search for



Distraction Arthroplasty Combined with Lateral Meniscal Allograft Transplantation in an Athlete with Advanced Lateral Osteoarthritis: A Case Report
Korean J Sports Med 2022;40:49-53
Published online March 1, 2022;  https://doi.org/10.5763/kjsm.2022.40.1.49
© 2022 The Korean Society of Sports Medicine.

Dhong Won Lee1, Dong Ryun Lee1, Min Ah Kim2, Jin Goo Kim2

1Department of Orthopaedic Surgery, Konkuk University Medical Center, Seoul,
2Department of Orthopaedic Surgery, Hanyang University Myongji Hospital, Goyang, Korea
Correspondence to: Jin Goo Kim
Department of Orthopaedic Surgery, Hanyang University Myongji Hospital, 55 Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 10475, Korea
Tel: +82-31-810-5010, Fax: +82-31-810-5010, E-mail: jgkim@mjh.or.kr
Received August 16, 2021; Revised November 22, 2021; Accepted November 22, 2021.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
The knee function of young and active patients with advanced osteoarthritis is unavoidably reduced and they are trapped in “treatment gap” without surgical treatment. In recent years, distraction arthroplasty (DA) has emerged as a viable alternative in the treatment of advanced osteoarthritis in young and active patients to delay knee arthroplasty. However, outcomes after DA are very rare in young and active patients. We present a case of a 36-year-old man (a professional skier) who had lateral meniscus deficiency and severe joint space narrowing. He underwent DA plus lateral meniscal allograft transplantation combined with cartilage repair. The patient showed excellent result 9 years postoperatively with return to high level of sport activity.
Keywords : Knee, Osteoarthritis, Distraction arthroplasty, Meniscal allograft transplantation, Return to sport
꽌 濡

젇怨 솢룞쟻씤 솚옄뿉꽌 愿젅 삊李⑹씠 吏꾪뻾맂 떒씪 援ы쉷 怨④젅뿼씠 엳뒗 寃쎌슦, 젅怨⑥닠 샊 씤怨듦젅 移섑솚닠 벑쓽 닔닠쟻 移섎즺瑜 怨좊젮빐 蹂 닔 엳떎1. 洹몃윭굹 씠윭븳 솚옄뱾뿉꽌 3° 誘몃쭔쓽 궡諛 샊 쇅諛 蹂삎씠 엳떎硫 젅怨⑥닠쓽 쟻쓳利앹씠 릺吏 븡湲 븣臾몄뿉 씤怨듦젅 移섑솚닠쓣 젇 뿰졊뿉꽌 怨좊젮븷 닔諛뽰뿉 뾾떎2. 젇怨 솢룞쟻씤 솚옄뿉꽌 씤怨듦젅 移섑솚닠쓣 議곌린뿉 떆뻾븯寃 릺硫 솢룞룄媛 湲됯꺽븯寃 븯맆 肉먮쭔 븘땲씪 씤怨듦젅 옱移섑솚닠쓽 떆湲곕룄 븵떦寃⑥湲 븣臾몄뿉, 떎젣쟻쑝濡 씠윭븳 솚옄뱾 씤怨듦젅 移섑솚닠 씠쟾뿉 쟻젅븳 移섎즺瑜 諛쏆쓣 닔 뾾뒗 쐔reatment gap앹뿉 媛뉙 踰꾨━寃 맂떎1,3. 넂 솢룞룄瑜 썝븯뒗 젇 솚옄쓽 寃쎌슦, 븞쟻 移섎즺濡 떊뿰 愿젅 꽦삎닠(distraction arthroplasty)쓣 怨좊젮빐 蹂 닔 엳떎. 떊뿰 愿젅 꽦삎닠 눜 寃쎄낏 궗씠쓽 젒珥 븬젰쓣 뾾븷 諛섏썡 뿰怨⑦뙋 諛 愿젅 뿰怨⑥뿉 媛빐吏뒗 뒪듃젅뒪瑜 以꾩뿬 二쇨퀬, 넀긽맂 議곗쭅씠 쉶蹂듯븷 닔 엳룄濡 룄以떎4,5. 떊뿰 愿젅 꽦삎닠쓣 넻빐 媛쒖꽑맂 愿젅 궡쓽 깮뿭븰쟻 솚寃쎌뿉꽌 뿰怨⑦뙋 씠떇닠 샊 뿰怨 옱깮닠 벑쓣 떆뻾븯硫, 吏꾪뻾맂 怨④젅뿼쓣 셿솕븯怨 뒳愿젅 湲곕뒫룄 쉶蹂듯빐 二쇨린 븣臾몄뿉 솚옄뱾씠 뒪룷痢 솢룞쑝濡 蹂듦븷 닔 엳뒗 湲고쉶瑜 뼸寃 맂떎3,6. 怨④젅뿼씠 吏꾪뻾맂 솚옄뿉꽌 떊뿰 愿젅 꽦삎닠쓣 떆뻾븳 썑 愿젅 媛꾧꺽씠 利앷릺怨 뿰怨 옱깮씠 씠猷⑥뼱議뚮떎뒗 寃곌낵뱾씠 蹂닿퀬릺뿀吏留, 떊뿰 愿젅 꽦삎닠怨 諛섏썡 뿰怨⑦뙋 씠떇닠쓣 븿猿 떆뻾븳 寃곌낵媛 蹂닿퀬맂 쟻 뾾뿀떎7,8. 옄뱾 36꽭쓽 紐④뎬 뒪궎(mogul ski) 꽑닔뿉꽌 떊뿰 愿젅 꽦삎닠, 諛섏썡 뿰怨⑦뙋 씠떇닠, 뿰怨 옱깮닠쓣 븿猿 떆뻾븯怨, 닔닠 썑 9뀈吏멸퉴吏 뀒洹몃꼫 젏닔(Tegner activity scale) 7 씠긽쓽 醫뗭 寃곌낵瑜 뼸뿀湲곗뿉 臾명뿄 怨좎같怨 븿猿 蹂닿퀬븯怨좎옄 븳떎.

