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KMID : 0950120070060020126
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Jouranl of Korean Orthopaedic Sports Medicine
2007 Volume.6 No. 2 p.126 ~ p.129
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An Irreducible Posterolateral Dislocation of Knee by the Detached Femoral Cartilage - A Case Report -도수정복이 불가능한 슬관절 탈구는 아주 드물게 발생하며, 대부분의 도수정복이 불가능한 슬관절 탈구는 후외방 탈구 시 연 부조직이 끼이면서 발생하게 되는데, 저자들은 51세 여자환자의 슬관절 탈구에서 박리된 대퇴 내과 연골편에 의해 정복이 불가능했던 지금까지 보고가 없었던 예를 경험하였고, 이를 관절경을 이용한 변연절제술로 연골편을 제거하여 관혈적 수술이 필요 없이 정복을 얻을 수 있었으며, 지연성 전방 및 후방 십자인대 재건술을 시행하여 만족할 만한 결과를 얻었다.
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Kim Seong-Tae
Lee Bong-Jin
Lee Sung-Rak
Park Woo-Sung
Lee Sang-Hoon
Kim Tae-Ho
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Abstract
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An irreducible dislocation of the knee joint is quite rare. Most irreducible knee dislocations are posterolateral dislocations and result from the soft tissue interposition. To the best of our knowledge, there is no report of an irreducible knee dislocation result from interposition of the detached cartilage from the medial femoral condyle. We present a case of 51 years old female with irreducible knee dislocation which was treated with an arthroscopic debridement of the detached cartilage, result in reduction of the joint, which is failed in closed reduction. And then we perform the delayed arthroscopic reconstructions for the ruptured anterior and posterior cruciate ligaments. Debridement of the interposed structure using the arthroscope allows for reduction of the joint and good result without the need for an open procedure.
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KEYWORD
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Irreducible knee dislocation, Interposition of cartilage, Arthroscopic debridement
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FullTexts / Linksout information
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Listed journal information
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