http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 고택수 ( Taeg Su Ko ) (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
유리 피판술과 동측 혈관 부착 비골 전위술을 이용한 경골 결손의 재건
황정철,정덕환,한정수,이재훈,고택수,박양우,박진성,Hwang, Jung-Chul,Chung, Duke-Whan,Han, Chung-Soo,Lee, Jae-Hoon,Ko, Taeg-Su,Park, Yang-Woo,Park, Jin-Sung 대한미세수술학회 2008 Archives of reconstructive microsurgery Vol.17 No.2
Segmental defects of the tibia after open fractures, sepsis and a tumor surgery are among the most difficult and challenging clinical problems. Tibia defects in these situations are complicated with infection and are resistant to conventional bone grafting techniques. The aim of this study is to report the results and discuss the role of free flap followed by ipsilateral vascularized fibular transposition (IVFT) for reconstruction of tibia defects. Ten patients had free flap followed by IVFT in the period 1989~2007. Mean age was 25.3 years. The patients were followed for an average of 3.4 years. All flaps were survived including 1 case with venous thrombosis requiring additional surgery. The average time to union of proximal and distal end was 5.2 months, 8.2 months, each other. All transposed fibula were viable at last follow-up. IVFT offers the advantages of a vascularized graft. In patients with large bone and soft tissue defects combined with infection, free flap followed by IVFT is an useful and reliable method without microvascular anastomosis.
-
대퇴골두 무혈성 괴사증 환자의 체질량 지수가 인공 고관절 전치환술 후 임상적 결과와 삶의 질에 미치는 영향
임수재 ( Soo Jae Yim ),고택수 ( Taeg Su Ko ) 대한고관절학회 2013 Hip and Pelvis Vol.25 No.3
목적: 대퇴골두 무혈성 괴사로 인공 고관절 전치환술을 시행한 환자에서 수술 전 체질량 지수가 수술 후 결과 및 삶의 질 변화에 미치는 영향을 알아 보고자 하였다. 대상 및 방법: 2005년 3월부터 2011년 5월까지 대퇴골두 무혈성 괴사로 세라믹-세라믹 관절면 인공 고관절 전치환수술 후 2년 이상 추시가 가능하였던 246명을 대상으로 하였다. 체질량 지수에 따라서 4군(저체중 군, 정상체중 군, 과체중 군, 비만 군)으로 나누어, Harris hip score, 36-item shortform health survey (SF-36) score, 방사선 검사, 합병증을 비교 하였다. 결과: 정상 체중 군이 가장 좋은 임상결과(94.36±7.51)를 보였으나 통계적 차이가 없었고, 비만 군이 가장 향상된 SF-36 score 결과를 보였다. 합병증은 저체중 군(50%)과 비만 군(19.5%)에서 유의하게 많이 발생 하였고, 특히 인공관절 치환물 주위 골절(P=0.002)과 폐렴(P=0.005)이 저체중 군에서 많이 발생하였다. 결론: 비만 및 저체중이 수술 후 임상 결과에 미치는 영향은 미미하고, 비정상 체질량 지수를 갖는 환자도 수술 후 높은 삶의 질을 기대 할 수 있다. Purpose: This study examined the association between the pre-operative body mass index (BMI) and the post total hip replacement arthroplasty result, as well as postoperative change in the life quality of patients diagnosed with femur head avascular necrosis (AVN). Materials and Methods: Patients diagnosed with femur head AVN undergoing total hiparthroplasty (THA) with a ceramic-ceramic articular surface from March 2005 to May 2011 were analyzed retrospectively. The Harris hip score (HHS), 36-item short-form health survey (SF-36) score, radiological examination, and complications at two years or longer after THA in the 4 groups were analyzed in terms of the BMI (underweight group, normal weight group, overweight group, and obesity group). Results: The normal body weight group showed the best result(94.36±7.51) in all scores but the difference was not significant. In the SF-36 physical scores, obese group showed the greatest improvement. Complications occurred frequently in the underweight(50%) and obese groups(19.5%). In particular, periprosthetic fractures (P=0.002) and pneumonia (P=0.005) occurred frequently in the underweight group. Conclusion: The impacts of obesity and underweight on the clinical outcome after surgery are insignificant but patients with an abnormal BMI can expect a high quality of life after surgery.
