Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Korean Medicine Treatment to Posterior Cruciate Ligament Tear Patients Due to Traffic Accident: Report of 2 Cases

교통사고로 인한 후방십자인대 파열 환자에 대한 증례보고 2예

  • Bae, Jun-Hyo (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kwon, Yong-Su (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Yu, Jae-eun (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Hee-won (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Koo, Ji-eun (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Ka-hyun (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Choi, Sung-won (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Yoon, Joo-young (Department of Korean Medicine Rehabilitation, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Park, Ji-won (Department of Korean Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 배준효 (대전자생한방병원 한방재활의학과) ;
  • 권용수 (대전자생한방병원 한방재활의학과) ;
  • 유재은 (대전자생한방병원 한방재활의학과) ;
  • 이희원 (대전자생한방병원 한방재활의학과) ;
  • 구지은 (대전자생한방병원 한방재활의학과) ;
  • 김가현 (대전자생한방병원 한방재활의학과) ;
  • 최성원 (대전자생한방병원 한방재활의학과) ;
  • 윤주영 (대전자생한방병원 한방재활의학과) ;
  • 박지원 (대전자생한방병원 침구의학과)
  • Received : 2021.06.07
  • Accepted : 2021.07.03
  • Published : 2021.07.31
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Abstract

This study's purpose is to report the effectiveness of Korean medicine treatment to posterior cruciate ligament tear patients due to traffic accident. 2 patients were treated with Korean medicine by acupuncture, pharmacopuncture and herbal medication. We assessed the knee pain and functional improvement by using numeric rating scale (NRS), Western Ontario and McMaster Universities arthritis (WOMAC) index and EuroQol-5 dimension (EQ-5D) index. After treatment, NRS decreased from 6 to 2 in case 1 and from 5 to 3 in case 2. EQ-5D index chaged from 0.465 to 0.72 in case 1 and from 0.719 to -0.171 in case 2. WOMAC index decreased from 82 to 13 in case 1 and from 55 to 54 in case 2. NRS improved in both cases, but WOMAC index and EQ-5D index improved in only one case. Korean medicine treatment could be helpful for posterior cruciate ligament tear traffic accident patients. However, further clinical studies are needed to clarify the effectiveness to the patients with old age, degeneration and accompanying injury.

Keywords

References

  1. Oh JG, Kim SH, Kim YJ, Lee JP. Sports medicine. 1st ed. Seoul:Hansol Medicine. 2008:270-89.
  2. Shintaro K. Musculoskeletal disorders of the pain anatomy. 1st ed. Seoul:Shinheung Medscience. 2013:130-1.
  3. Janousek AT, Jones DG, Clatworthy M, Higgins LD, Fu FH. Posterior cruciate ligament injuries of the knee joint. Sports Med. 1999;28(6):429-41. https://doi.org/10.2165/00007256-199928060-00005
  4. Schulz MS, Russe K, Weiler A, Eichhorn HJ, Strobel MJ. Epidemiology of posterior cruciate ligament injuries. Arch Orthop Trauma Surg. 2003;123(4):186-91. https://doi.org/10.1007/s00402-002-0471-y
  5. Fanelli GC, Edson CJ, Orcutt DR, Harris JD, Zijerdi D. Treatment of combined anterior cruciate-posterior cruciate ligament-medial-lateral side knee injuries. J Knee Surg. 2005;18(3):240-8.
  6. Kim JG. Surgical adaptation and principle of posterior cruciate ligament injury. Journal of Korean Arthroscopy Society. 2005;9(1):9-12.
  7. Stannard JP, Riley RS, Sheils TM, McGwin G Jr, Volgas DA. Anatomic reconstruction of the posterior cruciate ligament after multiligament knee injuries. A combination of the tibial-inlay and two-femoral-tunnel techniques. Am J Sports Med. 2003;31(2):196-202. https://doi.org/10.1177/03635465030310020701
  8. Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy. 1996;12(5):521-30. https://doi.org/10.1016/S0749-8063(96)90189-9
  9. Dennis MG, Fox JA, Alford JW, Hayden JK, Bach BR Jr. Posterior cruciate ligament reconstruction: current trends. J Knee Surg. 2004;17(3):133-9.
  10. Lee YS, Lee SW, Seo BH, Kim YG. A comparison of outcomes after early and delayed reconstruction in the acute posterior cruciate ligament injuries. Journal of Korean Arthroscopy Society. 2013;17(1):31-7.
  11. Scapinelli R. Vascular anatomy of the human cruciate ligaments and surrounding structures. Clin Anat. 1997;10(3):151-62. https://doi.org/10.1002/(SICI)1098-2353(1997)10:3<151::AID-CA1>3.0.CO;2-X
  12. Jung YB, Tae SK, Yang DL, Han JN, Song IS, Kang IK. Magnetic resonance imaging on posterior cruciate ligament injury - Can the PCL heal? -. Knee Surg Relat Res. 2000;12(2):172-9.
  13. Bollen S. Epidemiology of knee injuries: diagnosis and triage. Br J Sports Med. 2000;34(3):227-8. https://doi.org/10.1136/bjsm.34.3.227-a
  14. Choi SY. Pain treatment manual fo K.M.D. 1st ed. Seoul:Shinheung Medscience. 2013:193-5.
  15. Wall PD, Mozack R. Textbook of pain. 1st ed. Seoul: Jungdam Publication. 2002:483-4.
  16. Jung CY, Kim EJ, Hwang MS, Cho HS, Kim KH, Lee SD, Kim KS. The research of pain and functional disability assessment scales for knee joint disease. The Acupuncture. 2010;27(2):123-42.
  17. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, Kind P, Kweon SS, Kim YT. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value Health. 2009;12(8):1187-93. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  18. Lee BK, Eom KS, Kee YC. Posterior laxity after conservative treatment of the acute injured posterior cruciate ligament. The Korean Knee Society. 2003;15(2):97-101.