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Arthroscopic Treatment of Delayed Patella Infera

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À±Á¤·Î(Yoon Jung-Ro) - Áß¾Óº¸Èƺ´¿ø Á¤Çü¿Ü°ú
¼­È¿¼º(Seo Hyo-Seong) - Áß¾Óº¸Èƺ´¿ø Á¤Çü¿Ü°ú
¾çÀçÇõ(Yang Jae-Hyuk) - Áß¾Óº¸Èƺ´¿ø Á¤Çü¿Ü°ú
¿À±¤ÁØ(Oh Kwang-Joon) - °Ç±¹´ëÇб³ ÀÇÇÐÀü¹®´ëÇпø Á¤Çü¿Ü°úÇб³½Ç

Abstract

½½°³°ñ ÀúÀ§ÁõÀº ¿Ü»ó µî ¿©·¯ ¿øÀο¡ ÀÇÇØ ¹ß»ýÇÒ ¼ö ÀÖ´Â µå¹® ÁúȯÀÌ´Ù. ½½°³°ñ ÈĹæÀÇ Áö¹æüÀÇ ¹ÝÈçÁ¶Á÷ Çü¼º, ½ÅÀü ±â´ÉÀÇ ÀÌ
»ó, ¹«¸­°üÀý ½ÅÀü ºÎÀ§ÀÇ °íÁ¤ µîÀÌ Àß ¾Ë·ÁÁø À§ÇèÀÎÀÚÀÌ´Ù. À̸¦ ÀνÄÇÏÁö ¸øÇϰųª ÀνÄÀÌ ´Ê¾îÁ³À» °æ¿ì Àå±âÀûÀÎ Àå¾Ö¿Í ¿¬°üµÉ ¼ö ÀÖ´Ù. Åë»óÀûÀ¸·Î °üÀý°æÄ¡·á´Â Á¶±â¹ß»ýÀÎ °æ¿ì ±ÇÀ¯µÇÁö¸¸ º» Áõ·Ê¿¡¼­´Â °ñÀý ÈÄ ¹ß»ýµÈ Áö¿¬¼º ½½°³°ñ ÀúÀ§Áõ¿¡ ´ëÇؼ­ °üÀý°æÀû Ä¡·á´Â ¸¸Á·½º·¯¿î °á°ú¸¦ º¸¿©ÁÖ¾ú´Ù. °üÀý°æÀ» ÅëÇÑ ¹ÝÈçÁ¶Á÷ÀÇ º¯¿¬ ÀýÁ¦¼ú°ú Á¶±â ÀçÈ° Ä¡·á´Â ¸¸Á·½º·¯¿î °á°ú¸¦ À§ÇÑ Áß¿äÇÑ Ä¡·áÀÌ´Ù.
Patella infera (baja) is a rare condition that can result from several etiologies including trauma around the knee. Risk factors include scar tissue formation in the retropatella fat pad, extensor mechanism dysfunction, immobilization in extension position of the knee joint, etc. Unawareness and delayed recognition are known to be associated with long-term disability. In this condition, arthroscopic treatment is generally recommended only for early cases. In this report, we present a case with reasonable outcome of delayed patella infera treated by arthroscopic treatment. Prudent arthroscopic debridement of the responsible scar tissue and accelerated rehabilitation therapy is necessary for achievement of a successful outcome.

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½½°³°ñ ÀúÀ§Áõ, Áö¿¬¼º, °üÀý°æÀû º¯¿¬ ÀýÁ¦¼ú, Á¶±â ÀçÈ° Ä¡·á
patella infera, delayed, arthroscopic debridement, accelerated rehabilitation
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DOI
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ICD 03
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