利 濡

36꽭 솚옄媛 1뀈 쟾遺꽣 諛쒖깮븳 醫뚯륫 뒳愿젅 넻利앹쑝濡 궡썝븯떎. 솚옄뒗 쁽뿭 紐④뎬 뒪궎 꽑닔濡 솢룞븯怨 엳뿀떎. 理쒓렐 6媛쒖썡 쟾遺꽣 利앹긽씠 븙솕맖뿉 뵲씪 뒪궎 솢룞뿉 遺덊렪媛먯쓣 뒓瑗덇린뿉 뿰怨 二쇱궗, 빟臾 移섎즺 벑쓣 諛쏆븘솕쑝굹, 利앹긽쓽 샇쟾 뾾뿀떎. 蹂몄썝뿉 궡썝븯쓣 븣뒗 슫룞쓣 돩怨 엳뒗 긽깭怨, Lysholm 젏닔 75, International Knee Documentation Committee (IKDC) 二쇨쟻 젏닔 67.8濡 湲곕뒫 젏닔媛 븯릺뼱 엳뿀떎. 泥댁쨷 遺븯 45° 援닿끝 썑쟾諛 諛⑹궗꽑 궗吏(Rosenberg view)뿉꽌 醫뚯륫 뒳愿젅 쇅痢 援ы쉷쓽 愿젅 媛꾧꺽씠 嫄곗쓽 냼떎맂 긽깭怨(Fig. 1A), 븯吏 젙젹 젙긽씠뿀떎(Fig. 1B). 떆뻾븳 醫뚯륫 뒳愿젅 옄湲곌났紐낆쁺긽 寃궗뿉꽌, 쇅痢 諛섏썡 뿰怨⑦뙋 湲고삎씠 엳뜕 긽깭뿉꽌 泥댁쨷 遺븯 遺遺꾩 議곗쭅씠 냼떎릺怨, 궡痢〓留 씪遺 궓븘 엳뒗 긽깭떎(Fig. 2). 쇅痢 눜怨쇱뿉뒗 援냼쟻쑝濡 modified Outerbridge grade 4쓽 뿰怨 넀긽쓣 蹂댁떎(Fig. 2). 씠뿉 移섎즺 떆湲곕 넃爾 踰꾨━硫 以묐뀈 씠쟾쓽 굹씠뿉 룄떖븯뿬 씤怨듦젅 移섑솚닠 씠쇅뿉 꽑깮븷 닔 엳뒗 移섎즺媛 留덈븙엳 뾾떎뒗 寃껋쓣 솚옄뿉寃 꽕紐낇븯떎. 솚옄뒗 뒪궎 벑쓽 怨좉컯룄 뒪룷痢 솢룞쓣 썝븯뒗 긽깭湲 븣臾몄뿉, 怨④젅뿼쓽 吏꾪뻾 셿솕 諛 뒳愿젅 湲곕뒫 媛쒖꽑쓣 쐞빐 떊뿰 愿젅 꽦삎닠, 쇅痢 諛섏썡 뿰怨⑦뙋 씠떇닠, 쇅痢 눜怨 뿰怨 옱깮닠 벑쓣 怨꾪쉷븯떎.

