화농성 무릎관절염의 수술 후 관절강직에 대한 한의복합치료: 증례보고 = Complex Korean Medical Treatment of Postoperative Ankylosis in Septic Arthritis of the Knee: A Case Report

다국어 초록 (Multilingual Abstract)

A 50-year-old Korean male tour guide without any medical or family history complained of left knee pain. After receiving umbilical cord blood injection treatment, the pain gradually worsened. After being diagnosed with septic arthritis in the left knee, arthroscopic lavage, debridement, antibiotic treatment, and routine rehabilitation therapy were performed, but the symptoms persisted. In the hospital, acupuncture, pharmacopuncture, acupotomy, Chuna manual therapy, and cupping therapy were performed in addition to the usual treatment for 59 days. To evaluate the patient’s improvement, the numeric rating scale, EuroQol 5-dimension, pain disability index, and Lysholm knee scoring system were used. After treatment, the symptoms improved in all assessment tools, swelling, and range of motion of the joint. Through this study, it was found that complex Korean medical therapies may be effective for postoperative ankylosis in septic arthritis of the knee, and further studies are needed to clarify the therapeutic effect.

참고문헌 (Reference)

1 강대희 ; 김영달 ; 김창년 ; 민지연, "龍膽瀉肝湯을 投與한 化膿性 膝關節炎 患者의 治驗 1例" 한의병리학회 17 (17): 1547-1551, 2003

2 소금영 ; 이현영, "퇴행성 골관절염 환자에서 슬관절내 Hyaluronic Acid 주입 후발생한 Septic Arthritis 경험 2예" 대한통증학회 15 (15): 80-83, 2002

3 박히준 ; 이준무 ; 이향숙 ; 심성윤, "통증평가도구에 관한 고찰" 경락경혈학회 24 (24): 77-97, 2007

4 이태환 ; 강선미 ; 고강석 ; 한효진 ; 김희정 ; 김재문 ; 류완희, "침 시술에 의해 발생한 감염성 천장관절염 1예" 대한류마티스학회 13 (13): 316-320, 2006

5 정찬영 ; 김은정 ; 황민섭 ; 조현석 ; 김경호 ; 이승덕 ; 김갑성, "슬관절의 통증과 기능장애의 평가도구에 관한 연구" 대한침구의학회 27 (27): 123-142, 2010

6 하현주 ; 오민석, "슬관절 수술 후 재활에 대한 Continuous Passive Motion 치료와 한의 병행치료의 체계적 문헌 고찰" 한방재활의학과학회 27 (27): 33-45, 2017

7 하원배 ; 금지혜 ; 신선호 ; 이정한, "근골격계 질환에서 진단의학검사의 활용" 척추신경추나의학회 13 (13): 109-125, 2018

8 Park KM, "Therapeutic effect of acupuncture point injection with placental extract in knee osteoarthritis" 15 (15): 135-141, 2017

9 Tait RC, "The pain disability index : psychometric properties" 40 (40): 171-182, 1990

10 McNair PJ, "Swelling of the knee joint : effects of exercise on quadriceps muscle strength" 77 (77): 896-899, 1996

11 García-Arias M, "Septic arthritis" 25 (25): 407-421, 2011

12 Rozenfeld E, "New is the well-forgotten old : the use of dry cupping in musculoskeletal medicine" 20 (20): 173-178, 2016

13 Speece CA, "Ligamentous articular strain: osteopathic manipulative techniques" Shmed 23-29, 2009

14 Zhang K, "Initiation mechanisms of acupuncture effect : a literature review of basic studies" 18 (18): 75-82, 2020

15 Seo SS, "Etiologic transition of septic arthritis of the knee" 20 (20): 44-49, 2008

16 Herdman M, "Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)" 20 (20): 1727-1736, 2011

17 The Korean Society of Chuna Manual Medicine for Spine and Nerves, "Chuna manual medicine" The Korean Society of Chuna Manual Medicine for Spine and Nerves 33-37, 2017

18 Mathews CJ, "Bacterial septic arthritis in adults" 375 (375): 846-855, 2010

19 Korean Knee Society, "Arthrology of the knee" Orthobook 35-, 2019

20 Sun J, "Acupotomy therapy for knee osteoarthritis pain : systematic review and meta-analysis" 2020 : 1-17, 2020