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슬관절 후외방 불안정성의 치료

Treatment of Posterolateral Rotatory Instability of the Knee

하정구|김진구|배우한
대한슬관절학회 (Korean Knee Society)|2010.03|Knee Surgery and Related Research|제22권 제1호|pp. 1-10

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참고문헌

키워드

Reconstruction재건술Posterolateral corner후외방 구조물후외방 불안정성Posterolateral rotatory instability

초록

슬관절 후외방부 구조의 손상은 흔치 않으나 심한 불안정성과 관절 연골의 손상을 초래하여 심각한 장애가 생길 수 있다. 그러나 아직까지 이에 대한 해부학적 구조 및 진단과 치료 방법이 확실하게 정립되어 있지 않다. 후외방부 구조의 손상은 단독으로 일어나지 않고 후외방 불안정성을 치료하지 않고 그냥 두었을 경우에 십자인대 재건술의 결과에 영향을 미쳐 실패에 이르게 하는 주요한 원인으로 인식되고 있다. 후외방부 구조의 손상의 진단은 신체 검진 및 방사선 소견 자기공명영상 및 관절경 소견을 종합하여 이루어 진다. 후외방부 구조 손상의 치료 방법은 손상 시기 및 손상 정도에 따라서 정해지게 된다. 이에 해부학적 재건술은 다양한 결과를 보이던 이전의 비해부학적인 재건술에 비하여 임상적인 측면에서 대부분에서 좋은 임상 결과를 보이고 있으나 이를 입증할 만한 장기 추시를 시행한 임상 연구들이 부족하다. 따라서 저자는 후외방부 구조와 관련되어 최근까지 발표된 많은 문헌을 정리하고 진단과 치료에 대하여 알아보았다.

Abstract

Injury of posterolateral corner is unusual, but it can cause disability due to severe instability and cartilage damage. However, the anatomical structures, diagnosis and treatment have not defined clearly yet. Posterolateral corner injury is regarded as the one of main factor to the results of failure in cruciate ligament reconstcution if it was undiagnosed and untreated. Diagnosis of postetolateral corner injury is consists of physical exam, radiographic finding, MRI, and arthroscopic findings. The treatment method of of postetolateral corner injury depends on the time and severity of injury. Anatomical reconstruction of posterolateral corner shows the better clinical outcome than non anatomical reconstructions, but the clinical results of long term follow up is still needed. Therefore, the aim of this article is to review the recent literature and to organize diagnosis and treatment of posterolateral corner injury

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관련 논문AI추천

Current Concepts of Posterolateral Corner Injuries of the Knee김범정, 박재우, 손욱진대한슬관절학회 · Knee Surgery and Related Research2017 · 제29권 제4호Combined PCL and PLC Reconstruction Improves Residual Laxity in PCL Injury Patients with Posterolateral Knee Laxity Less Than Grade III박상훈, 오현철, 윤한국, 최희민, 하중원연세대학교의과대학 · Yonsei Medical Journal2023 · 제64권 제5호후방 십자 인대 급성 손상에서 일차 복원술의 결과백승희, 이동철영남대학교 의과대학 · Journal of Yeungnam Medical Science2001 · 제18권 제1호만성 외측 발목 불안정김대욱, 성기선대한족부족관절학회 · 대한족부족관절학회지2018 · 제22권 제2호족관절 외측 불안정성 재건 시 시행하는 탐험적 관절경의 유용성김준범, 김진수, 김태원, 박영욱, 양기원, 이경태, 조재호대한족부족관절학회 · 대한족부족관절학회지2010 · 제14권 제2호전방십자인대 재재건술이명철, 이준규대한슬관절학회 · Knee Surgery and Related Research2011 · 제23권 제2호

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