외상성 고관절 후방 탈구에 동반된 대퇴골두 골절의 치료

김정호 ( Jeoung Ho Kim ),이상홍 ( Sang Hong Lee ),문영래 ( Young Lae Moon ),김동휘 ( Dong Hui Kim ),송근상 ( Kun Sang Song ) 대한고관절학회 2007 Hip and Pelvis Vol.19 No.3

골절대를 사용하지 않고 근위 대퇴 골수정을 이용한 대퇴 전자간 골절의 치료

김정호 ( Jeoung Ho Kim ),이상홍 ( Sang Hong Lee ),이광철 ( Kwang Chul Lee ),조성원 ( Sung Won Cho ) 대한골절학회 2011 대한골절학회지 Vol.24 No.3

목 적: 골절대를 사용하지 않고 항 회전 대퇴 근위 골수정을 이용한 전자부 골절의 수술 후 치료 결과를 분석하고 술기상 발생할 수 있는 문제점 및 예방법에 대하여 보고하고자 하였다. 대상 및 방법: 2008년 1월부터 2009년 12월까지 대퇴부 전자주위 골절로 수술을 시행받고 1년 이상 추시가 가능하였던 39명 40예를 대상으로 하였으며 남자가 13명, 여자가 27명이었다. 평균 연령은 76세였으며 AO 분류상 A1 6예, A2 25예, A3 9예였다. 수술 방법은 골절대 없이 앙와위에서 C-arm 영상 증폭하에 도수 정복하였다. 수술 시간 및 출혈량 등을 조사하였고, 추시 방사선 검사를 통해 Cleveland index, TAD, 골절부 활강 정도, 대퇴 경간각 변화 등을 평가하였으며 골 유합 시기 및 합병증 등을 평가하였다. 통계처리는 Independent T-test를 사용하였다. 결 과: 수술시간은 40분 (25∼70분), 출혈량은 113 cc (40∼250 cc)였으며, Cleveland index는 5, 6, 8, 9 영역이 94%, TAD는 12.96 mm (6∼22 mm), 골절부 활강은 1.9 mm (0∼6 mm), 대퇴 경간각의 변화는 2.5도 (0∼10도)였고 평균 골 유합 기간은 15주(8-24주)였다. 합병증으로 지연유합 2예, 내반변형 2예가 발생하였다. 결 론: 골절대를 이용하지 않음으로써 수술 시간을 단축시킬 수 있었으며, 수술 중 간단한 수술도구의 사용으로 합병증을 최소화할 수 있었다. Purpose: The purpose of this study is to analyze the results of intertrochanteric fractures treatment with proximal femoral nail antirotation (PFNA) without using fracture tables and thereby prevent complications. Materials and Methods: Forty cases of intertrochanteric fracture of 39 patients that were treated with PFNA without using fracture tables between January 2008 to December 2009 were analyzed. There were 13 males and 27 females. The mean age was 76 years old. Using AO classification, 6 cases were A1, 25 cases were A2 and 9 cases were A3. The operation was done without using fracture tables at supine position. Operation time, intraoperative bleeding were checked. For the result, Cleveland index, tip apex distance, fracture site sliding rate, change of femur neck and shaft angle were evaluated. Bone union time and complications were also estimated from the follow up radiograph. Statistics were analyzed using Independent T-test. Results: The mean operation time was 40 minutes (25 to 70 minutes) and mean intraoperative bleeding was 113 cc (40 to 250 cc). The Cleveland index was shown 94% of 5, 6, 8 and 9 zone, the tip apex distance was 12.96 mm (6 to 22 mm), the fracture sliding distance was 1.9 mm (0 to 6 mm), the change of femur neck and shaft angle was 2.5 degree (0∼10 degree) and the average bone union time was 15 weeks (8 to 24 weeks). The complication include 2 cases of delayed union and 2 cases of varus deformities. Conclusion: We have shortened the operation time by closed reduction methods without using the fracture tables, and the complication were minimized with using simple tools like a reduction forcep or bone hook at PFNA blade insertion.