-
광범위 다공성 표면 처리된 대퇴 스템을 이용한 인공 고관절 재치환술 -최소 5년 이상의 추시 결과-
조윤제 ( Yoon Je Cho ),곽상준 ( Sang Joon Kwak ),전영수 ( Young Soo Chun ),유기형 ( Kee Hyung Rhyu ),고택수 ( Taeg Su Ko ),유명철 ( Myung Chul Yoo ) 대한고관절학회 2010 Hip and Pelvis Vol.22 No.3
목적: 광범위 다공성 표면 처리 스템을 이용한 재치환술의 중기 추시 결과를 분석하였다. 대상 및 방법: 광범위 다공성 표면 처리 스템을 이용한 재치환술 후 평균 5년 5개월 추적 관찰한 20예를 분석하였다. 재치환술 원인은 무균성 해리, 스템 주위 골절, 감염성 인공 관절이 있었다. 4종류의 광범위 다공성 표면 처리 스템을 사용하였고, 17예에서 골 이식을 함께 시행하였다. Harris 고관절 점수, 대퇴 동통 및 파행과 운동 범위를 평가하였으며, 수직 침강, 응력 차단, 골 용해 등 방사선 변화를 관찰하였다. 결과: Harris 고관절 점수는 56.5점에서 91.9점으로 향상되었고, 만족스런 관절 운동 범위를 보였다. 지주골 이식을 시행한 1예에서 대퇴 동통이 지속되었다. 의미 있는 스템 수직 침강 및 이완소견은 없었고, 재재치환술의 예도 없었다. 결론: 광범위 다공성 처리된 대퇴 스템의 안정성은 중기 추시에서도 잘 유지되었다. 본 술식은 간부에서 견고한 골 고정을 얻어, 골 결손이 심한 때에도 스템 안정성을 얻을 수 있고, 근위부 골 재건을 도모할 수 있으며, 다른 술식에 비하여 간편한 장점이 있다. 간부까지 골 결손이 심한 경우 적합하지 않으며, 대퇴골 균열, 응력 차단, 대퇴 통증이 발생할 수 있으므로 세심한 주의가 필요하다. Purpose: We wanted to evaluate the mid-term results of revision total hip arthroplasty using a fully porous-coated long stem. Materials and Methods: A retrospective series of 20 hips in 19 patients who underwent stem revision with a fully porous-coated long stem were evaluated at a mean follow-up of 64.6 months. The causes of revision were aseptic loosening, periprosthetic fracture and infected arthroplasty. Four kinds of implants had previously been used and an additional bone graft procedure had been done in 17 cases. The Harris hip scores, thigh pain, limping and ROM were reported. Radiological changes of the radiolucent signs, subsidence, loosening and the stress shielding signs were evaluated. Results: The Harris hip score improved from an average of 56.5 to 91.9 and the ROMs were satisfactory. The only case with persistent thigh pain showed stable bony ingrowth. No signs of subsidence or loosening of the stem was found in all the cases. There were 2 cases of periprosthetic fracture. None of the patients experienced re-revision surgery. Conclusion: The mid-term results of revision hip arthroplasty using a fully porous coated long stem have demonstrated that it provides a reliable initial fixation with a propensity for stable longevity. It is relatively easy for the techniques, and there is the opportunity to restore the bone stock by bone-grafting procedures with diaphyseal fixation and bypassing a bone defect. Yet alternative techniques may be required for the femur with extensive diaphyseal bone loss. There are some concerns about the technique and the possibility of making a crack in the femur during the operation, which will cause thigh pain at the follow-up. So, only by employing great caution when performing this technique can successful results be guaranteed.
-
대퇴 전자간 골절의 금속정을 이용한 내고정술 후 실혈량: 위험 인자 분석
박재형 ( Jai Hyung Park ),정화재 ( Hwa Jae Jung ),신헌규 ( Hun Kyu Shin ),김유진 ( Eugene Kim ),박세진 ( Se Jin Park ),고택수 ( Taeg Su Ko ),박종현 ( Jong Hyon Park ) 대한골절학회 2015 대한골절학회지 Vol.28 No.1
Purpose: We compared visible blood loss and calculated blood loss after intramedullary fixation in intertrochanteric fracture, and evaluated correlation between blood loss and its risk factors. Materials and Methods: A total of 256 patients who underwent closed reduction and intramedullary fixation in femoral intertrochanteric fracture between 2004 and 2013 were enrolled in this study. The total blood loss was calculated using the formula reported by Mercuiali and Brecher. We analyzed several factors, including fracture pattern (according to Evansclassification), gender, age, body mass index (BMI), anesthesia method, cardiovascular and cerebrovascular disease, preoperative anemia, American Society of Anesthesiologists (ASA) score and use of antithrombotic agents. Results: Total calculated blood loss (2,100±1,632 ml) differed significantly from visible blood loss (564±319 ml). In addition, the blood loss of unstable fracture patient was 2,496±1,395 ml and multivariate analysis showed a significant relationship between blood loss and fracture pattern (p<0.01). However, other factors showed no statistically significant difference. Conclusion: Total calculated blood loss was much greater than visible blood loss. Patients with unstable intertrochanteric fracture should be treated with care in order to reduce blood loss.
KISS연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
