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동종 반월상 연골 이식술 시행 후 임상적 및방사선적 단기 추시 결과

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Author(s)
이영국곽완섭이재훈조현구김형주배기철
Keimyung Author(s)
Bae, Ki Cheor
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
대한정형외과학회지
Issued Date
2016
Volume
51
Issue
5
Keyword
meniscusallograft transplantationsecond-look arthroscopymagnetic resonance imaging
Abstract
Purpose: The purpose of this study was to evaluate the clinical and radiological results after meniscal allograft transplantation (MAT).
Materials and Methods: From October, 2010 to August, 2013, 45 patients, 47 cases who underwent MAT were reviewed. The mean age
was 39.9 years and the mean follow-up period was 24.9 months. The clinical results were evaluated using Lysholm score and International
Knee Documentation Committee (IKDC) score. All cases were evaluated by serial postoperative radiograph. And 18 cases were performed
postoperative magnetic resonance imaging (MRI). Eighteen cases including the 13 cases that had graft dislocation or subluxation and signal
changes in MRI underwent second-look arthroscopy.
Results: Lysholm score was elevated from mean 58.4 at preoperative to 92.4 at last follow-up. IKDC score was elevated from mean 50.3 at
preoperative to 90.1 at last follow-up. Among the 18 cases who underwent postoperative MRI, subluxation was found in 10 cases (55.6%)
and graft dislocation with grade III signal change was found in 3 cases (16.7%). However, the 13 cases showed a well healed state of the
graft capsule in second-look arthroscopy. There was no joint space narrowing on radiograph during the follow-up period.
Conclusion: After MAT, 93.6% of cases showed improved the clinical results above good. Thus, it is effective in relatively young and
active patients with meniscus functional deficit and minor meniscal degeneration.
Alternative Title
Clinical and Radiological Short-Term Results after Meniscal Allograft
Keimyung Author(s)(Kor)
배기철
Publisher
School of Medicine
Citation
이영국 et al. (2016). 동종 반월상 연골 이식술 시행 후 임상적 및방사선적 단기 추시 결과. 대한정형외과학회지, 51(5), 387–394. doi: 10.4055/jkoa.2016.51.5.387
Type
Article
ISSN
1226-2102
DOI
10.4055/jkoa.2016.51.5.387
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32633
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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