음곡(KI10) 금앵자 약침이 난소적출 생쥐의 골다공증에 미치는 영향

김동수,김정호,김영일,Kim, Dong-Soo,Kim, Jeoung-Ho,Kim, Young-Il 대한약침학회 2009 Journal of pharmacopuncture Vol.12 No.4

Objective & Methods : The purpose of this study was to observe the effects of herbal-acupuncture with Rosae Laevigatae Fructus extact(RLF-HA) at KI10(Umgok) on osteoporosis in ovariectomized( OVX) ddy mice. We carried out several experimental items to analyze the changes in body weight, uterine weight, uterus index, tibial length, the ash bone weight, tibial BMD, serum ALP, serum osteocalcin, serum Ca, and the levels of Ca, P, Ca/P ratio in tibia, and we performed histological and histomorphological analysis as well. Results : 1. Herbal-acupuncture with Rosae Laevigatae Fructus at KI10(Umgok) and saline injection at KI10(Umgok) significantly inhibited the reduction of tibial calcium level in ovariectomized mice. 2. Herbal-acupuncture with Rosae Laevigatae Fructus at KI10(Umgok) significantly inhibited the increase of tibial osteoclast cells in ovariectomized mice. 3. Herbal-acupuncture with Rosae Laevigatae Fructus at KI10(Umgok) significantly inhibited the reduction of tibial trabecular bone thickness(TBT) in ovariectomized mice. 4. Herbal-acupuncture with Rosae Laevigatae Fructus at KI10(Umgok) significantly inhibited the overgrowth of tibial growth plate length(GPL) in ovariectomized mice. Conclusion : These results suggested that herbal-acupuncture with Rosae Laevigatae Fructus at KI10(Umgok) has a therapeutic effect on osteoporosis, and to be put to practical use in the future osteoporosis clinic.

40대 이후 발생한 견관절 탈구와 회전근 개 파열

문영래,이상홍,김정호,Moon, Young-Lae,Lee, Sang-Hong,Kim, Jeoung-Ho 대한관절경학회 2002 대한관절경학회지 Vol.6 No.2

목적 : 40대 이상의 중장년층에서 견관절 전방 탈구와 동반된 회전근 개 파열환자에서 예후 인자를 파악하고자 하였다. 대상 및 방법 : 1995년 5월부터 1998년 10월까지 내원한 견관절 탈구 후 발견된 회전근 개 파열 12 예의 환자를 대상으로 하였으며, 환자의 연령은 42세에서 67세까지 였고, 이중 2예에서 액와 신경 마비를 보였으며 대결절 골절을 동반하였다. 모든 예에서 회전근 개 파열을 보였으며 파열 범위는 8예가 광범위 파열 3예가 광범위 파열, 1예가 소범위 파열이었다. 결과 : 견관절 탈구와 동반된 회전근 개 파열 환자에서 회전근 개 봉합술을 시행한 결과 불행 삼주징을 동반한 2예를 제외 한 10예에서 UCLA shoulder rating scale 을 이용하여 결과를 판정한 바 양호 이상의 결과를 보였다. 결론 : 중장년층에서 발생한 견관절 탈구의 경우 동반 병변의 확인과 액와신경 손상이 동반된 회전근 개 파열 환자에서 적절한 회전근 개 봉합술 및 액와 신경 손상에 대한 적절한 재활 프로그램이 필요하리라 사료된다. Object : To evaluate the prognostic factors of the rotator cuff tear after anterior dislocation of the shoulder over the 5th decades of age. Methods : We evaluated twelve patients who had rotator cuff tears combined with primary anterior dislocation of the glenohumeral joint between May 1995 and October 1998. Their age were ranged from 42 to 67-years-old. Two of them were initially presumed to have an injury of the axillary nerve and associated with avulsion fracture of the greater tuberosity. Among twelve patients who had rotator cuff tears, 8 cases had massive, 3 cases had medium and one case had a small sized tear. Results : All the tears of the rotator cuff were repaired and the results were obtained by UCLA shoulder rating scale. Ten cases of them revealed more than good results except for 2 cases who had been unhappy triad of the shoulder injury. Conclusions : In the case of anterior dislocation of shoulder, it is necessary to check the injury of rotator cuff and axillary nerve in the middle age group. If these injuries are combined, proper rotator cuff repair and axillary nerve rehabilitation program would be asked for better results.

