후측방 유합술을 이용한 퇴행형 척추전방전위증의 수술적 치료에서 골유합과 임상 결과의 관계

안재성(Jae Sung Ahn),이준규(June Kyu Lee),양준영(Jun Young Yang),김영모(Young Mo Kim),김상범(Sang Bum Kim),이문종(Mun Jong Lee) 대한정형외과학회 1999 대한정형외과학회지 Vol.34 No.1

고관절 비구순 파열 진단의 초음파에 대한 유용성

김필성 ( Pil Sung Kim ),정흥태 ( Heung Tae Jung ),전유선 ( Yoo Sun Jeon ),이문종 ( Mun Jong Lee ),박유진재진 ( Yoojin Jaejin Park ),황득수 ( Deuk Soo Hwang ) 대한고관절학회 2013 Hip and Pelvis Vol.25 No.3

목적: 대퇴비구 충돌 환자에서 비구순 파열의 진단에 있어 초음파의 유용성에 대해 알아보고자 한다. 대상 및 방법: 2010년 3월부터 2011년 10월까지 대퇴비구 충돌로 관절경적 수술을 시행 받은 환자 중 비구순 파열이 확인된 58명(58예: 남자 26예, 여자 32예)을 대상으로 하였다. 대상 환자들은 수술 전 시행된 고관절 초음파 검사와 자기 공명 관절 조영술의 비구순 파열의 유무와 형태를 확인하고 관절경의 비구순 파열과 비교하여 그 상관 관계에 대해 조사하여 초음파의 민감도와 양성 예측률을 측정 하였다. 결과: 대퇴비구 충돌을 동반한 비구순 파열의 초음파를 이용한 진단의 민감도와 양성 예측률은 각각 89.6%, 100%였다. 또한 초음파의 비구순 파열의 일치율은 84.6%(44/52)였다. 결론: 고관절 초음파 검사는 대퇴비구 충돌 환자에서 비구순 파열의 병변의 진단에 유용한 방법으로 판단된다. Purpose: This study evaluated the usefulness of ultrasonography for a diagnosis of acetabular labral tear in femoroacetabular impingement (FAI). Materials and Methods: From March 2010 to October 2011, an ultrasonographic examination was performed in 58 patients(58 hips: 26 men and 32 women) with acetabular labral tear. The sensitivity and positive predictive value of ultrasonography were evaluated for 58 cases with acetabular labral tear confirmed by hip arthroscopy. Results: The sensitivity and positive predictive value for an acetabular labral tear using ultrasonography was 89.6% and 100%, respectively. The concordance rate of an acetabular labral tear between arthroscopy and ultrasonography was 84.6%. Conclusion: Hip ultrasonography can make a significant contribution to a pathologic diagnosis and isa useful diagnostic tool for acetabular labral tears.

SLAP병변의 분류 및 치료

이광진(Kwang-Jin Rhee),변기용(Ki-Young Byun),양준영(Jun-Young Yang),김상범(Sang-Bum Kim),이문종(Mun Jong Lee) 대한정형외과학회 1999 대한정형외과학회지 Vol.34 No.3

한국인 정상 성인의 하부요추 횡돌기 단면적에 대한 연구

안재성,이준규,양준영,김영모,이문종 충남대학교 의과대학 지역사회의학연구소 1999 충남의대잡지 Vol.26 No.1

A posterolateral intertransverse process fusion is generally considered to be one of the most common types of lumbar fusion and a reliable procedure. It is reported that establishment of blood supply is important for nutrition as well as for formation of new bone during bone graft healing. Since the major interosseous blood supply for vascularization of autogenous bone graft is originated from the upper and lower transverse process, the one of the transverse process can he related to rate of bony union. It can be constructed that different union rate can result from the differences in transverse process areas. In this study, the area of the transverse processes of L5 were measured in normal adult. For this purpose, Ushikata area-Curvimeter (X-PLAN 360) was used. In Results, there was no significant differences in the age, but there was differences in the gender.

