Brooker정을 이용한 경골골절의 치료

문우남 최신의학사 1995 最新醫學 Vol.38 No.11

방사선적 족관절염의 유병율

문우남,이경상,Moon, Woo-Nam,Lee, Kyung-Sang 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1

Objectives: This study was done to determine the prevalence of radiographic ankle osteoarthritis (OA) in Korean women with clinical primary ankle OA. Methods: This analysis involved 160 Korean women who visited our out patient clinic due to ankle joint pain. Ankle AP and lateral weight-bearing radiographs were evaluated retrospectively to check whether they have radiographic OA or not. Radiographs were read for features of ankle OA using School classification. Demographic factors and radiographic findings in both radiographic ankle OA group and non-radiographic ankle OA group were analyzed by the student t-test, the chi square test and the Pearson's analysis. A p value <0.05 was considered significant. Results: The prevalence of radiographic ankle OA in Korean women is 18.2 % in patient between 18 and 39 years and is 55.6 % in patient over 40. There was significant difference between two groups with age (P<0.001) and relatively strong correlation between radiographic OA and age (r=0.474, P<0.001). Conclusion: These results show that the prevalence of Korean women with radiographic changes of ankle OA was 45 % and there was relatively strong correlation between age and radiographic ankle OA.

골밀도와 슬관절 골관절염의 연관성

문우남,이경상 대한정형외과학회 2002 대한정형외과학회지 Vol.37 No.6

질식 분만후의 치골관절 이개

문우남,서승우,주관영 대한골절학회 2001 대한골절학회지 Vol.14 No.1

Purpose: The objectives of this study are to observe the clinical characteristics and incidence of diastasis of symphysis pubis during vaginal delivery and to evaluate the risk factors of the lesion Methods and Materials: 16,000 vaginal delivery cases of our center from 1997 to 1999 were reviewed. The severe pain in symphysis pubis and walking difficulty after delivery were used as a diagnostic criterion. Several factors that increase the risk of this lesion during delivery were reviewed and analyzed by t-test between diastasis group (n=55) and normal group (n=100). Results: Fifty-five diastasis of symphysis pubis were diagnosed out of 16,000 normal vaginal delivery cases during that period. The widening of the joint ranged from 4mm to 34mm. Sixteen cases accompanied vertical mobility. No factor was proved to increase the risk of the lesion. Initial body weight of infant had suggestive significance (P=0.051). Conclusion: We couldn't prove any risk factors that increased the risk of diastasis of symphysis pubis during vaginal delivery in this study. Further prospective studies with more cases would be needed to disclose the risk factors.

반복적인 체중부하 운동이 치골결합 관절에 미치는 영향

문우남,김찬우,신홍철 대한스포츠의학회 2001 대한스포츠의학회지 Vol.19 No.2

교합성 골수강내 금속정을 이용한 경골 간부골절의 치료

문우남 대한골절학회 1997 대한골절학회지 Vol.10 No.3

Sixty-four closed or Gustilo type I open fractures of the tibial shaft were treated with interlocking intramedullary nailing with(n=38) or without(n=26) reaming and were followed for an average of 13 months. The time to bony union ranged from twelve to twenty-five weeks with an average of 16.4 weeks in reamed method and from thirteen to twenty-seven weeks with an average of 15.9 weeks in unreamed method. The complications of reamed method were seen in 4 cases(11%) (two stiffness of ankle joint, one malunion and one distal screw breakage) whereas complications of unreamed method were seen in 7 cases(27%) (one stiffness of ankle joint, two malunions and four distal screw breakages). There was no significant difference in the union time of reamed and unreamed interlocking intramedullary nailing. But complications of fracture healing were less frequently seen on reamed interlocking intramedullary nailing.

정복-고정하지 않은 소전자 골절이 전자간부 골절의 안정성에 미치는 영향

문우남,오종건,서승우,나경욱,김태형,박정호 대한골절학회 1997 대한골절학회지 Vol.10 No.3

Unstable intertrochanteric hip fractures are characterized by comminution of the posteromedial cortex, resulting in a fragment of variable size containing the lesser trochanter. Stability can be provided by transfixion of the lesser trochanteric fracture fragment with a screw. However, fixation of lesser trochanteric fragment is difficult, time-consuming, and often unsuccessful. Controversy exists as to whether it is necessary to perform reduction and fixation of this fragment. A radiological review of 61 intertrochanteric fractures treated with compression screw was made to study the effect of unreduced lesser trochanteric fracture on fracture healing and stability in unstable intertrochanteric fractures accompanied by lesser trochanteric fracture. Analysis were made on terms of rate of bone union, maintenance of reduction by comparing between anatomically reduced group with/without lesser trochanteric fracture and malreduced group with lesser trochanteric fracture. Anatomically reduced groups with/without lesser trochanteric fracture showed similar rates of bone union (88.3% in average) and degree of sliding of lag screw(3.74mm in average) regardless of fixation of lesser trochanter. On the other hand, unreduced group had 33.3% of bone union rates and 9.80mm of sliding of lag screw representing importance of anatomical reduction rather than fixation of lesser trochanteric fracture. In conclusion, it is suggested that unstable intertrochanteric fractures accompanied by large lesser trochanteric fracture fragment can be treated without fixation of lesser trochanteric fragment avoiding major complications such as loosening of implant or collapse of fracture fragment.

