근막 피하 피판술을 이용한 하지의 연부조직 결손부의 재건

정윤규,장석주 대한외상학회 1992 大韓外傷學會誌 Vol.5 No.2

Reconstruction of soft tissue defects of the lower third of the leg and foot continues to chall enge plastic surgeons seeking a safe repair with minimal morbidity. Among various technique, we can try an easy, safe, and richly vascularized distally based flap including fascia and subcutaneous tissue. And we can reconstruct the soft tissue defect of the medial rnalleolus, lateral malleolus, and Achilles region with this fasciosubcutaneous flaps. All flaps survives completely with no major problems. The advantages of this technique are easy dissection, preservation of the major vascular pedicles of the lower limb, skin preservation at the donor site, thus preserving the shape of the limb, and versality. Thus this technique is very useful in repairing soft tissue defect in the lower limb and can replace the classical fasciocutaneous flap, local muscle flap and even free flap.

Microvascular Reconstruction of Extensive Foot Injuries

정윤규,정섬,김주봉,Chung, Yoon-Kyu,Chung, Seum,Kim, Joo-Bong The Korean Society for Microsurgery 1994 Archives of reconstructive microsurgery Vol.3 No.1

The successful treatment of the extensively traumatized foot warrants reconstruction utilizing tissue that will provide adequate coverage, is resistant to infection, thin enough to conform to the contours of the foot as well as durable to constant frictional movement and weight bearing. Currently, free flaps offer the best means in achieving these difficult and sometimes contradictory goals. We treated twenty-one patients suffering from extensive soft tissue loss of the foot due to trauma, electric burn or postburn sequelae with free flaps. A fasciocutaneous, musculocutaneous or muscle flap with skin grafting was used based on the location, volume of tissue required, and the functional anatomical requirement of the injured region. The follow-up duration averaged twenty-nine months. From our group of patients, we believe that the muscle free flap with skin grafting offers the most favorable outcome. 해부학적으로 족부는 주위에 이용할 수 있는 연주 조직이 별로 없을 뿐 아니라 이용할 수 있더라도 크기가 제한되어 있으므로 광범위한 연부조직 결손시 이의 복원이 어렵다. 광범위하고 오염된 족부의 창상을 재건시 이상적인 조직의 조건으로서는 감염에 잘 견디고, 가능한한 원래의 모양 및 크기에 가깝게 복원해야 하며, 적절한 감각이 있어야 하고, 끊임없는 마찰력과 체중 부하에 잘 견뎌야 할 것이다. 미세혈관술을 이용한 유리조직이식은 비교적 위와같은 장점들을 제공할 수 있다. 저자들은 최근 약 4년간 외상과 전기화상 및 화상후 후유증으로 인하여 족배부, 발꿈치, Achilles건, 족저부등에 광범위한 결손 및 변형이 있었던 환자 21예에서 미세혈관술을 이용하여 Fasciocutaneous, musulocutaneous, muscle with skin graft 등으로 족부를 재건하여 추적중에 있으며 현재까지 관찰된 결과 및 장점, 단점과 문제점들을 보고하는 바이다.

천궁육계탕(川芎肉桂湯)을 투여한 요추 방출성 골절 환자 치험 1례

정윤규,김진수,엄봉군,신동재,김영지,Jung, Yoon-Gyoo,Kim, Jin-Soo,Uhm, Bong-Kun,Shin, Dong-Jae,Kim, Young-Jee 척추신경추나의학회 2011 척추신경추나의학회지 Vol.6 No.1