Fig. 1. (A) The black circle presents a marked narrowing of left joint space narrowing on Rosenberg view. (B) Left hip-knee-ankle axis is neutral.

Fig. 2. Coronal plane of left knee magnetic resonance imaging. The arrows present resorbed lateral discoid meniscus. It is nearly subtotal meniscectomized state. The dotted arrow shows modified Outerbridge grade 4 lesion at lateral femoral condyle.

븯諛섏떊 留덉랬 븯뿉 醫뚯륫 뒳愿젅寃 寃궗瑜 떆뻾븯怨, 쇅痢 諛섏썡 뿰怨⑦뙋 븘쟾젅젣닠 긽깭엫쓣 솗씤븯怨 쟾젅젣닠쓣 떆뻾븯떎. 쇅痢 눜怨쇱쓽 modified Outerbridge grade 4쓽 뿰怨 넀긽 遺쐞뿉 빐꽌뒗 蹂뿰 젅젣닠 떆뻾븯怨 誘몄꽭 怨⑥젅닠쓣 떆뻾븯떎. 쟾쇅痢 궫엯援 遺遺꾩쓣 뿰옣븯뿬 쟾쇅痢 愿젅쓣 젅媛쒗븳 썑뿉, 쇅痢 諛섏썡 뿰怨⑦뙋 씠떇닠쓣 떆뻾븯떎(Fig. 3A). 諛섏썡 뿰怨⑦뙋 議곗쭅(CelluMed, Seoul, Korea) 떊꽦룞寃(fresch frozen) 諛 諛⑹궗꽑 議곗궗(irradiated) 긽깭쓽 씠떇臾쇱쓣 씠슜븯쑝硫, 諛섏썡 뿰怨⑦뙋 議곗쭅 怨좎젙 궎 諛⑹떇(key-hole technique)쑝濡 떆뻾븯떎9. 諛섏썡 뿰怨⑦뙋 議곗쭅쓽 썑諛 1/3 Fast-Fix system (Smith & Nephew Endoscopy, Andover, MA, USA)쓣 씠슜븳 all-inside 諛⑹떇뱾, 以묎컙 遺遺꾩 double arm needle쓣 씠슜븳 inside-out 諛⑹떇쓣, 쟾諛 1/3 all-inside 諛⑹떇쓣 씠슜븯뿬 遊됲빀븯떎. 쇅痢 눜怨쇱쓽 誘몄꽭 怨⑥젅닠 遺쐞뿉뒗 CartiFill (Sewon Cellontech, Seoul, Korea)濡 룄룷븯떎(Fig. 3B). 李쎌긽쓣 遊됲빀븳 썑뿉 쁺긽 利앺룺湲 븯뿉 Ilizarov external fixator (RISC RTO, Kurgan, Russia)濡 떊뿰 愿젅 꽦삎닠쓣 떆뻾븯떎. 슦꽑 愿젅硫댁뿉 룊뻾븯룄濡 쑀룄 쓣 쇅痢 눜긽怨쇱뿉꽌 궡痢 눜긽怨쇰줈 궫엯븯떎. 쑀룄 쓣 湲곗쑝濡 솚삎쓽 half ring쓣 눜 寃쎄낏뿉 怨좎젙떆궓 썑 쑀룄 쓣 젣嫄고븯떎. 쁺긽 利앺룺湲곕 蹂대㈃꽌 쇅痢 愿젅硫댁쓣 5 mm 젙룄 떊뿰떆궓 썑뿉 理쒖쥌 怨좎젙븯떎(Fig. 3C). 愿젅 슫룞 踰붿쐞媛 0°–90°씤 寃껋쓣 솗씤븯怨 닔닠쓣 留덉낀떎. 씠 솚삎 쇅怨좎젙 옣移섎뒗 닔닠 썑 8二쇱㎏뿉 젣嫄고븯떎. 쇅怨좎젙 옣移섎 젣嫄고븷 븣 諛⑹궗꽑 궗吏꾩쑝濡 쇅痢 愿젅 媛꾧꺽쓣 솗씤븳 썑(Fig. 4A), 씠李 愿젅寃 寃궗濡 쇅痢 諛섏썡 뿰怨⑦뙋 씠떇닠 긽깭 諛 쇅痢 눜怨 뿰怨 옱깮닠 遺쐞瑜 솗씤븯떎(Fig. 4B).

