하지와 족부의 급성 구획 증후군

채수욱,Chae, Soo Uk 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.3

Acute compartment syndrome of the lower leg and foot is a surgical emergency. The clinical symptoms is an important clue to diagnose compartment syndrome. In cases of ambiguous diagnosis, unconscious patients and children additionally need a intracompartmental pressure measuring. Immediate fasciotomy should be performed when clinical signs are obvious or when delta pressure is less than 30 mmHg or intracompartmental pressure is greater than 30 mmHg. Fasciotomy of the lower leg can be performed either by one lateral single incision or double incision, which of the foot mainly has a dorsal or medial incision. A delayed in diagnosis that leads to a delay in treatment can result in devastating disability. Acute compartment syndrome of the lower leg and foot is a relative rare but serious complication of which a surgeon should be aware.

족무지 지관절 종자골에 의한 난치성 족저 각화증 (증례보고)

채수욱,김강득,김종윤,차명수,Chae, Soo Uk,Kim, Gang Deuk,Kim, Jong Yun,Cha, Myoung Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.3

A sesamoid bone can occasionally be found under the interphalangeal joint of the hallux. These had anatomical variants and usually remain asymptomatic, it is uncommon for symptomatic cases of painful plantar keratoses or irreducible dislocation of interphalangeal joint of the hallux with incarcerated sesamoid. While the latter has a few cases, the former has not reported in Korea. We experienced a rare case of intractable plantar keratoses due to interphalangeal sesamoid bone of the hallux which may reqire excision.

항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고)

채수욱,김영진,송하헌,김종윤,Chae, Soo-Uk,Kim, Yeung-Jin,Song, Ha-Heon,Kim, Jong-Yun 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.2

The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.

아킬레스 건 파열과 동반된 동측 족관절 내과 골절(1예 보고)

채수욱,양정환,Chae, Soo-Uk,Yang, Jung-Hwan 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.1

Ankle fracture and Achilles tendon rupture are common as an isolated injury. However, Achilles tendon rupture with ipsilateral ankle fracture is uncommon, and occurs by a different injury mechanism with a risk of negligence. We report a case of Achilles tendon rupture with ipsilateral medial malleolar fracture.

최소 침습적 경피적 나사못 고정 방법을 이용한 전위된 관절내 종골 골절 치료

채수욱,양정환,Chae, Soo-Uk,Yang, Jung-Hwan 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1

Purpose: The purpose of this study is to analyze the clinical and radiological results of minimally invasive percutaneous screw fixation in intra-articular calcaneal fractures and its complications. Materials and Methods: This study is based on 30 intra-articular calcaneal fractures that treated by index operation from June 2005 to November 2006 with at least 6 months follow-up. We assessed the clinical and radiological outcomes and complications. Results: According to Sanders classification, there were 8 in type IIA, 7 in type IIB, 3 in type IIIAB, 6 in type IIIBC, 6 in type IV. And according to Essex-Lopresti classification, there were 9 in the tongue type, 21 in the joint depression type. Average follow-up period was 14.6 months (range: 6-23 months). Average interval between from injury to operation was 2.3 days. Average AOFAS score was 87.7 (range: 52-92). Satisfactory results were obtained in 22 cases (73.3%) by AOFAS score and in 20 cases (66.7%) by VAS score (mean: 3.4). Radiological results improved from 8.7 to 20.3 degrees in the Bohler angle and from 40.2 mm to 52.1 mm in calcaneal height. Postoperative complications were 2 skin and soft tissue problems and 1 sural neuropathy. Conclusion: Minimally invasive percutaneous screw fixation may be useful alternative surgical method in the management of Sanders type II and III calcaneal fractures, which is possible to achieves the anatomical restoration and minimizes postoperative complication in patients with high risks of soft tissue compromise and allows relatively early operation.

Cosmetic Lateral Canthoplasty: Lateral Canthoplasty to Lengthen the Lateral Canthal Angle and Correct the Outer Tail of the Eye

채수욱,윤병민 대한성형외과학회 2016 Archives of Plastic Surgery Vol.43 No.4

There are many women who want larger and brighter eyes that will give a favorable impression. Surgical methods that make the eye larger and brighter include double eyelidplasty, epicanthoplasty, as well as lateral canthoplasty. Double eyelidplasty produces changes in the vertical dimension of the eyes, whereas epicanthoplasty and lateral canthoplasty create changes in the horizontal dimension of the eyes. Epicanthoplasty, a surgical procedure which enlarges the eye horizontally, is performed at the inner corner of the eye, whereas lateral canthoplasty enlarges the outer edge of the eye. In particular, if the slant of the palpebral fissure is raised and the horizontal dimension of the palpebral fissure is short, adjusting the slant of the palpebral fissure through lateral canthoplasty can achieve an enlargement of eye width and smoother features. Depending on the patient’s condition, even better results can be achieved if this procedure is performed in conjunction with other procedures, such as double eyelidplasty, epicanthoplasty, eye roll formation surgery, fat graft, and facial bone contouring surgery. In this paper, the authors will introduce in detail their surgical method for a cosmetic lateral canthoplasty that lengthens the lateral canthal angle and corrects the outer tail of the eyes, in order to ease the unfavorable impression.

