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논문KCI 등재

외측 족관절 불안정성 환자에서 봉합 나사와 PushLock Anchor를 이용한 변형 Brostrom 술식

Modified Brostrom Procedure with Suture Anchor & PushLock Anchor in Lateral Ankle Instability

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초록

Purpose: The purpose of our study was to perform a comparison of the outcomes of the modified Brostrom procedure using only a suture anchor compared with using a suture anchor with a pushlock anchor. Materials and Methods: This was a retrospective study of chronic lateral ankle instability that underwent a modified Brostrom procedure using a bioabsorbable suture anchor & a pushlock anchor, performed by a single surgeon. A total of 88patients were enrolled in the study. The function of the patient’s ankles were scored using the American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) both preoperatively and postoperatively. Results: The difference in the overall means between the group A and group B was not statistically significant. But, the patient’s satisfaction was better in the group B, and there were more complications in the group A. Conclusion: The technique presented here uses the modified Brostrom procedure with pushlock anchors to prevent the problems associated with subcutaneous knot irritation.

Abstract

Purpose: The purpose of our study was to perform a comparison of the outcomes of the modified Brostrom procedure using only a suture anchor compared with using a suture anchor with a pushlock anchor. Materials and Methods: This was a retrospective study of chronic lateral ankle instability that underwent a modified Brostrom procedure using a bioabsorbable suture anchor & a pushlock anchor, performed by a single surgeon. A total of 88patients were enrolled in the study. The function of the patient’s ankles were scored using the American Orthopaedic Foot and Ankle Society (AOFAS), visual analogue scale (VAS) both preoperatively and postoperatively. Results: The difference in the overall means between the group A and group B was not statistically significant. But, the patient’s satisfaction was better in the group B, and there were more complications in the group A. Conclusion: The technique presented here uses the modified Brostrom procedure with pushlock anchors to prevent the problems associated with subcutaneous knot irritation.

참고문헌 (14)

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  2. Ferkel RD, "Chronic lateral instability : arhroscopic findings and long-term results", Foot Ankle Int, 28, pp.24~31 (2007)
  3. Garrick JG, "The frequency of injury, mechanism of injury and epidemiology of ankle sprain", Am J Sports Med, 5, pp.241~242 (1977)
  4. 이진영, "봉합 나사를 이용한 변형 Bröstrom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료", 대한족부족관절학회지, 13(2), pp.175~178 (2009), 대한족부족관절학회
  5. Coughlin MJ, "Comprehensive reconstruction of the lataeral ankle for chronic instability using a free gracilis graft", Foot Ankle Int, 25, pp.231~241 (2004)
  6. Freeman MA, "Instability of the foot after injuries to the lateral ligament of the ankle", J Bone Joint Surg Br, 47, pp.669~677 (1965)
  7. Harrington KD, "Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability", J bone Joint Surg Am, 61, pp.354~361 (1979)
  8. Chrisman OD, "An experimental study and clinical evaluation os seven patients treated by a new modification of the Elmslie procedure", J bone Joint Surg Am, 51, pp.904~912 (1969)
  9. Elmslie RC, "Recurrent subluxations of the ankle joint", Ann Surg, 100, pp.364~367 (1934)
  10. Evans DL, "Recurrent instability of the ankle; a method of surgical treatment", Proc R Soc Med, 46, pp.343~344 (1953)
  11. Brostrom L., "Sprained ankles. VI. Surgical treatment of chronic ligament ruptures", Acta Chir Scand, 132, pp.551~565 (1966)
  12. Messer TM, "Outcome of the modified Brostrom procedure for chronic lateral ankle instability using suture anchors", Foot Ankle Int, 21, pp.996~1003 (2000)
  13. Karlsson J, "Reconstruction of the lateral ligaments of the ankle for chronic lateral instability", J Bone Joint Surg Am, 70, pp.581~588 (1988)
  14. Wieser K, "Suture slippage in knotless suture anchors as a potential failure mechanism in rotator cuff repair", Arthroscopy, 11, pp.1622~1627 (2012)

관련 논문AI추천

족관절 만성 외측 불안정증에서 관절경하 변형Brostrom 술식의 수술적 결과김응수, 차민석, 차승도대한족부족관절학회 · 대한족부족관절학회지2013 · 제17권 제4호만성 족관절 불안정성을 가진 환자군에서 변형 브로스트롬 술식과 봉합 테이프를 추가한 술식 간의 결과 비교박대현, 추혜정, Gwak Heui-Chul, Jung Soo-Hwan, Kim Dae-Yoo, Kim Jung-Han대한족부족관절학회 · 대한족부족관절학회지2022 · 제26권 제1호족관절 외측의 만성 불안정성에 Broström 술식과 Suture Tape을 이용한 보강술 후 조기에 시행한 등자보호대 착용 및 체중부하 보행정진화, Kwon Geon-Ho, Lee Jaeyoung대한족부족관절학회 · 대한족부족관절학회지2022 · 제26권 제4호봉합 나사를 이용한 변형 Bröstrom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료김갑래, 박현진, 이은수, 이진영대한족부족관절학회 · 대한족부족관절학회지2009 · 제13권 제2호족관절 외측 불안정성 재건 시 시행하는 탐험적 관절경의 유용성김준범, 김진수, 김태원, 박영욱, 양기원, 이경태, 조재호대한족부족관절학회 · 대한족부족관절학회지2010 · 제14권 제2호운동선수의 만성 발목관절 불안정성에서 교량형 봉합술을 이용한 변형 Brostrom 술식 후의 기능평가박경진, 박지강, 임채욱, 조병기대한족부족관절학회 · 대한족부족관절학회지2014 · 제18권 제3호

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