개방성 골절의 새로운 분류 및 치료

이광진,이준규,황득수,양준영,이문종,신현대,김원중 대한골절학회 2000 대한골절학회지 Vol.13 No.3

Purpose: To make new classification system of open fractures including the status of skin because of high rates of nonunion and complication in closed fractures with extensive skin damage. Materials and methods: One hundred-twelve one patients with fixation for open tibial fractures or closed tibial fractures with skin damage were included in this study from March 1991 to January 1997. The follow up period was at least 1 years. We classified the patients according to the Gustilo &Anderson classification, AO/ASIF classification and our new classification, and we compared the bony union time, bony union rate and complication rate among these classification. Result: The bony union time was 18.6 weeks in open fractures, 14.5 weeks in closed fractures with skin damage, and 18.1 weeks in combined new classification. The rate of bony union was 81% in open fractures, 83% in closed fractures with skin damage, and 77% in combined new classification. The complication was 40% in open fractures, 27% in closed fractures with skin damage, and 42% in combined new classification. There was close matched correlation in bony union time, bony union rate and complication rate among the Gustilo & Anderson classification, AO/ASIF classification, and our new classification. In closed fractures with skin damage above IC3, the rates of bony union and complication were similar with the open fractures above grade II. Conclusion: We propose simple new classification system of open fractures into 4 classes. The class I has minimal soft tissue damage and contamination with exposed wound less than 1cm or skin contussion, the class II has moderate soft tissue damage and contamination with exposed wound from 1 to 10cm or circumferential deglobing wound, the class III has severe soft tissue damage or contamination with exposed wound more than 10cm or extensive deglobing wound, and the class IV has class III injury with vascular involvement. And in the treatment of open fractures, we propose internal fixation in class I or II, and external fixation in class III or IV.

성인의 전완부 양골 골절의 치료에서 금속판 내고정술과 골수강내 고정술의 임상적 결과비교

신현대,윤승호,이광진,양준영,이문종 대한골절학회 1999 대한골절학회지 Vol.12 No.1

The fractures of the forearm bone are common and the forearm has the specific movement of supination and pronation, So, the goal of the treatment of forearm fractures is the recovery of rotatory function of the forearm as well as the function of the elbow and wrist. Surgical treatment usually is not necessory in children under 10 years of age because of remodelling potential and spontaneous correction ability. But, anatomical reduction and rigid fixation is essential in fractures of adult forearm above 15 years of age because of rotational deformity and angulation after forearm fractures may result in serious functional problems of the forearm. The purpose of the our retrospective study is to compare the clinical result between the plate fixation and intramedullary nailing of the diaphyseal both forearm bone fractures in adult. We reviewed 64 patients above 15 ages who had diaphyseal both forearm bone fractures, and were treated with fixation using compression plate or Rush pin. Forty patients were treated with both plates, 7 patients with both Rush pins, and 17 patients with plate and rush pin,Galeazzi or Monteggia fractures were excluded in this study. On final follow up, we performed the radiological analysis and compared the operation interval, immobilization period after operation, bone union time, functional result and complications in these groups. Functional results was more higher in both plate fixation, and complications were high in both intramedullary nailing. In conclusion, both plate fixation is the best treatment method in the diaphyseal both forearm bone fractures in adult. Thus in both forearm bone fractures, both plate fixation is recommended, but if it is not available, at least one bone with plate fixation is necessary.

장력 대 강선 고정법을 이용한 주두골절의 수술적 치료

김영모,김진수,신현대,이광진,양준영,이준규,이문종 대한골절학회 1998 대한골절학회지 Vol.11 No.3

We treated 26 cases(25 patients) olecranon fractures operatively with Kirschner wire and tension band wiring technique from January 1993 to December 1995. The Kirschner wire fixation methods in our study were either bicortcal fixation(15 cases) or intramedullary fixation(11 cases). We retrospectively reviewed clinical results according to Mayo elbow performance index and starting time of full range of motion(ROM) exercise. We analyzed relationship between the clinical results of the cases with cast immobilization and those without cast immobilization. We also compared Kirschner wire fixation methods in the respect of clinical results, full ROM exercise starting time and complications. The results were as follows. I. Clinical results were excellent or good in 25 cases(96%) according to Mayo elbow performance index. Full ROM exercise starting time was within 2weeks in 10 cases, between 2-3weeks in l 1 cases, between 5-6weeks in four cases and after 6weeks in one case. Full ROM exercise starting time was significantly different(P=0.016) with clinical results statistically and there was statistically high significant difference(P=0.0025) between clinical results and cast immobilization or not. 2. Clinical results of bicortical fixation group was not significantly different from those of intramedullary fixation group and there was no significant difference between full ROM exercise starting time and Kirschner fixation methods statistically. 3. The most frequent complications were decreased ROM and loosening of the Kirschner wire. There were decreased ROM In 10 cases and loosening of the Kirschner wire in 6 cases in all cases. We encountered more higher incidence of complications related to intramedullary fixation method. The clinical results and full ROM exercise starting time of bicortical fixation group were not significantly different with those of intramedullary fixation group statistically. But more early exercise, more better clinical results and more less complications was produced in bicortical fixation group. So we thought bicortical fixation method is better than intramedullary fixation method.