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박용준,정영복 대한슬관절학회 1992 대한슬관절학회지 Vol.4 No.1
Fortunately, most young people with patellofemoral pain respond favorably to conservative treatment, including quadriceps strengthening, anti-inflammatory medication, reassuarance and physical therapy. However after failure of conservative treatment for painful patellofemoral malalignment, we should carefully evaluate the cause of the anterior knee pain, then we decided to do some surgery or not depend on the cause of the anterior knee pain. There are soft tissue realignment surgery, such as Roux-Goldthwait, Galeazzi operation and bony surgery in distal realignment of the treatment patellofemoral malalignment. There are tibial tubercle anterization(Maquet) and anteromedialization of tibial tubercle in distal realignment bony surgery. If there is severe articular degeneration and with or without malalignment, a straight forward Maquet procedure or a very steep anteromedial tibial tubercle transfer may be more appropriate when all other treatment modalities have failed. Lateral retinacular release may not be, by itself, an adequate procedure for patellar arthrosis alone. Lateral release should be viewed as a means of denervating a painful retinaculum, minimizing mild malaligninent, and reducing a pathologically tilted patella. Maquet and Ferguson and assaciates have emphasized the importance of relieving stress in the degenerated patellofemoral joint by anteriorization of the tibial tubercle, and consequently, anteromedial tibial tubercle transfer may be most desirable when realigning the extensor mechanism of a mature patient with resistant patellofemoral pain related to subluxation, elavated Q-angle, and patellofemoral degeneration with or without abnormal patella tilt. Since most patients have significant patellar arthrosis by the time realignment is undertaken, anteromedial tibial tubercle transfer may be the best procedure for most patients.
전방십자인대 재건술에서 대퇴골 간섭 나사못의 위치에 대한 방사선적 분석 : Endoscopic Versus Rear - Entry Technique
박용준,정영복,강기서 대한슬관절학회 1993 대한슬관절학회지 Vol.5 No.1
Arthroscopic technology and instrumentation continues to improve the orthopaedic surgeons ability to perform less invasive procedures in the knee. The authors analyzed 41 patients of the anterior cruciate ligament reconstruction using a bone- patella tendon-bone autograft experienced in the Department of Orthopaedic Surgery, Chung-Ang university from June 1990 to March 1993. Group I consisted of 23 patients in whom the screw was placed using a rear entry technique. Group II patients (18 patients) underwent arthroscopically assisted intraarticular placement of the screw (endoscopic technique). We evaluated roentgenograyhically to compare the position of the femoral interference screws in the two groups. The antedor-posterior and latera1 screw angles are significantly different when comparing the reat entry technique with the endoscopic technique. In addition, the placement of the femoral screw had an asaociated divergence of the screw relative to the bone plug in two techniques. Endoscopically placed screws showed more significant divergence than rear entry technique, defined as ≥5˚ difference, in 11 of 18 screws, for an incidence of 61 % (rear entry technique: 26 %). In conclusion, radiographic difference do exist between femoral interference screws placed for fixation of an ACL graft using the rear entry and those placed endoscopically. Although the clinical significance is not yet known, we raise the question of greater divergence in femoral interference screw placement with the newer endoscopic interference techniques.
정태광,박용준 대한두개안면성형외과학회 2007 Archives of Craniofacial Surgery Vol.8 No.2
Purpose: Odontoma is a benign tumor originating from odontogenic tissue without any specific cause. Odontoma is usually found in people in their first and second decades of life. It generally exists along the dental arch of maxilla and mandible in the intraosseous location and rarely extends into maxillary sinus. The purpose of this report is to report a rare case of compound odontoma which extended into maxillary sinus. Methods: We experienced a compound odontoma extending into maxillary sinus with swelling on upper labium in 21-year-old man. Results: The excised tumor was 2.3×1×1cm sized and was confirmed as compound odontoma by the histological examination. Conclusion: We report this rare case of compound odontoma extending into maxillary sinus and having swelling of upper labium.