DOI QR코드

DOI QR Code

Effects of Complex Korean Medicine Treatment on a Patient with Knee Pain and Ankylosis Following a Distal Femur Osteotomy: A Case Report

  • Park, Han Bin (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Heo, Eun Sil (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Yoo, Dong Hwi (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Jang, Won Suk (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Kwon, Oh Bin (Department of Acupuncture and Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Choi, Ki Won (Department of Internal Medicine of Korean Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Kwon, Min Jin (Department of Internal Medicine of Korean Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Kim, Tae Ju (Department of Internal Medicine of Korean Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Jang, Seon Woo (Department of Oriental Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Kwon, Oh Hoon (Department of Acupuncture and Moxibustion, Changwon Jaseng Hospital of Korean Medicine)
  • 투고 : 2021.10.28
  • 심사 : 2022.02.21
  • 발행 : 2022.05.31

초록

Distal femur osteotomy (DFO) is a controlled surgical break of the femur performed to allow realignment of the limb. Redistribution of the load aims to correct the abnormal mechanical weight-bearing axes in patients with abnormal alignment of the lower extremities, and degenerative changes in the knee joint. This report describes a complex Korean medicine treatment for a patient complaining of knee pain and stiffness following a DFO. Post-operative care for the patient lasted 78 days with treatment including pharmacopuncture, acupuncture, herbal medicine, cupping therapy, and physiotherapy. The effectiveness of the treatments was evaluated using the numerical rating scale, range of motion of the knee, and by physical examination. After treatment, these evaluation indicators improved, suggesting that the complex Korean medicine treatment received by the patient was an appropriate treatment for knee pain and stiffness following a DFO.

키워드

참고문헌

  1. Felson DT, Engl N, Med J. Osteoarthritis of the Knee. N Engl J Med 2006;354:841-848 https://doi.org/10.1056/NEJMcp051726
  2. Lim SW, Ryu SM, Shon OJ. Osteotomy around the Knee: Indication and Preoperative Planning. J Korean Orthop Assoc 2018;53:283-292. [in Korean]. https://doi.org/10.4055/jkoa.2018.53.4.283
  3. Chahla J, Mitchell JJ, Liechti DJ, Moatshe G, Menge TJ, Dean CS et al. Opening- and Closing-Wedge Distal Femoral Osteotomy: A Systematic Review of Outcomes for Isolated Lateral Compartment Osteoarthritis. Orthop J Sports Med 2016;4:2325967116649901.
  4. Geum JH, Ha WB, Koh NY, Lee JH. A Rehabilitation Protocol for High Tibial Osteotomy in Korean Medicine: A Report of 3 Cases. J Korean Med Rehabil 2018;28:107-118. [in Korean]. https://doi.org/10.18325/jkmr.2018.28.3.107
  5. Kim SH, Ahn J, Ock M, Shin S, Park J, Luo N et al. The EQ-5D-5L valuation study in Korea. Qual Life Res 2016;25:1845-1852. https://doi.org/10.1007/s11136-015-1205-2
  6. Gunal I, Kose N, Erdogan O, Gokturk E, Seber S. Normal Range of Motion of the Joints of the Upper Extremity in Male Subjects, with Special Reference to Side. J Bone Joint Surg Am 1996;78:1401-1404. https://doi.org/10.2106/00004623-199609000-00017
  7. Seo YR, Nha KW, Ha SS. Surgical Technique for Distal Femur Varization Osteotomy. J Korean Orthop Assoc 2018;53:301-306. [in Korean]. https://doi.org/10.4055/jkoa.2018.53.4.301
  8. Charles E Giangarra, Robert C. Manske. Clinical orthopaedic rehabilitation, 4th ed. Philadelphia (PA): Elsevier; 2018. p. 417-421.
  9. Chung HJ, Lee HS, Shin JS, Lee SH, Park BM, Youn YS et al. Modulation of acute and chronic inflammatory processes by a traditional medicine preparation GCSB-5 both in vitro and in vivo animal models. J Ethnopharmacol 2010;130:450-459. https://doi.org/10.1016/j.jep.2010.05.020
  10. Han SY, Lee JY, Park SH, Yang KY, Lee JH, Kim JS et al. A Clinical Study on Effect of Electro-acupuncture Treatment for Whiplash Injury Patients Caused by Traffic Accident. J Acupunct Res 2011;28:107-115. [in Korean].
  11. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine, 4th ed. Paju (Korea): Koonja Publishing; 2015: p. 404-405, 413-416.