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강홍제,전철홍,김광미,조항환,Johnsel C. Espinosa 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.2
Meniscus tears are commonly associated with anterior cruciate ligament (ACL) ruptures. It is essential to repair meniscal tears as much as possible to prevent early osteoarthritis and to gain additional stability in the knee joint. We evaluated the results of arthroscopic all-inside repair using the Meniscal Viper Repair System (Arthrex) on meniscus tears simultaneously with ACL reconstruction. Methods: Nineteen out of 22 patients who were treated with arthroscopic all-inside repair using the Meniscal Viper Repair System for meniscus tear associated with ACL rupture were evaluated. ACL reconstructions were performed at the same period. The mean follow-up period was 16.5 months (range, 12 to 24 months). The clinical results of the meniscus repair were evaluated by symptoms (such as catching or locking), tenderness, effusion, range of motion limitation, and the McMurray test. Clinical success was defined by negative results in all five categories. The Hospital for Special Surgery (HSS) score was evaluated. Objective results were evaluated with secondary look arthroscopy or magnetic resonance imaging (MRI). The MRI results were categorized as completely repaired, incompletely repaired, and failure by Henning’s classification. The results of second-look arthroscopy were evaluated with the criteria of meniscal healing. Results: The clinical success rate was 95.4% and the HSS scores were 93.9 ± 5.4 at the final follow-up. According to Henning’s classification, 15 out of 18 cases showed complete healing (83.3%) and two cases (11.1%) showed incomplete healing. Seventeen out of 18 cases that underwent second-look arthroscopy showed complete healing (94.4%) according to the criteria of meniscal healing. Only one case showed failure and the failure was due to a re-rupture at the sutured area. Complications of ACL reconstruction or meniscus repair were not present. Conclusions: The results demonstrate that arthroscopic all-inside repair using the Meniscal Viper Repair System is an effective treatment method when it is performed simultaneously with ACL reconstruction.
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권석현 ( Suc Hyun Kweon ),김채근 ( Chae Geun Kim ),유병민 ( Byung Min Yoo ),조항환 ( Hang Hwan Cho ),최영채 ( Young Chae Choi ) 대한스포츠의학회 2016 대한스포츠의학회지 Vol.34 No.2
While a sprain of the hamstring muscle is relatively common in athletes or those who participate in physically active sports, a complete rupture of the proximal hamstring is relatively rare. A rupture of the long head of the biceps femoris without rupture of the semimembranosus and semitendinosus muscles has rarely been reported. In this study, we saw relatively favorable outcomes after reattachment with a suture anchor at the ischial tuberosity in two patients who had a rupture of the long head of the biceps femoris.
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Arthroscopic treatment of radial neck fractures in children: a technical note
Jong Yun Kim,Jeong Woo Kim,Jong Myoung Lee,Sung Hyun Lee,조항환,Joung Kyue Han,Se Jin Kim 대한정형외과 스포츠의학회 2017 Arthroscopy and Orthopedic Sports Medicine Vol.4 No.1
Pediatric radial neck fractures should be treated by noninvasive methods such as closed reduction whenever possible. However, in cases of failed closed reduction or of instances where closed reduction is not an option because of severe angulation, open reduction and internal fixation may be required. But the use of such invasive procedures to treat children can cause complications such as developmental disabilities. When closed reduction fails in pediatric patients with radial neck fractures, arthroscopic reduction and percutaneous Kirschner wire (K-wire) fixation, rather than open reduction, can achieve accurate reduction through direct intraarticular visualization and reduce complications. Therefore, arthroscopic reduction and percutaneous K-wire fixation should be considered as alternative, minimally invasive treatment modalities.
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