천궁육계탕(川芎肉桂湯)을 처방하여 요추 방출성 골절로 인한 극심한 요통 및 하지의 견인통이 호전된 1례를 통하여 신경학적 결손이 없는 요추 방출성 골절에 대해 천궁육계탕(川芎肉桂湯)이 환자의 자각적인 증세 및 NRS, ODI상으로 유효한 효과가 있었음을 확인하였다. 이에 저자는 요추 방출성 골절로 입원하여 천궁육계탕(川芎肉桂湯)을 복용한 후 호전된 1케이스를 보고하는 바이다. Objectives: The purpose of this study is to investigate the clinical application of Chungungyukgye-tang(Chuanxiongrougui-tang) to one patient with lumbar burst fracture. Methods: Patient is hopitalized at Dept. of Oriental Internal Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as lumbar burst fracture and treated mainly with herbal medine ; Chungungyukgye-tang(Chuanxiongrougui-tang). This study was measured by ODI(Oswestry Disability Index) and NRS(Numeric Rating Scale) score. Results: After taking Chungungyukgye-tang(Chuanxiongrougui-tang), the patient's pain was controlled. NRS & ODI score were decreased. Conclusions: As seen in this one case of lumbar burst fracture, Chungungyukgye-tang(Chuanxiongrougui-tang) has a positive effect to control pain with lumbar burst fracture.

경추부 질환에 적용하는 추나 치료에 대한 국내 연구 동향

정윤규,김민영,김진수,노해린,최영일,최희승,신동재,Jeong, Yun-Gyu,Kim, Min-Young,Kim, Jin-Soo,Ro, Hae-Rin,Choi, Young-Il,Choi, Hee-Seung,Shin, Dong-Jae 척추신경추나의학회 2013 척추신경추나의학회지 Vol.8 No.1

Objectives: The present study examines the domestic trend of Chuna manual therapy on cervical spinal disorders in Korea. Methods: We investigated the studies on Chuna manual therapy for cervical spinal disorders via searching 6 Korean web databases. As a result, 51 research papers were found to be analyzed according to their published year, published institution, the titles of journals, the types of study, the techniques of Chuna, the instruments for assessment, the Chuna technique and the number of the treatment trials by the cases of cervical spinal disorders and ethical approvals. Results: The number of the research papers published tended to increase every year. The studies on Chuna manual therapy for cervical spinal disorders were mainly published in The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. The most frequently adopted technique of Chuna in the examined studies was Chuna spine manipulation therapy - cervical spine technique. Visual analogue scale (VAS), neck disability index(NDI) were used as primary means of assessments. The ethical problems of the examined studies needed to be improved. Conclusions: Reviewing the domestic trend of studies on Chuna manual therapy for cervical spinal disorders and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for Chuna in Korean medicine.

허혈-재관류시에 골격근에서의 heat shock protein 및 c-fos 유전자 발현에 관한 연구

정윤규,유임주,정혜선,김현,서영석 대한해부학회 1995 Anatomy & Cell Biology Vol.28 No.2

금출도담탕(芩朮導痰湯)을 투여한 어깨 충돌증후군 환자 치험 3례

정윤규,김민영,김진수,최영일,최희승,조태영,Jung, Yoon-Gyoo,Kim, Min-Young,Kim, Jin-Soo,Choi, Young-Il,Choi, Hee-Seung,Cho, Tae-Young 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.1

금출도담탕(芩朮導痰湯)을 처방하여 어깨 충돌증후군으로 인한 극심한 통증 및 가동범위의 제한이 호전된 3례를 통하여 금출도담탕(芩朮導痰湯)이 어깨 충돌증후군에 대해 환자의 자각적인 증세 및 NRS, 견관절 이학적 검사상 유효한 효과가 있었음을 확인하였다. 이에 저자는 어깨충돌증후군으로 입원하여 금출도담탕(芩朮導痰湯)을 복용한 후 호전된 3케이스를 보고하는 바이다. Objectives: The Purpose of this study is to investigate the clinical application of Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang) to three patients with shoulder impingement syndrome. Methods: Patients were hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as shoulder impingement syndrome and treated mainly with herbal medicine, Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang). This study was measured by Numeric Rating Scale(NRS) score. Results: After taking Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang), pain of the patients was controlled. NRS scores were decreased. Conclusions: As seen in these three cases of shoulder impingement syndrome, Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang) has a positive effect to control pain with shoulder impingement syndrome.