Fig. 3. (A) The left lateral meniscal allograft transplantation was performed using key-hole technique. (B) The arrow shows cartilage repair with CartiFill (Sewon Cellontech, Seoul, Korea). (C) Left knee joint distraction was gradually increased to 5 mm (circle) using external fixator.

Fig. 4. (A) The left lateral joint space (circle) was well maintained in a state of distraction at 8 weeks after distraction arthroplasty. (B) The left lateral meniscal graft (arrow) was well maintained at 8 weeks after distraction arthroplasty.

닔닠 썑 2씪吏몃꽣 愿젅 踰붿쐞 슫룞, 벑泥숈꽦 슫룞 벑쓣 떆옉븯怨, 8二쇱㎏뿉 떊뿰 옣移섎 젣嫄고븷 븣源뚯 紐⑸컻쓣 씠슜븳 쟾 泥댁쨷 遺븯瑜, 떊뿰 옣移 젣嫄 썑뿉뒗 3媛쒖썡源뚯 紐⑸컻쓣 씠슜븳 遺遺 泥댁쨷 遺븯瑜 떆뻾븯떎10. 닔닠 썑 3媛쒖썡吏몃꽣 벑냽꽦 洹쇰젰 슫룞 諛 쟾 泥댁쨷 遺븯 슫룞쓣 떆옉븯떎. 媛踰쇱슫 議곌퉭 諛 squatting 닔닠 썑 6媛쒖썡吏, 諛곕뱶誘쇳꽩 벑쓽 媛踰쇱슫 뒪룷痢 솢룞 9媛쒖썡吏, 異뺢뎄, 紐④뎬 뒪궎 벑쓽 怨좉컯룄 뒪룷痢 솢룞 1뀈吏몄뿉 떆뻾븯룄濡 븯떎. 닔닠 썑 2뀈吏몄뿉 諛⑹궗꽑 궗吏(Fig. 5A) 諛 옄湲곌났紐낆쁺긽 寃궗(Fig. 5B)瑜 떆뻾븯떎. 닔닠 썑 2뀈吏 엫긽 젏닔뒗 Lysholm 젏닔 90, IKDC 젏닔 85濡 닔닠 쟾蹂대떎 뼢긽맂 寃쎄낵瑜 蹂댁떎.

Fig. 5. (A) The left lateral joint space (circle) was well maintained with increased joint space width compared with preoperative joint space width at 2 years after distraction arthroplasty. (B) The arrow shows well positioned left lateral meniscal graft at 2 years after distraction arthroplasty, although there was graft extrusion (>3 mm).

紐④뎬 뒪궎뒗 닔닠 썑 1뀈吏몄뿉 蹂듦븷 닔 엳뿀怨, 씠썑 2뀈媛 紐④뎬 뒪궎 꽑닔濡 솢룞븯떎. 닔닠 썑 9뀈吏몄씤 吏湲 異뺢뎄, 뒪궎 벑 뀒洹몃꼫 젏닔 7젏 씠긽쓽 뒪룷痢 솢룞쓣 吏냽쟻쑝濡 떆뻾븯怨 엳떎. 닔닠 썑 9뀈吏 떆뻾븳 諛⑹궗꽑 궗吏 寃궗뿉꽌 쇅痢 愿젅 媛꾧꺽 떊뿰맂 긽깭濡 쑀吏릺怨 엳뿀떎(Fig. 6).

Fig. 6. The left lateral joint space (circle) was well maintained with increased joint space width compared with preoperative joint space width at 9 years after distraction arthroplasty.

