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      • KCI등재

        관혈적 정복술에 의한 소아 상완골 과상부 골절의 치료

        이주홍,김정렬,이준모,신필수 대한골절학회 1999 대한골절학회지 Vol.12 No.4

        Purpose: To analyze the results of open reduction in displaced supracondylar fractures of the humerus in children, and to propose guidelines for an open approach to supracondylar fractures. Materials and Methods: Twenty-six children (average age 6.7 years), who had open reduction of severely displaced supracondylar fractures were reviewes retrospectively over a 2 year period (1993 to 1997). Elbow range of motion, carrying angle, and radiographic measurement of the Baumann angle were assessed, then each distal humerus were compared to uninjured side. Results: At follow-up, the Baumann angle and carrying angle differed by an average of 2 degrees and 4 degrees respectively compared with the unaffected arm. Range of motion was satisfactory in 96% of patients, and there was no significant cubitus varus. Conclusions: Open reduction of severely displaced supracondylar fractures is a safe and effective procedure, for which orthopedists should lower their threshol, given certain appropriate indicatiors.

      • KCI등재

        러시아어 동사 상적 삼중쌍 논의에 부쳐

        이주홍,홍택규 한국러시아문학회 2021 러시아어문학 연구논집 Vol.74 No.-

        A study on aspectual triplets in Russian gives an interesting perspective on how to analyze and evaluate Russian verbal aspectual system as a whole. Russian verbal aspect is the lexico-grammatical category in which lexical and aspectual features are still more closely related to each other, than many researchers have considered. We think that this close relationship between them has been underestimated. In this article, we critically analyzed previous studies on aspectual triplets, such as Зализняк & Шмелёв(2000), Зализняк & Микаэлян(2010), and Храковский(2005). If we treat Russian verbal aspect as a purely grammatical system, we are likely to fall into a methodological dilemma, as Зализняк & Шмелев did. But if we focus on a lexical synonymy, which Храковский set as a criterion for judging aspectual triplets, we can be relatively free from that kind of dilemma. Nonetheless, we must say that Храковский did not fully pay attention to differences in the usages between primary and secondary imperfective aspects. In this study, we analyzed the examples extracted from the Russian National Corpus to reveal differences in the usages of the verbs ‘читать vs. прочитывать’, ‘есть vs. съедать’, and ‘пить vs выпивать’. The differences in the usages between them turned out to be evident. Primary imperfective aspect fulfills such functions, as ‘ordinary imperfective usages’, ‘relative backgrounding’, and ‘atemporal evaluation’, whereas secondary imperfective aspect fulfills such functions, as ‘quantitative specification’, ‘relative foregrounding/focusing’, ‘metaphorical focalization’, ‘pseuo-historical present’ and ‘dramatic present’ and so on.

      • 이중 다발 전방십자인대 재건술의 임상적 결과

        이주홍,Lee, Ju-Hong 대한관절경학회 2009 대한관절경학회지 Vol.13 No.2

        단일 다발 십자인대 재건술의 임상적 결과를 보다 향상하고자 제안된 이중 다발 전방십자인대 재건술은 해부학적, 생역학적, 생물학적, 운동역학적으로 많은 이론적 장점이 있고 이에 따른 임상적 측면에서의 결과 향상이 기대되지만 이를 입증할 만한 충분한 관찰 기간을 가진 임상적 연구들이 매우 부족한 실정이다. 따라서 저자는 이중 다발 전방십자인대 재건술에 관련되어 최근까지 발표된 문헌을 통해 임상적 결과를 분석하고 이에 제기된 문제점을 살펴보고자 한다. Double-bundle anterior cruciate ligament reconstruction (DBACLR) has been developed to produce better clinical outcomes in traditional single-bundle reconstruction, which showed considerable rate of dissatisfaction in restoration of stability and function of the anterior cruciate ligament deficient knee. There is plenty of evidence that DBACLR has theoretical advantages in anatomical, biomechanical, biological, kinematical, and possibly clinical standpoint compared with traditional one but still a lack of available clinical outcome studies with sufficient follow-up to demonstrate the substantial advantages of DBACLR. The purpose of this article is to review the clinical outcomes of double-bundle technique and to address controversy exists over the usefulness of this technique.

