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전방십자인대 재재건술

Revision Anterior Cruciate Ligament Reconstruction

이준규|이명철
대한슬관절학회 (Korean Knee Society)|2011.06|Knee Surgery and Related Research|제23권 제2호|pp. 61-68

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키워드

전방십자인대Anterior cruciate ligamentGraft failure전방십자인대 재건술 실패이식건 실패전방십자인대 재재건술Failed ACL reconstructionRevision ACL reconstruction

초록

전방십자인대 재건술의 수가 증가하면서, 재건술의 실패로 인한 재재건술의 수도 증가하고 있다. 전방십자인대 재건술과 비교하여 재재건술 시에는 여러가지 해결해야 할 난관들이 있다. 재건술의 실패, 재재건술의 결과, 그리고 재재건술 시 의사 결정과 환자를 상대하는데 도움을 주고자 전방십자인대 재재건술과 관련된 문헌 고찰을 시행하였다. 일반적으로 재재건술 후, 슬관절의 양호한 기능상 안정을 얻을 수 있지만, 동반돤 반월상연골 및 관절연골 병변의 증가로 환자가 불만족하는 경우가 많다. 터널 확장, 터널 위치 오류, 1차 재건술 시 삽입던 고정물과 관련된 문제들을 해결하기 위해, 다양한 수술 술기들을 검토하였다.

Abstract

As the number of primary reconstructions of the anterior cruciate ligament (ACL) increase, so do the number of revision ACL reconstructions due to failure. Revision ACL reconstruction has several challenges compared to primary ACL reconstruction. Literature review regarding revision ACL reconstruction was performed to discuss the cause of the failure, results of revision, and to assist the decision-making process and approaches to the patients. Usually good functional stability could be obtained after revision ACL reconstruction, but increased incidence of meniscal and cartilage lesions played a role in patient dissatisfaction. To solve issues such as tunnel widening, malposition, and inserted hardware after primary ACL reconstruction, various surgical technique issues were reviewed.

참고문헌 (38)

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관련 논문AI추천

Causes of Failure of Anterior Cruciate Ligament Reconstruction and Revision Surgical StrategiesAlessandro Beltrame, Andrea Fiocchi, Araldo Causero, Enrico Di Benedetto, Paolo Di Benedetto대한슬관절학회 · Knee Surgery and Related Research2016 · 제28권 제4호Modifiable and non-modifiable risk factors affecting surgical failure after revision ACL reconstruction: a cohort studyChong-Hyuk Choi, Hyun-Soo Moon, Jin-Gyu Kim, Junwoo Byun, Kwangho Chung, Min Jung, Se-Han Jung, Seungmin Lee, Sung-Hwan Kim대한슬관절학회 · Knee Surgery and Related Research2024 · 제36권 단일 다발 전방 십자인대 재건술김명구, 원만희, 이상호대한슬관절학회 · Knee Surgery and Related Research2010 · 제22권 제4호Two-stage revision anterior cruciate ligament reconstruction배기철, Byung-Chan Choi, Dong-Wan Kim, Du-Han Kim,대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 제1호자가 슬건과 동종 전경골건을 이용한 전방십자인대 재건술 후 시행한 이차 관절경의 결과 비교김명호, 박희곤, 유문집, 유현열, 이대희대한슬관절학회 · Knee Surgery and Related Research2010 · 제22권 제1호이중 다발 전방십자인대 재건술 후 이차 관절경 소견과 임상적 결과와의 관계곽지훈, 심재앙, 이범구, Kwang Hee Kim대한슬관절학회 · Knee Surgery and Related Research2011 · 제23권 제2호

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