씠 뿰援щ뒗 嫄닿뎅븰援먮퀝썝 깮紐낆쑄由ъ쐞썝쉶쓽 듅씤 븯뿉 떆뻾븯떎(KUMC 2021-07-007).

怨 李

씠 利앸 蹂닿퀬뒗 吏꾪뻾맂 쇅痢 怨④젅뿼쓣 媛吏 젇怨 솢룞쟻씤 솚옄뿉꽌 愿젅 蹂댁〈닠쓽 씪솚쑝濡 떊뿰 愿젅 꽦삎닠, 쇅痢 諛섏썡 뿰怨⑦뙋 씠떇닠, 쇅痢 눜怨 뿰怨 옱깮닠 벑쓣 떆뻾븳 썑뿉 醫뗭 옣湲 엫긽 寃곌낵瑜 뼸뿀쓬쓣 蹂닿퀬븯뒗 寃껋씠떎. 씠 솚옄쓽 寃쎌슦 닔닠 썑 9뀈源뚯 愿젅 媛꾧꺽 쑀吏, 怨좉컯룄 뒪룷痢 솢룞 吏냽씠씪뒗 諛⑹궗꽑븰쟻, 엫긽븰쟻쑝濡 醫뗭 寃곌낵瑜 蹂댁떎. 씠 寃곌낵瑜 넗濡 젇怨 솢룞쟻씤 怨④젅뿼 솚옄뿉꽌 떊뿰 愿젅 꽦삎닠, 쇅痢 諛섏썡 뿰怨⑦뙋 씠떇닠, 뿰怨 옱깮닠 벑쓽 愿젅 蹂댁〈닠 씤怨듦젅 移섑솚닠쓣 泥댄븯뒗 닔닠씠 븘땶 씤怨듦젅 移섑솚닠쓣 理쒕븳 뒭異붿뼱 以 닔 엳뒗 “깮臾쇳븰쟻 옱嫄”씠씪뒗 깉濡쒖슫 媛쒕뀗쑝濡 젙由쎈맆 媛뒫꽦씠 엳떎怨 깮媛곹븳떎.

떊뿰 愿젅 꽦삎닠쓣 넻븳 씠솚맂 援ы쉷쓽 媛먯븬 蹂대떎 굹 愿젅 궡 깮뿭븰쟻 諛 깮臾쇳븰쟻 솚寃쎌쓣 留뚮뱾뼱 以뚯쑝濡쒖뜥 愿젅 궡쓽 빆긽꽦쓣 쉶蹂듭떆耳 議곗쭅쓽 옱깮쓣 룄二쇰뒗 슚怨쇰 蹂댁씤떎. Besselink 벑7 궡痢 援ы쉷쓽 怨④젅뿼쓣 吏땶 20紐낆쓽 솚옄뱾쓣 긽쑝濡 떊뿰 愿젅 꽦삎닠쓣 떆뻾븯怨 2뀈吏몄뿉 諛⑹궗꽑 궗吏꾩쓣 遺꾩꽍븳 寃곌낵 닔닠 쟾蹂대떎 쓽誘몄엳뒗 愿젅 媛꾧꺽쓽 利앷瑜 蹂댁떎怨 蹂닿퀬븯쑝硫, 씠윭븳 寃곌낵뒗 愿젅 뿰怨⑥쓽 몢猿 뼢긽쓣 媛꾩젒쟻쑝濡 蹂댁뿬 以 寃껋씠씪怨 븯떎. van der Woude 벑10 吏꾪뻾맂 怨④젅뿼쓣 蹂댁씤 20紐낆쓽 솚옄뱾뿉寃 떊뿰 愿젅 꽦삎닠쓣 떆뻾븯怨 5뀈吏몄뿉 寃궗瑜 遺꾩꽍븳 寃곌낵, 諛⑹궗꽑 궗吏꾩뿉꽌 쓽誘몄엳뒗 愿젅 媛꾧꺽쓽 利앷瑜 蹂댁떎怨 븯떎. 洹몃뱾 떊뿰 愿젅 꽦삎닠 愿젅 뿰怨 옱깮쓣 珥덇린뿉 珥됱쭊떆耳 以 닔 엳뒗뜲, 씠뒗 怨④젅뿼쓽 옄뿰 寃쎄낵 鍮꾧탳빐 蹂댁븯쓣 븣 옣湲곗쟻씤 援ъ“쟻 씠뱷쓣 젣怨듯빐 二쇨린 븣臾몄씠씪怨 븯떎. 삉븳 van der Woude 벑8 씤怨듦젅 移섑솚닠 샊 젅怨⑥닠쓽 쟻쓳利앹씠뿀뜕 57紐낆쓽 솚옄뱾뿉寃 떊뿰 愿젅 꽦삎닠쓣 떆뻾븳 썑 1뀈吏몄뿉 諛⑹궗꽑 궗吏꾩쑝濡 愿젅 媛꾧꺽 蹂솕瑜 룊媛븯뒗뜲, 닔닠 쟾 愿젅 媛꾧꺽 0.94±1.03 mm뿉꽌 닔닠 썑 1.63±1.21 mm濡 쓽誘몄엳寃 利앷븯떎怨 븯떎(p<0.001). 씠踰 利앸쓽 솚옄뿉꽌룄 닔닠 썑 2뀈吏 옄湲곌났紐낆쁺긽 寃궗뿉꽌뒗 쇅痢 諛섏썡 뿰怨⑦뙋씠 옒 쑀吏릺怨 엳뒗 寃껋쓣 愿李고븯怨, 2뀈吏 諛 9뀈吏몄뿉 쇅痢 援ы쉷쓽 愿젅 媛꾧꺽씠 利앷븳 寃곌낵瑜 蹂댁떎. 씠윭븳 寃곌낵뱾쓣 醫낇빀빐 蹂댁븯쓣 븣, 吏꾪뻾맂 怨④젅뿼뿉꽌 떊뿰 愿젅 꽦삎닠 愿젅 궡쓽 援ъ“쟻 솚寃쎌쓣 媛쒖꽑떆耳 議곗쭅 옱깮 諛 븞젙뿉 醫뗭 슚怨쇰 굹궦떎怨 깮媛곹븳떎.

