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RISS 인기검색어
- 검색키워드
- 저자 : 장준우(Jun Woo Chang) (검색결과 6 건)
- 무료
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김병직(Byung Jik Kim),고한석(Han Suk Ko),김영룡(Young Yong Kim),장준우(Jun Woo Chang),심성실(Sung Sil Sim) 대한고관절학회 1999 Hip and Pelvis Vol.11 No.1
The purpose of this study was to analyse forty-five month follow-up results of twenty total joint arthroplasties of eighteen patients with ankylosed hip retrospectively. The patients were operated upon from May 1991 to February 1997. Eleven hips had been spontaneously ankylosed and nine hips surgically fused. The duration of the ankylosis averaged twenty-six years. The preoperative Harris hip score averaged 67.5 points and the preoperative limb shortening averaged 3.9cm compared with the contralateral side. The average postoperative Harris hip score was 85,6 points and sixteen patients(88.9%) were satisfied with the result of the operaion at the last follow-up. The postoperative range of hip flexion averaged 77.6 degrees. The postoperative limb shortening averaged 1.6cm, which was later corrected by the addition of 2.3cm. The postoperatively measured abductor-lever arm ratio averaged 0.48. Of the twenty hips, infection developed in one; recurrent dislocation, in one; aseptic loosening, in one; and heterotopic ossification, in five. Our experience with these results implies that, if the technical difficulties are overcome, total joint arthroplasty of ankylosed hips is an useful operation which can achieve relief of pain, improved mobility and the correction of limb length discrepancy
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김진구,장준우,강경민 인제대학교 2000 仁濟醫學 Vol.21 No.2
Purposes: The purpose of this paper is to analyze the clinical results of surgical treatment for posterolateral instability of the knee. Materials and Methods: Thirteen consecutive patients (fourteen knees) surgically treated for posterolateral instability were included in this study, and all cases were associated with cruciate ligament injuries. Preoperative Lysholm knee score were 58.5 in the average. Diagnoses were made by external rotation-dial test, reverse pivot shift test, external rotation recurvatum test, posterolateral drawer test and varus stress test. Primary repair was done in two knees ; reconstruction with posterolateral corner sling procedure, in twelve knees. Average follow-up period was 23. 1 months. Results: Postoperatively, external rotation-dial test and reverse pivot shift test disppeared in thirteen knees(92.9%). Varus stress test was negative in ten knees(71.4%), grade I or II in four. Postoperatively, average Lysholm score was improved to 83.1. Conclusion: Posterolateral corner sling procedure and primary repair seem to be an effective treatment for the posterolateral instability of the knee joint.
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퇴행성 슬관절염 환자의 관절경적 치료에 있어서 단순 방사선 검사의 의의
김진구,김병직,고한석,장준우,정윤 인제대학교 1999 仁濟醫學 Vol.20 No.1S
퇴행성 슬관절염의 관절경적 치료에서 수술전 단순 방사선 검사는 환자의 평가에 중요한 검사이다. 본 연구는 1992년 6월부터 1997년 6월까지 서울백병원에서 퇴행성 슬관절염으로 관절경 시술을 받은 121명(152예)의 슬관절을 대상으로 술전 단순 방사선 소견과 관절경시 관절 연골의 상태의 상관관계에 대한 통계분석을 통해 단순 방사선 검사가 갖는 의의를 알아보고자 하였다. 본 연구 결과, 신전시 체중부하 전후 사진에서 얻은 내반 변형의 정도와 연골의 상태와는 상관관계가 없었으나, 45도 굴곡 체중부하 후전 사진상 내측 관절 연골의 상태를 예측하는데 45도 굴곡 후전 사진이 유용하며 환자의 선택 및 관절경 시술의 결과를 예측하는데 단순 방사선 사진상 슬관절 정열 및 내측 관절 간격의 측정이 중요하다는 결론을 얻었다. Simple radiographic study is important in preoperative evaluation of the osteoarthritic knee. Arthroscopic debridement was carried out in 152 knees of 121 patients from June 1992 to June 1997. Preoperative radiographs, made with knee in full extension and in 45 degrees of flexion, were compared with the arthroscopic view of articula cartilage. The significance of simple radiographs was evaluated by statistical analysis using chi-square test. Severity of varus deformity in anteroposterior weight -bearing radiographs was not correlated with intra-operatively observed cartilage degeneration(P = 0.963). Narrowing of medial joint space seen on the 45 degree posteroanterior flexion weight-healing radiographs showed stastically significant correlation with articular cartilage degeneration(P = 0.003). Poor arthroscopic result was predicted from malalignment and narrowing of joint space. Thus, in this study, 45 degree posteroanterior view shows clinical significance in predicting status of articular cartilage, and measurement of alignment and joint space in simple radiographs is essential for selection of patients and prediction of arthroscopic results.
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장관골의 지연유합 및 불유합의 치료에서 교합성 골수강내 금속정의 이용
김진구,김병직,주석규,고한석,장준우,서정국 대한골절학회 1998 대한골절학회지 Vol.11 No.4
Of the several nonoperative and operative options described for the treatment of delayed union and nonunion of the long bone, interlocking nailing with reaming offers the effect of internal splint, autogenous bone graft and early return to a normal way of life. The purpose of this study is to evaluate the usefulness and complication of intramedullary(IM) naling with reaming by retrospective method. We treated 34 patients with delayed union or nonunion of the tibia, femur, and humerus by interlocking nailing with reaming between January 1992 and December 1996. The results were as follows; l. Of the 34 cases, there were 13 tibia fracture, 17 femur fracture, 4 humerus fracture. Half of them were ununited and another half were delayed in fracture healing. 2. Previous methods of treatment were conservative treatment in 2 cases, external fixator in 2, plate & screws fixation in 8, Ender nail in 2, Kuntscher nail in 2 and interlocking nail in 7 among 24 cases of closed fracture and external fixator in 8 and interlocking nail in 2 among 10 cases of open fracture. 3. Twenty-five patients were treated with closed nailing and 9 were treated with open nailing. Iliac bone graft was performed at 3 cases and fibulotomy was performed at I case. 4. Union was obtained in 33 cases and 1 case needed additional bone grafting to achieve union. 5. Postoperative complications were one nonunion, two entry site pain, one screw breakage, one heterotopic ossification, and one postoperative infection. Interlocking nailing with reaming was associated with a high union rate(97%) in our series. The authors believe that IM nailing with reaming is a useful option for treatment of delayed or nonunion of the long bone fracture.
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