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Clinical study on safety, clinical indicators of polydioxanone sutures inserted into vastus medialis muscle in degenerative knee osteoarthritis ＝ 무릎 관절염 환자에서 안쪽넓은근에 폴리디옥사논 봉합사 시술 연구 / Ki-Choul Kim ; Hyung-Jun Lee ; Kil-Yong Lee ; Hee-Gon Park 1

[요약] 1

INTRODUCTION 1

MATERIALS AND METHODS 2

1. Patient enrollment 2

2. Materials 3

3. Procedure 3

4. Assessment 4

5. Statistical analysis 5

RESULTS 6

1. Demographic 6

DISCUSSION 12

CONCLUSION 16

REFERENCES 16

초록보기

Objective: Physiologically, the vastus medialis muscle is the first muscle to undergo muscle atrophy, and it was thought that pain in patients with knee osteoarthritis could be reduced if this muscle could be strengthened and stabilized. The purpose of this study was to prove the effectiveness in knee osteoarthritis using polydioxanone sutures that have been tried in other musculoskeletal areas. Method: Forty knee osteoarthritis patients voluntarily participated in the study, and divided into 30 polydioxanone suture needle (MEST-B2375 produced by Ovmedi Co.) and 10 sham needle (without suture). And the needles were inserted into the vastus medialis muscle. In all patients, safety evaluation including blood tests and ultrasonography as well as efficacy evaluation including isometric maximal contractile strength of quadriceps muscle, weight bearing pain, impression of change, quadriceps angle, rescue drug intake were evaluated up to 30 weeks after the procedure. Results: Isometric maximal contractile strength showed a significant improvement at 4 weeks after the procedure in the polydioxanone suture group, and the weight-bearing pain showed a significant improvement at every visit in the polydioxanone suture group compared with baseline values. Patient global impression of change score showed significant improvement at 20 and 30 weeks, and clinical score showed improvement at every visit. Conclusion: Insertion of polydioxanone sutures showed improvement in muscle strength and knee pain by supporting and fixation of the vastus medialis muscle in patients with degenerative knee osteoarthritis. Insertion of polydioxanone sutures is considered to have a therapeutic effect in knee osteoarthritis patients.

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기사명 저자명 페이지 원문 목차
팔꿈치, 팔목, 손 통증의 초음파 유도하 주사치료 = Ultrasound-guided injection therapy for elbow, wrist, and hand pain 안재기 p. 59-69

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실을 이용한 초음파 유도하 최소침습시술 = Ultrasound-guided minimally invasive procedure using thread 박혜연, 김재민 p. 70-73

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경추부의 초음파 적용 : Musculoskeletal ultrasound application in cervical spine : pictorial essay / 임상화보 윤용순, 이정후, 김은실, 이광재 p. 74-85

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초음파 조영제 = Ultrasound contrast agent 김기욱 p. 86-92

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초음파를 활용한 하지와 체간부위의 신경차단술 = Ultrasound guided nerve block at vertebra and lower extremity 박형규 p. 93-98

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유방암 수술 후 동일측 유착관절낭염에 대한 관절강내 주사 치료의 안전성 및 효과 = Safety and effectiveness of intra-articular injection on the ipsilateral adhesive capsulitis after breast cancer surgery 조미경, 김동민, 김영모, 양태웅, 윤진아, 이병주 p. 99-104

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Clinical study on safety, clinical indicators of polydioxanone sutures inserted into vastus medialis muscle in degenerative knee osteoarthritis = 무릎 관절염 환자에서 안쪽넓은근에 폴리디옥사논 봉합사 시술 연구 Ki-Choul Kim, Hyung-Jun Lee, Kil-Yong Lee, Hee-Gon Park p. 105-121

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외측 심부 비골신경 포착 증후군의 증례 보고 = Rare disease entity of dorsolateral foot pain : lateral branch of deep peroneal nerve entrapment syndrome 나윤주, 여승미, 박진호, 황지혜 p. 122-126

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Effect of ultrasound-guided perineural injection with dextrose for direct traumatic injury of median nerve = 정중신경 손상에서 초음파 유도 하 신경주위 포도당 용액 주사치료의 효과 Yu Sang Jung, Hyerin Park, Jung Hyun Park, Hee Jae Park, Han Eol Cho p. 127-130

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Recalcitrant low back pain diagnosed as hypophosphatemic osteomalacia induced by antiviral medication = 항바이러스제에 의한 저인산성 골연화증으로 진단된 난치성 요통 Hyun Jun Chae, Jun Hee Won, Won Kyung Lee, Keewon Kim p. 131-134

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Musculocutaneous and median neuropathy after MiraDry® procedure for axillary hyperhidrosis = 다한증 치료 기구인 MiraDry®에 의한 근피 및 정중신경 손상 증례 Youngmin Kim, Mi-Jeong Yoon, Sunha Park, Min Wook Kim p. 135-140

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Ultrasound guided thoracic paravertebral space block for chronic intractable upper back pain = 만성 난치성 상부 등 통증에서 초음파 유도 하 흉추 주위 공간 차단술 Myungsang Kim, Min Chul Paek, Han Eol Cho, Jung Hyun Park p. 141-144

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Delayed postoperative paravertebral abscess in a patient with cervical spinal cord injury accompanied by ankylosing spondylitis = 강직성 척수염이 있는 경수 손상 환자에서 발생한 지연성 척추주위 농양 Geon Jae Lee, Jang Woo Lee p. 145-149

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