떊뿰 愿젅 꽦삎닠 썑 슫룞 蹂듦뿉 븳 寃곌낵뒗 嫄곗쓽 뾾떎. 理쒓렐쓽 뿰援ъ뿉꽌 룊洹 50.5꽭 49.6꽭쓽 솚옄뱾뿉寃 媛곴컖 떊뿰 愿젅 꽦삎닠怨 洹쇱쐞 寃쎄낏 젅怨⑥닠쓣 떆뻾븳 썑뿉 슫룞 蹂듦 諛 뾽臾 蹂듦뿉 븳 寃곌낵瑜 蹂닿퀬븯뒗뜲, 떊뿰 愿젅 꽦삎닠濡쒕꽣 2뀈 씠긽 썑뿉 슫룞 蹂듦쑉 79%, 뾽臾 蹂듦쑉 94%떎怨 븯떎3. 洹몃윭굹, 뀒洹몃꼫 젏닔뒗 닔닠 쟾 5젏뿉꽌 3.5젏쑝濡 媛먯냼븯떎怨 븯떎. 씠踰 利앸쓽 솚옄뒗 닔닠 떆쓽 굹씠媛 36꽭씠怨 吏곸뾽 紐④뎬 뒪궎 꽑닔濡 씠쟾 뿰援щ낫떎 젇怨 솢룞쟻씤 寃쎌슦씪怨 븷 닔 엳寃좉퀬, 닔닠 썑 9뀈吏멸퉴吏 뀒洹몃꼫 젏닔 7젏 씠긽쓽 怨좉컯룄 솢룞씠 媛뒫븯떎뒗 寃껋 쓽誘명븯뒗 諛붽 겕떎怨 븷 닔 엳떎. 븯吏留 蹂 솚옄泥섎읆 젇 굹씠뿉 吏꾪뻾븳 臾대쫷 怨④젅뿼 솚옄뿉꽌 떊뿰 愿젅 꽦삎닠 諛 諛섏썡 뿰怨⑦뙋 씠떇닠쓣 떆뻾븳 利앸뒗 븘吏 뱶臾쇨퀬, 蹂 닠떇怨 愿젴븳 빀蹂묒쬆 벑뿉 븳 蹂닿퀬룄 遺議깊븯湲 븣臾몄뿉 븵쑝濡 뜑 留롮 솚옄뱾쓣 긽쑝濡 븳 엫긽 뿰援ш 븘슂븯떎. 異뷀썑 뜑 留롪퀬 떎뼇븳 쓽븰쟻 洹쇨굅媛 蹂닿퀬맂떎硫 蹂 닠떇怨 愿젴븳 “깮臾쇳븰쟻 옱嫄”씠씪뒗 媛쒕뀗씠 젙由쎈맆 닔 엳쓣 寃껋쑝濡 깮媛곹븳떎. 떊뿰 愿젅 꽦삎닠, 諛섏썡 뿰怨⑦뙋 씠떇닠, 뿰怨 옱깮닠 벑쓣 넻븳 愿젅 蹂댁〈 닔닠 닔닠 썑 怨좉컯룄쓽 뒪룷痢 솢룞 蹂듦瑜 썝븯뒗 젇 뿰졊쓽 솚옄뿉꽌 궡諛 諛 쇅諛 蹂삎씠 떖븯吏 븡 吏꾪뻾맂 怨④젅뿼쓣 移섎즺빐 以 닔 엳뒗 닔닠쟻 移섎즺 以 븯굹쓽 꽑깮씠 맆 닔 엳쓣 寃껋씠떎.