      • KCI등재후보
      • KCI등재

        족관절 양과 골절의 수술적 치료

        이주홍,황병연,송경진,이경래,양근호 대한골절학회 1999 대한골절학회지 Vol.12 No.4

        We designed this study to evaluate the functional outcome and to suggest the guidelines in the treatment of bimalleolar ankle fractures with clinical and radiological analysis after operative treatment. We analyzed 36 patients with bimalleolar fractures among 90 ankle fractures and followed up for more than 1 year. All 36 fractures were classified according to Lauge-Hansen system and the Meyer criteria was used for the clinical and radiological assessment. Seventeen cases(47%) were supination-external rotation(47%); 9 cases(25%) were supination-adduction; 6 cases(17%) were pronation-abduction and 4 cases(11 %) were pronation-external rotation type. Satisfactory results was obtained in 32 cases(89%) according to the criteria of Meyer in the viewpoint of clinical and radiological analysis. Satisfactory results could be obtained with early anatomical reduction and rigid internal fixation for the treatment of bimalleolar ankle fractures. Distal tibiofibular syndesmosis disruption could be spontaneously reduced without trans-syndesmotic screw fixation by early open reduction and rigid internal fixation for the bimalleolar ankle fractures. Early and more accurate anatomical reduction can reduce the post-traumatic arthritis in cases with moderate talar displacement and open fractures.

      • KCI등재

        Tenosynovial Giant Cell Tumor Arising from Femoral Attachment of the Anterior Cruciate Ligament

        이주홍,왕성일 대한정형외과학회 2014 Clinics in Orthopedic Surgery Vol.6 No.2

        The localized type of tenosynovial giant cell tumor usually occurs on the palmar side of fingers and toes. Tenosynovial giant cell tumors of the tendon sheath are rarely intra-articular. We report a giant cell tumor of the tendon sheath arising from femoral attachment of the anterior cruciate ligament and its treatment with arthroscopy in a 28-year-old man

      • KCI등재

        Risk of Anterior Femoral Notching in Navigated Total Knee Arthroplasty

        이주홍,왕성일 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.2

        We retrospectively investigated the prevalence of femoral anterior notching and risk factors after total knee arthroplasty (TKA) using an image-free navigation system. Methods: We retrospectively reviewed 148 consecutive TKAs in 130 patients beginning in July 2005. Seventy knees (62 patients) underwent conventional TKA, and 78 knees (68 patients) received navigated TKA. We investigated the prevalence of femoral anterior notching and measured notching depth by conventional and navigated TKA. Additionally, the navigated TKA group was categorized into two subgroups according to whether anterior femoral notching had occurred. The degree of preoperative varus deformity, femoral bowing, and mediolateral suitability of the size of the femoral component were determined by reviewing preoperative and postoperative radiographs. The resection angle on the sagittal plane and the angle of external rotation that was set by the navigation system were checked when resecting the distal femur. Clinical outcomes were compared using range of motion (ROM) and the Hospital for Special Surgery (HSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAX) scores between the two groups. Results: The prevalence of anterior femoral notching by conventional TKA was 5.7%, and that for navigated TKA was 16.7% (p = 0.037). Mean notching depth by conventional TKA was 2.92 ± 1.18 mm (range, 1.8 to 4.5 mm) and 3.32 ± 1.54 mm (range, 1.55 to 6.93 mm) by navigated TKA. Preoperative anterior femoral bowing was observed in 61.5% (p = 0.047) and both anterior and lateral femoral bowing in five cases in notching group during navigated TKA (p = 0.021). Oversized femoral components were inserted in 53.8% of cases (p = 0.035). No differences in clinical outcomes for ROM or the HSS and WOMAX scores were observed between the groups. A periprosthetic fracture, which was considered a notching-related side effect, occurred in one case each in the conventional and navigated TKA groups. Conclusions: Surgeons should be aware of the risks associated with anterior femoral notching when using a navigation system for TKA. A modification of the femoral cut should be considered when remarkable femoral bowing is observed.

      • KCI등재

        전위된 상완골 외과적 경부 골절 치료에서 폐쇄 정복 및 경피적 핀 고정술

        이주홍,김규형 대한골절학회 2000 대한골절학회지 Vol.13 No.2

        Purpose: to appreciate the effectiveness of the closed reduction and percutaneous pinning(CRPP) in reducible but unstable displaced surgical neck fracture of the humerus. Materials and Methods: reviewed 30 patients(19 cases in CRPP and l 1 cases in ORIF) with at least 1 year follow-up, comparing clinical union time, elapsed time for surgery and clinical results using UCLA end-result scoring system in two groups and determining prognostic factors in CRPP. Results: Clinical union was seen 8.4 weeks in CRPP and 11.2 weeks in ORIF. The difference between two groups in the clinical results was not significant. Lower UCLA score in CRPP correlated with the increment in age(p$lt;0.05), but not with sex and metaphyseal comminution. Elapsed time for surgery was taken average 38 minutes in CRPP and average 95 minutes in ORIF. The postoperative complications in CRPP were 1 in nonunion, 4 in stiffness and 4 in pin loosening, most of them were occurred in female over sixty. Summary: CRPP is a useful alternative and may be primarily applicable method in respect of comparable results to ORIF, minimal soft tissue damage and shorter surgical time. However, in cases of female with sixty or more, ORIF would be preferred because of poor bone quality, less compliant, and frequent joint stiffness.

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