합기도 훈련중 발생한 쇄골 골절과 예방

문영래,이경일,김정호,Moon Young-Lae,Lee Kyung-Il,Kim Jeoung-Ho 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.2

서론: 합기도수련도중쇄골골절은비교적흔히발생하는손상중의하나이다. 합기도와연관된쇄골골절에대해원인및결과를분석하고그의예방법에대해알아보았다. 대상및방법: 합기도와연관된12례의쇄골골절환자를대상으로조사하였으며, 연령분포는13세에서18세까지였고전례에서보존적치료를시행하고, 경과를관찰하면서손상기전을파악하였다. 결과: 수상기전은대부분회전측방낙법수련도중발생하였으며, 치료결과는전례에서Weitzman의결과판정에서양호이상의결과를보였다. 결론: 대부분의예에서잘못된낙법자세의교정이쇄골골절을예방할수있으리라사료된다. Introduction: It is frequently occur in sports injury of clavicular fractures in Hapkido players. Weevaluated Hapkido related clavicular fractures and preventive measure. Methods: We experienced 12 cases of Hapkido related clavicle fracture. The age ranged from 13 to18-years-old. All cases were treated by conservative managements. We examined the relationship between the clavicle fractures and Hapkido related pathomechanics.Results: All cases were injured during the practice for the falling-technique. Results were evaluatedby Weitzman and all cases were revealed more than good. Conclusions: In most cases, the correction of the wrong way of falling-technique will reduce theclavicle fractures in the Hapkido players.

외상성 고관절 후방 탈구 및 골절의 치료

김동휘 ( Dong Hui Kim ),이상홍 ( Sang Hong Lee ),김정호 ( Jeoung Ho Kim ) 대한고관절학회 2008 Hip and Pelvis Vol.20 No.2

서론: 외상성 고관절 후방 탈구 및 골절 환자의 Thompson-Epstein 분류에 따른 골절의 형태 및 치료결과와 합병증 등을 알아 보고자 하였다. 대상 및 방법: 2000년 1월부터 2005년 12월까지 최소 12개월 이상 추시가 가능 하였던 35예를 대상으로 하였고 Thompson-Epstein 분류에 따라 Ⅰ형 5예(14%), Ⅱ형 7예(20%), Ⅲ형 5예(14%), Ⅳ형 8예(23%), Ⅴ형 10예(29%)이었다. 수상 당시 평균연령은 약 41세(19~72)였으며 남자가 26예, 여자가 9예였다. 수상원인은 교통사고가 30예, 낙상이 5예 였다. 추시기간은 평균 31개월(13~86)이었다. 탈구의 정복은 32예에서 6시간 이내에 시행하였으며 34예에서 도수정복을 시행하였는데 Allis 방법이 22예였다. 결과: Thompson-Epstein Ⅰ형은 전례에서 도수 정복술 후 3주 이상의 골격 견인술을 시행하였고, Ⅱ형 2예에서 골격 견인술, 4예에서 관혈적 정복 및 금속 내고정술, 1예에서 관절경적 유리체 제거술을 시행하였고, Ⅲ형과 Ⅳ 형은 13예 모두 관혈적 정복 및 금속 내고정술을 시행하였으며, Ⅴ형은 6예에서 보존적 치료, 4예에서 관혈적 정복술 및 금속 내고정술, 1예에서 인공관절 전치환술을 시행하였다. 전례에서 골유합을 얻었으며, 9예에서 외상성 관절염이 발생하였는데 Ⅳ형에서 7예가 발생하였다. 대퇴골두 무혈성 괴사증과 심부 정맥 혈전증이 각각 1예에서 발생하였으며, 5예에서 좌골신경 손상이 발생하였다. 결론: Thompson-Epstein Ⅳ 형에서 합병증이 많이 발생하고 임상 경과도 불량하였던 것으로 사료되며 조기 정복 및 정확한 해부학적 정복 여부가 예후에 영향을 미치는 것으로 사료되었다. Purpose: To evaluate outcomes and complications after traumatic posterior hip fractures and dislocations classified according to the Thompson-Epstein system. Materials and Methods: Thirty-five cases were selected from among the patients we treated between January 2000 and December 2005. According to Thompson-Epstein classification, 5 cases were type Ⅰ, 7 cases were type Ⅱ, 5 cases were type Ⅲ, 8 cases were type Ⅳ, and 10 cases were type Ⅴ. The mean age at the time of injury was 41 years (range: 19~72 years). Twenty-six patients were men, and 9 patients were women. The mechanisms of injury included traffic accidents in 30 cases and falls in 5 cases. The mean follow-up period was 31 months (range: 13~86 months). Fracture reduction was achieved within 6 hours in 32 cases. Thirty-four patients underwent closed reduction, and 22 of these patients were treated using Allis`method. Results: All Thompson-Epstein type I fractures were managed with closed reduction. Two type Ⅱ fractures were treated conservatⅣely, and 4 were treated with open reduction and internal fixation. All 13 type Ⅲ and Ⅳ fractures were treated using open reduction and internal fixation. Six type Ⅴ fractures were treated conservatively, 4 were treated with open reduction and internal fixation, and 1 was treated using total hip arthroplasty. Posttraumatic arthritis was observed in 9 cases, 7 of which were Thompson-Epstein type Ⅳ. Avascular necrosis (AVN) of the femoral head and deep vein thrombosis were observed in 1 case. Sciatic nerve injury was seen in 5 cases. Conclusion: Complications often occur in Thompson-Epstein type Ⅳ fractures. We believe that early, appropriate anatomical reduction helps to improve outcomes.