Conflict of Interest

No potential conflict of interest relevant to this article was reported.

Author Contributions

Conceptualization: JGK. Data curation: DRL, MAK. Formal analysis, Methodology, Visualization: DWL. Project administration: JGK. Writing?original draft: DRL, MAK. Writing?review & editing: DWL, JGK.

References
  1. Khan M, Adili A, Winemaker M, Bhandari M. Management of osteoarthritis of the knee in younger patients. CMAJ 2018;190:E72-9.
    Pubmed KoreaMed CrossRef
  2. Rensing N, Prabhakar G, Kusnezov N, Zarkadis NJ, Waterman BR, Pallis M. Distal femoral osteotomy in a young symptomatic population: outcomes correlate to concomitant pathology. J Orthop 2019;16:283-8.
    Pubmed KoreaMed CrossRef
  3. Hoorntje A, Kuijer PP, Koenraadt KL, et al. Return to sport and work after randomization for knee distraction versus high tibial osteotomy: is there a difference? J Knee Surg 2020 Nov 23 [Epub]. https://doi.org/10.1055/s-0040-1721027.
    Pubmed CrossRef
  4. Goh EL, Lou WC, Chidambaram S, Ma S. The role of joint distraction in the treatment of knee osteoarthritis: a systematic review and quantitative analysis. Orthop Res Rev 2019;11:79-92.
    Pubmed KoreaMed CrossRef
  5. Takahashi T, Baboolal TG, Lamb J, Hamilton TW, Pandit HG. Is knee joint distraction a viable treatment option for knee OA?: a literature review and meta-analysis. J Knee Surg 2019;32:788-95.
    Pubmed CrossRef
  6. Rue JP, Yanke AB, Busam ML, McNickle AG, Cole BJ. Prospective evaluation of concurrent meniscus transplantation and articular cartilage repair: minimum 2-year follow-up. Am J Sports Med 2008;36:1770-8.
    Pubmed CrossRef
  7. Besselink NJ, Vincken KL, Bartels LW, et al. Cartilage quality (dGEMRIC Index) following knee joint distraction or high tibial osteotomy. Cartilage 2020;11:19-31.
    Pubmed KoreaMed CrossRef
  8. van der Woude JA, Welsing PM, van Roermund PM, Custers RJ, Kuchuk NO, Lafeber FP. Prediction of cartilaginous tissue repair after knee joint distraction. Knee 2016;23:792-5.
    Pubmed CrossRef
  9. Lee DW, Park JH, Chung KS, Ha JK, Kim JG. Arthroscopic lateral meniscal allograft transplantation with the key-hole technique. Arthrosc Tech 2017;6:e1815-20.
    Pubmed KoreaMed CrossRef
  10. van der Woude JA, Wiegant K, van Roermund PM, et al. Five-year follow-up of knee joint distraction: clinical benefit and cartilaginous tissue repair in an open uncontrolled prospective study. Cartilage 2017;8:263-71.
    Pubmed KoreaMed CrossRef