흰쥐 골격근 재관류손상에 미치는 허혈양상화의 영향에 관한 미세형태계측학적 연구

정윤규,엄창섭,황승준,서영석 대한해부학회 1993 Anatomy & Cell Biology Vol.26 No.2

Dear members of the Korean Cleft Palate-Craniofacial Association

정윤규 대한두개안면성형외과학회 2018 Archives of Craniofacial Surgery Vol.19 No.4

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복직근 유리피판술을 이용한 경골 원위부, 과관절, 족부의 재건

이훈범,차원재,정윤규 大韓成形外科學會 1993 Archives of Plastic Surgery Vol.20 No.5

Although small sized soft tissue defects of the leg, ankle and foot are most conveniently reconstructed with local flaps, there are times when highly vascularized tissues are required to reconstruct leg, ankle and foot injuries: e,g., soft tissue defects associated with open bone fracutre or osteomyelitis, various free flaps had been employed widely for soft tissue reconstruction of leg, ankle and foot, Among these, free muscular flap with S.T.S.G. was proved to be most effective in reconstruction of soft tissue defects and control of infection. In reconstruction of small to medium sized soft tissue defects with exposed bone or infection, the rectus abdominis muscular free flap pedicled with the deep inferior epigastric artery is an invaluable. From June, 1991 to March, 1993, we have treated eight cases of severely injured lower extremites due to trauma or electrical burn with rctus abdominis free flap and skin graft. All flaps survived well, free from infection or further tissue necrosis. The advantages of rectus abdominis muscular free flap are followings. The flap can be easily harvested. The pedicle provides with relatively thick-calibered vessels. Because only the muscle is harvested without rectus sheaths, Virtually no donor site morbidity occures. The operation can be carried out in two operative fields simultaneously as two-team approach; thus, operative time can be greatly reduced. The follow-up period was ranged from one month to twenty two months, with a mean of twelve months. These cases have revealed satisfying results as well as without complication.

반전 도서형 피판(Reverse island flap)을 이용한 상지 및 하지의 연부조직 결손의 재건

김석원,손문방,정윤규 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.1

Many procedures have been described to resurface upper and lower extremity defects. The procedures included skin grafts, local flaps, distally and proximally based island flaps, and free skin muscle flaps. Since the 1970s, several skin-flap concepts, such as random-and axial-pattern flaps, free flaps, musculocutaneous flaps, and fasciocutaneous flaps have been poposed. In 1976, Bostwick et al. introduced the reverse flow temporal artery island flap. Thereafter, distally based soleus flap, reverse forearm flap, and distally based peroneal island flap have been proposed. In 1976, Bostwick et al. introduced the reverse flow temporal artery island flap. Thereafter, distally based soleus flap, reverse forearm flap, and distally based peroneal island flap have been introduced. Such flaps are called reverse-flow island flaps. These flaps have to rely on a retrograde arterial flow through the artery of the pedicle and require reverse flow through the vein to ensure venous drainage. Twelve reverse island flaps were transferred to cover the hand and heel defects. These included forearm, peroneal, and lateral supramalleoar flaps. These were accomplished by isolating and mobilizing the vascular supply of the unit and elevating them as island pedicle flaps. Nine patients were male and three were female, with an average age of 35 years(range from 8 to 71 years). Etiology of the extemity defect was variable and included crushing(5 patients), electrial burn(2 patients), unstable scars(2 patients), postburn scar contractrue(1 patient), pressure sore(2 patients). All flaps were survived except distal marginal necrosis in 2 cases. The reverse island flap has proven itself to be very effective when the flap is transferred from a proximal to a distal location for the reconstruction of an extremity without violation of the opposite extremity or previously uninjured distant sites. Based on our clinical cases repaired with flaps, we consider these flaps to be useful as alternatives for the repair and reconstruction of soft tissue defects in the upper and lower extremity, whether caused by accidental injury or sore. The results of our flaps have proved to be both reliable and durable in all instances.