없었다(P > 0.05). 결론: 임플란트 시행 시 paramarginal flap 형태로 거상된 판막을 flap folding suture로 고정한 군은 3개월 치유 기간 후 interrupted suture 군보다 더욱 높은 연조직 증강 수치를 보였다. 하지만 좀더 장기적인 관찰 연구가 필요할 것으로 사료된다.