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잠김-압박 금속판을 사용하여 MIPPO 수기를 적용한 원위부 경골 골절의 치료: 관절내 골절과 관절외 골절의 비교
정수태,김형수,차승도,유정현,박재형,김주학,정진하,Chung, Soo-Tae,Kim, Hyung-Soo,Cha, Seung-Do,Yoo, Jeong-Hyun,Park, Jai-Hyung,Kim, Joo-Hak,Jung, Jin-Ha 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2
Purpose: To evaluate the efficiency of the minimally invasive percutaneous plate osteosynthesis (MIPPO) with locking compression plate (LCP) for distal tibial metaphyseal intra-articular fracture compared with extra-articular fracture. Materials and Methods: From February 2006 to June 2008, 21 patients with distal tibia metaphyseal intra-articular fracture and 20 patients with extra-articular fracture were treated operatively by MIPPO technique with LCP and followed for at least one year. In the group with intra-articular fracture, mean age was 48.85 years old and a mean follow-up was 15 months. In the other group with extra-articular fracture, mean age was 52.35 years old and a mean follow-up was 14.5 months. The type of fracture was evaluated using the AO/OTA classification and open-fractures were according to the Gustilo-And gron classification. Radiologic evaluation with fracture healing and tibial alignment, clinical evaluation with Olerud and Molander ankle score and restriction of motion were done for treatment. Results: According to AO/OTA classification, There were 21 type A, 15 type B, 5 type C. Average union time of the intra-articular fracture (type B, C) was 18.7 weeks. Average union time of the extra-articular fracture (type A) was 17.1 weeks. All fractures were healed without malunion. There were no difference of mean restriction angle between intra-articular fracture (ankle dorsiflexion was 3.57 degree, plantar-flexion was 5.95 degree) and extra-articular fracture (ankle dorsiflexion was 3 degree, plantar-flexion was 3.75 degree). There were no difference of Olerud and Molander ankle score between them as a mean score of intra-articular and extra-articular was 89.25, 91.25 each other. As a complication, there were 3 case of skin necrosis, 8 case of discomfortable skin tenting by plate and 1 superficial infection, but could be healed by conservative care. Conclusion: MIPPO technique, combined articular reduction, with LCP of distal tibial metaphyseal fracture was a good method with high functional recovery.
차승도,김형수,정수태,유정현,박재형,김주학,김용훈,Cha, Seung-Do,Kim, Hyung-Soo,Chung, Soo-Tae,Yoo, Jeong-Hyun,Park, Jai-Hyung,Kim, Joo-Hak,Kim, Yong-Hoon 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2
The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias-Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.
김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),박재형 ( Jai Hyung Park ),김주학 ( Joo Hak Kim ),차승도 ( Seung Do Cha ),오세만 ( Se Man Oh ) 대한스포츠의학회 2010 대한스포츠의학회지 Vol.28 No.2
In patients complained of lateral ankle pain, the peroneal tendinopathy is frequently overlooked because relatively rare. In this study, types of lesion, frequency, and clinical results were analyzed in patients with peroneal tendinopathy associated in chronic ankle instability. This study reviewed the result of 22 patients. The average age was 35.1 years with an average follow-up of 20.1 months. Modified Brostrom procedure was done and peroneal tendon was explored. Peroneal tendinopathy was composed of 9 tear, 2 dislocation, 4 tendinitis, 7 low-lying muscle belly, 1 peroneal quartus. Depending on the type of peroneal tendinopathies, tubularization, groove deepening and retinaculum repair, and debridement were done. All patients had a history of repeated sprains, positive anterior drawer test, lateral ankle pain. After the last follow-up, the visual analogue scale score and American Orthopaedic Foot and Ankle Society score were evaluated. Also, almost of all patients were satisfied and anterior drawer test was improved. If the patients have chronic ankle instability and pain around the retromalleolar area, we keep in mind that the lesions are peroneal tendinopathy.
고관절 후방 탈구와 동반된 동측의 대퇴 골두 및 전자 간부 골절
박재형 ( Jai Hyung Park ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),김주학 ( Joo Hak Kim ),차승도 ( Seung Do Cha ),이태우 ( Tae Woo Lee ) 대한골절학회 2010 대한골절학회지 Vol.23 No.1
High-energy injury, as traffic accident or fall down, can cause fracture of femur head and posterior dislocation of hip joint which is accompanied with ipsilateral acetabulum fracture or femur neck fracture. But the case that femur head fracture and posterior dislocation of the hip joint coincide with ipsilateral intertrochanteric fracture of proximal femur is so uncommon that reports of the case is very rare. We hereby are to report the experienced and treated-cases of femur head fracture and posterior dislocation of the hip joint that is accompanied with ipsilateral intertrochanteric fracture.