골다공증성 척추 압박 골절 유합 수술후 발생한 심부정맥 혈전증

채수욱,김영진,최병산,최덕화 대한골다공증학회 2011 Osteoporosis and Sarcopenia Vol.9 No.3

The risk of deep vein thrombosis (DVT) is well studied for some orthopedic surgery. However, the incidence of postoperative DVT is less well-defined in patients who have spinal surgery. In addition, there is insufficient evidence to suggest that screening patients before spinal surgery and to use of prophylactic method such as anticoagulants, compression stockings, and pneumatic compression device. We experienced a 78-year-old female patient of DVT after fusion operation with pedicular screws in T12 osteoporotic compression fracture. As risk of DVT after major spinal surgery is fairly low, it seems reasonable to consider prophylactic management after spinal surgery in old aged patients with difficult ambulation.

65세 이상 골다공증 환자에서의 족관절 골절의 임상적 특징

채수욱,최덕화,김영진,김병수 대한골다공증학회 2012 Osteoporosis and Sarcopenia Vol.10 No.3

Objectives: Fracture of multiple sites can occur by minor trauma because decreased bone quality and bone density in osteoporotic patients. To investigate clinical characteristics of ankle fracture in osteoporotic patients over sixty-five years of age. Materials and Methods: From January 2009 to December 2011, excluding distal tibial shaft and pilon fracture, 40 patients (over 65 years old) who were diagnosed the osteoporosis and observed over 6 months after ankle surgery. We measured age, gender, body mass index (BMI, kg/m2), bone mineral density (BMD, mg/cm3) and T-score through P-QCT. Type of fracture was classified into Danis-Weber and AO classification and whether or not of syndesmotic injury and concomitant disease. Surgery performed under AO principle. We investigated by wound healing, fixation failure and bone union during follow-up. Results: The mean age was 70.3 years at surgery, 21 patients were male, and 19 patients were female. Mean BMI was 24.1 kg/m2 (mean weight 63.4 kg/mean height 162.2 cm), mean BMD was 63.6 mg/cm3, and T-score was -3.77. In all cases occurred by low energy rotational injury. Lateral malleolar fracture was 19 cases (48%), bimalleolar fracture was 10 cases, medial malleolar fracture was 7 cases, and trimalleolar fracture was 4 cases. Danis-Weber type B was 28 cases (70%), AO classification type B1 was 18 cases, type B2 was 5 cases, type B3 was 5 cases. In AO classification type A, medial malleolar fracture was 7 cases, bimalleolar fracture was 3 cases, lateral malleolar fracture was 1 case. Type C segmental fibular fracture was only 1 case (C2). There was no case with syndesmotic injuried, there was only 1 case with ankle subluxation in trimalleolar fracture. In case of concomitant disease were 24 cases. There were no wound infection and fixation failure. We obtained bone union in all case after 6 month. Conclusions: Ankle fracture in osteoporotic patients over sixty-five years of age occurred by minor trauma, in all cases, there were Danis-Weber AO B1 type and there were no syndesmotic injury. Surgery was performed under only AO principles without augmentation method for osteoporosis, and we obtained bone union in all cases without complication like as fixation failure and wound problem.

족무지 근위지절 골연골종과 동반한 무지 강직증 (증례보고)

채수욱,김영진,조향정,최덕화,차명수,Chae, Soo Uk,Kim, Yeung Jin,Jo, Hyang Jeong,Choi, Deok Hwa,Cha, Myoung Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.1

Small osteophytes are frequently encountered in the foot and ankle, and not to be confused with true osteochondromas, which are relatively uncommon in this region. Osteochondromas are the most common benign osseous neoplasm, occurs in the metaphysis of the long bone. It is rarely found in bones of the foot. Treatment of the osteochondroma is usually conservative, unless symptoms usually pain, are progressive rapid growth, and malignant transformation is suspected. We experienced a rare case of hallux rigidus with osteochondroma of the hallucal proximal phalanx which cause pain and corn of the plantar.

골다공증성 척추 골절의 방사선적 진단

채수욱,김강득 대한골다공증학회 2013 Osteoporosis and Sarcopenia Vol.11 No.2

Osteoporotic vertebral fractures are associated with increased morbidity and mortality. Morbidity associated with these fractures includes pain and decreased physical function, which have a significant impact on the quality of life. The detection of osteoporotic vertebral fracture is based mainly on the identification of vertebral collapse, but this can be misleading in the presence of a fracture without radiologic collapse. And the diagnosis of vertebral fractures in simple radiographs is difficult because of normal variants and degenerative change of vertebrae. We review the various methods for evaluating osteoporotic vertebral fractures based on simple radiography or dual-energy X-ray absorptiometry (DXA). The preferred method may be Genant’s semiquantitative method which was developed in an attempt to reduce subjectivity associated with visual diagnosis of osteoporotic vertebral fracture. Recently, vertebral fracture assessment (VFA) by DXA can be used to detect vertebral fractures in asymptomatic patients undergoing routine BMD measurements. Yoshida’s classification is useful alternative method in the incidental vertebral fracture diagnosis with a morphological change in the anterior bone cortex.