임신중 골반통의 발병율 및 유발인자

문우남,김문영,오한진,서승우,김인철,최영효,안재용 대한척추외과학회 2000 대한척추외과학회지 Vol.7 No.2

연구계획 : 출산직후 여성에 대하여 설문지 조사와 동통그림을 분석하였다. 연구목적 : 임신중의 골반통 발병율 및 위험인자를 확인하기 위하여 본 연구를 시행하였다. 연구대상 및 재료 : 1999년 본원에서 출산 한 산모 332명을 대상으로 설문지를 이용한 조사를 하고 이를 분석하였다. 산모는 나이, 분만력, 신체구성 지표, 임신중 체중 증가의 정도, 신생아의 무게, 임신전 및 임신중의 운동 및 직업의 유무, 이전 임신중의 골반통으 유무 등을 위험 인자로 잡았으며, 이에 대해 t-검정 및 로지스틱 희귀분석으로 통계학적인 분석을 하였다. 결과 : 임신중의 골반통의 발병율은 53.3% 였으며, 임신중의 골반통은 지난번 임신중의 골반통이 있었던 경우가 유지한 위험인자로 확인 되었다. 결론 : 이상의 결과로 이전 임신중 골반통의 경험이 있는 경우 주의 깊은 관찰로 임신시의 골반통 발생에 적극 대응하도록 하여야 하며, 향후 골반통의 빈도를 줄일 수 있는 치료법에 대해 연구가 보다 필요하리라 사료된다. Study Design : An analysis was made of the questionnaire answere and pain drawings of postpartum women. Objective : This study was done to ebaluate the risk factors of pelvic pain pregnancy and its incidence. Summary of Lierature Review : Pelvic pain accounts for the major complaints among pregnancyh women. The incidence and risk factors of pelvic pain during pregnancy in Korean women have not been defined fully. Materials and Methods : Three hundreds thirty-two postpartum women were asked to fill out a questionnaire within one week after their parturition. Age, parity, body aass index(BMI:㎏/㎤), weight gain during pregnancy, history of pelvic pain in previous pregnancy, level of exercise and vocational status durin and before the pregnancy and baby's birth weight were asked and evaluated to determine risk factors. The correlation was tested by stydent t-test and logistic regression. Results : Thhe incidence of pelvic pain during pregnancy was 53.3%. The history of pelvic pain in previous pregnancy showed correlation with pelvic pain in pregnancy(p<0.05). Conclusion : It is suggested that women women who experienced pelvic pain in previous pregnancies should be checked for pelvic pain before pregnancy. Effective intervention of pelvic pain will be needed in further studies.

근이영양증 생쥐에 대한 근모세포 이식술

문우남,엄창섭,박은경,안재용 대한정형외과학회 2002 대한정형외과학회지 Vol.37 No.2

임신중 골반관절 이완증의 치료 및 방지를 위한 근육강화 운동요법

문우남,최희수 대한스포츠의학회 2001 대한스포츠의학회지 Vol.19 No.2

The etiology of posterior pelvic pain(PPP) in symptom giving pelvic girdle relaxation (PGR) during pregnancy is biomechanical and hormonal effect to the anatomical structure around the lower back and pelvis. Weakness of muscle and ligament around the sacroiliac joint is one of the causes of PPP. Strengthening the structure around the sacroiliac joint might prevent PPP during pregnancy. The objective of this study is to make an effective muscle strengthening exercise on PPP during pregnancy. Papers about the anatomy and the bio-mechanism of sacroiliac joint, about the etiology and treatment of PGR were reviewed. 6 sets of muscle strengthening exercise program was made. It was consisted with pelvic tilting, knee pull, straight leg raising, curl up, lateral straight leg raising and Kegel exercise for strengthening the abdominal, gluteal muscle and tensor fascia lata and for relaxing back muscle and decreasing lumbar lordosis. A muscle strengthening exercise program for reducing posterior pelvic pain during pregmancy will be evaluated clinically prospectively.