Agrobacterium을 이용한 마늘의 효율적인 형질전환 방법개발

윤무경(Moo-Kyoung Yoon),곽정호(Jeoung-Ho Kwak),김정호(Jeoung-Ho Kim),김도선(Do-Sun Kim),안율균(Yul-Kyun Ahn) 한국원예학회 2009 한국원예학회 학술발표요지 Vol.2009 No.10

토마토 우량계통 선발을 위한 병저항성 및 주요 원예적 특성평가 결과

조명철(Myeong Cheoul Cho),정효봉(Hyo Bong Jeoung),양은영(Eun Young Yang),채수영(Soo Young Chae),세조드(Sherzod Rajametov),남춘우(Choon Woo Nam),김정호(Jeong Ho Kim) 한국원예학회 2021 한국원예학회 학술발표요지 Vol.2021 No.5

출혈성 식도 정맥류의 내시경적 요법에 대한 연구

이상운(Sang Yoon Lee),이한기(Han Ki Lee),김정호(Jeong Ho Kim),강명원(Myung Weon Kang),박순희(Sun Hi Park),여향순(Hyang Soon Yeo),정판기(Pan Ki Jeoung),박홍배(Hong Bae Park) 대한내과학회 1987 대한내과학회지 Vol.32 No.6

N/A Hemorrhage from esophageal varices is a difficult problem for which there is no completely solution, Sixty-three patients (eight-five cases) have been treated with endoscopic injection sclerotherapy (EIS). All patients had documented variceal hemorrhage and underwent EIS while bleeding or shortly thereafter. The observed results are summarized as follows: 1) The duration of EIS from onset of hematmesis and/or melena was within 72 hours mostly, and the frequency of EIS was one to six times. 2) There were no noticable changes in Hemoglobin, SGOT, Serum bilirubin and serum albumin before and after EIS. 3) The amounts of blood transfusion was decreased significantly after EIS. 4) There were mild complications after EIS, but were serious complication or death relate to EIS. 5) The mortality rate was 13% in follow up period. Based on these results, we concluded that EIS is recommanded for managing variceal hemorrhage with- out serious complication.

회전근 개의 손상환자에서 외상성과 퇴행성의 감별

윤태현(Te Hyun Youn),문영래(Young Lae Moon),김정호(Jeoung Ho Kim) 대한견주관절의학회 2007 대한견주관절학회지 Vol.10 No.1