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RISS 인기검색어
- 검색키워드
- 저자 : 정성수(Sung Soo Chung) (검색결과 74 건)
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정성수,원중희,강승백,신건 ( Sung Soo Chung,Choohg Hee Won,Seung Baik Kang,Geon Shin ) 대한슬관절학회 1995 Knee Surgery and Related Research Vol.7 No.1
Degenerative arthritis and functional instability have been reported in knees with chronic posterior cruciate ligament injury treated conservatively. Surgical treatment for the posterior instability seems to be necessary, however, problerns of rupture or stretch of the reconstructed ligarnent may occur according as force to the knee joint increases. We have attemped to correct posterior knee instability due to chronic posterior cruciate ligament injury with a procedure that employs a free autograft of one-third of the patellar tendon augmented with PROLAD (Protek ligarnent augmentation device - Protek, Bern, Switezrland) using hot-dog techique. The purpose of this paper is to report our experience and to evaluate early result of the reconstructive surgical procedure. This procedure was done for 6 knees in 6 patients during the period of 1992 to 1994. They were all males and had pain and instability. Average age was 28 years, ranging from 17 to 46 years. The interval between injury and ligarnent reconstruction was minimum 3 rnonths. Postoperatively, motion of the joint begun on second to fifth day. The average follow-up was 18months, ranging from 14 months to 26 months. There were two complications, one superficial wound infection and tendemess on the protruded screw head, which were treated by wound care and transfer of screw, respectively. According to the OAK evaluation chart, one patient shows excellent, five patients show good result and in Lysholm scoring, five excellent and one good. On posterior stress roentgenograms, posterior displacernent improved from 16mm ( range, 1 Imm to 20mm ) to 4mm( range, 3mm to Srnm ). This early results indicate that synthetic augrnentation enables patients to move their joint earlier and protects the autograft to regain its sufficient strength and that this procedure seems to be effective for achieving static and functional stability of the knee.
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