박재형 ( Jai Hyung Park ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),김주학 ( Joo Hak Kim ),차승도 ( Seung Do Cha ),정진하 ( Jin Ha Jung ) 대한고관절학회 2011 Hip and Pelvis Vol.23 No.1
수지상 지방종(Lipoma arborescens)은 관절낭에서 지방 세포가 활액막의 융모상 지방종을 이루며 이형 증식하는 질환으로 매우 희귀한 질환이다. 비후된 활액막성 지방종이 관절의 움직임에 따라 자극되어 관절의 동통, 삼출, 관절 운동의 제한 및 종창등의 증상을 일으키며 발생 원인으로는 외상, 류마티스 관절염, 염증, 퇴행성 변화 등이 알려져 있으나 명확한 원인은 아직 판명되지 않았다. 대부분의 수지상 지방종은 슬관절 및 주관절등 여러 관절에서의 발생이 보고되고 있으나 고관절에서의 수지상 지방종은 드물어 국내에서는 1예 정도만 보고되고 있다. 저자들은 고관절에 발생한 수지상 지방종 환자 1예를 치료하였기에 문헌고찰과 함께 보고한다. Lipoma arborescens is a very rare disease in which adipocytes form a synovial villous lipoma. In addition, it has the potential for dysplastic proliferation. Hypertrophic synovial lipoma is stimulated by movement of joints, which results in joint pain, effusion, limitation of joint movement and swelling. A definite cause has not yet been proven, but trauma, rheumatic arthritis, inflammation and degenerative change are believed to be possible causes. There have been reports of lipoma arborescens in several joints, including the knee joint and elbow joint. However, it is very rare to find this disease in hip joints. In fact, only one such case has been reported in Korea. We report here on a rare case of lipoma arborescens in the hip joint along with a review of the relevant literature.
원위 요골 골절에서 고정각과 가변각 수장측 잠김 금속판을 이용한 수술의 비교
차승도 ( Seung Do Cha ),박재형 ( Jai Hyung Park ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),김주학 ( Joo Hak Kim ),박정환 ( Jung Hwan Park ) 대한골절학회 2012 대한골절학회지 Vol.25 No.3
목 적: 원위 요골 골절 환자에서 고정각 수장측 잠김 금속판을 이용한 군과 가변각 수장측 잠김 금속판을 이용한 군의 결과를 비교하고자 하였다. 대상 및 방법: 술 후 최소한 6개월 이상의 추시 관찰이 가능하였던 41예를 대상으로 하였으며, 치료 결과의 판정을 위해 관절 운동범위, visual analogue scale score 및 Disabilities of the Arm, Shoulder and Hand Questionnaire score를 이용한 임상적 평가 및 방사선학적 평가를 시행하였다. 결과: 임상적 결과 및 방사선학적인 결과 모두에서 고정각 잠김 금속판을 이용한 군과 가변각 잠김 금속판을 이용한 군에서 통계학적으로 차이를 보이지 않았다. 결론: 원위 요골 골절에서 잠김 금속판의 종류에 따른 수술적 결과의 유의한 차이는 없었으나, 골편의 모양에 따른 적절한 금속판 선택을 하여 수술을 시행해 나사못과 금속판에 의한 합병증을 최소화하도록 노력하는 것이 중요하다고 생각한다. Purpose: To compare the outcomes of distal radius fractures in a fixed-angle volar locking plate group and variable-angle volar locking plate group. Materials and Methods: Forty-one patients observed at least 6 months after surgery were included in this retrospective study. We used the range of motion, visual analogue scale score, Disabilities of the Arm, Shoulder and Hand Questionnaire score, and radiologic findings to measure the clinical results. Results: No differences in clinical results or radiologic results were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group. Conclusion: We believe that it is important to minimize complications by using appropriate screws and plates according to the fracture type, though no differences in the surgical outcome were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group with distal radius fracture.
박재형 ( Jai Hyung Park ),김주학 ( Joo Hak Kim ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),차승도 ( Seung Do Cha ),이상엽 ( Sang Yeop Yi ),김용훈 ( Yong Hoon Kim ) 대한고관절학회 2008 Hip and Pelvis Vol.20 No.3
Typically, geodes are associated with obvious joint involvement, and they are located in the subchondral portion of the joint. Radiological lucencies are produced by pannus infiltration through a disruption in the subchondral plate, and they present as round or oval cystic areas of various sizes. We report a patient with rheumatoid disease and positive antinuclear antibody who had a geode that did not involve the joint. Considering the mechanism of geode occurrence, this is a very rare report of such a manifestation. As a result, we present a rare case of geode occurrence without joint involvement in the setting of rheumatoid disease.