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조현오,조길현,정용석,안성균,최성진,유재연,김은정 대한심장학회 2006 Korean Circulation Journal Vol.36 No.12
Among all the congenital coronary anomalies, an anomalous origin of the left coronary artery (LCA) from theright sinus of Valsalva is rare. A 48-year-old male patient suffering with lateral acute myocardial infarction was referredfor primary percutaneous coronary intervention. The initial angiogram failed to show the LCA, which originatedfrom the right coronary sinus. A critical stenotic lesion was observed in the distal left circumflex artery. Thelesion was treated successfully with stenting. We report here on a case of an anomalous origin of the left coronaryartery from the right sinus of Valsalva, and the patient presented as acute myocardial infarction. He was successfullytreated with primary percutaneous intervention. (Korean Circulation J 2006;36:817-819)
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조현오,곽경덕,손수민,강철호,서대석,임대환,Cho, Hyoun-Oh,Kwak, Kyoung-Duck,Sohn, Soo-Min,Kang, Chul-Ho,Suh, Dae-Seok,Lim, Dai-Hwan 대한족부족관절학회 2000 대한족부족관절학회지 Vol.4 No.1
Purpose: The purpose of this study is to assess the amount of changes in the foot size on weight bearing in adult women, which might help in choosing an appropriate size of the shoes. Materials and Methods: The authors measured the length and width of the feet of 200 healthy women on weight bearing and non-weight bearing, and the size of the shoes they wore. Results: Foot length and width differences between right and left sides were 2.53 mm and 2.16 mm respectively on non-weight bearing, and 2.47 mm and 1.77 mm respectively on weight bearing. Foot length and width increased by 2.89% and 7.50% respectively on weight bearing than those on non-weight bearing. Shoe width was 6.82% longer and 9.54% narrower than the weight bearing foot size. There were 25 women who had shoe-related foot pain, all of them wore shoes that were 13.01 % or more narrower than the weight bearing foot width. Foot pain was significantly correlated with the shoe-foot width difference(p=0.0001). Conclusion: The foot size was increased by 2.89% in length and 7.50% in width with weight bearing. The width of their shoes was narrower. than the weight bearing foot width. Shoe-related foot pain was correlated with the foot-shoe width difference.
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조현오 최신의학사 1976 最新醫學 Vol.19 No.12
In one hundred and thirteen cases of tuberculosis of the spine for the per o4 o.,thicty-two I i.1 months, from October 1973 to Jane .1976, at the Department of Orthopedic Surgery, Seoul. Na tional University Hospital, the evaluation of radiological findingsl a_ nd bacteriological results was carried out and the following results-were obtained. 1. The incidence was,high under age of 10. But the shifting of the-prevalent age to. the older was found, especially in 3rd and 4th decades recently. 2. The site of infection was in the lumbar with 45 cases (39.8%), thorayc c 44. cases (39.0 %), thoracolumbar 8 cases (7.1%), lumbosacral 8 cases, and cervical 7 cases (6.2%). The frequent site of: infection was.found in the thoracic region under age of 17 and in the lumbar over age of 18. The average number of the involved vertebrae was .2.6 and the ratio of the affection of two adjacent vertebrae was 55.8%. The commonest mo_ nest site of the -infection cor related with the level of a vertebra was L4 and L5 3. Acid-fast bacilli was confirmed in 24 cases (29.4%) by concentrated direct smear and in 43 cases (52.4%) by culture. The positive finding of biochemical study was resulted in 45 cases (54.9%) by niacin test and in 43 cases (52.4%) by catalase activity. 4. The classical roentgenographic features of tuberculosis of the spine were narrowing of the intervertebral disc space, paravertebral shadow, and collapse of body. However, prior to the appearance of these, osteoporotic change and bone erosion were frequently showed.
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조현오,곽경덕,이홍주,임대환,안상민,장재호,강경구 대한골절학회 2002 대한골절학회지 Vol.15 No.2
서론 : 제 2, 3형 개방성 경골 골절로 초기에 Ilizarov외고정술을 시행받은 환자들을 대상으로 골유합까지 Ilizarov를 그대롤 유지한 경우와 이차적으로 골수강내 금속정 삽입술을 시행한 경우를 치험하여 그 결과를 고찰하고자 하였다. 연구대상 및 방법 : 1996년 1월부터 2001년 2월까지 제 2, 3형 개방성 경골 골절 환자중 초기에 Ilizarov 외고정술로 치료 후 1년 이상 추시가 가능하였던 34명을 대상으로 골유합까지 Ilizarov를 유지하였던 Ilizarov군 20례와 Ilizarov외고정후 이차적인 골수강내 금속정 치환술을 시행하였던 이차적 금속정군(Secondary IM nailing) 14례로 나누어 그 결과를 비교하였다. 성별은 Ilizarov군은 남자 16명, 여자 4명이었으며 이차적 금속정군은 남자 13명, 여자 1명이었다. 연령은 Ilizarov군이 평균 38.1세(19-66세)였고, 이차적 금속정군은 평균 42.5세(18-80세)였다. Gustilo의 개방성 골절 분류에 따른 분류상 Ilizarov군에서는 Type-II 2례, IIIA 7례, IIIB 9례, IIIC 2례이였으며, 이차적 금속정군에서는 II 2례, IIIA 7례, IIIB 5례였고 총 14례의 금속정 치환술중 9례는 Ilizarov로 치료하다 지연유합이 된다고 판단될 때 평균 24.5주에 시행하였고, 5례의 경우에서는 계획적인 치환술로써 평균 7.8주에 시행하였다. 결과 : 골유합은 Ilizarov군이 평균 35.4주, 이차적 금속정 치환술군이 초기에 Ilizarov장착후 평균 16.7주에 Ilizarov를 제거하였고 평균 1.3주의 기간 차이를 두고 이차적 금속정 치환술을 시행하여 평균 17.3주에 골유합을 얻어 총 33.8주에 골유합을 얻을 수 있었다. 합병증으로 Ilizarov군에서는 표재성 감염 5례, 심부감염 3례, 핀 삽입부 감염 13례, 골수염은 2례에서 발생하였다. 부정유합은 6례에서 발생하였으며 족관절강직은 10례에서 발생하였고 3례에서 골이식수을 시행하였고, 3례에서 비골신경손상이 있었다. 이차적 금속정 치환술군에서는 표재성 감염 2례, 심부감염 2례 보였고, 의도적 내고정치환술 1례에서 예방적 골이식술을 시행하였고 초기 Ilizarov외고정술로 불유합 보이는 1례에서 골이식술을 시행하여 전례에서 골유합을 보였으며, 각형성은 전 례에서 허용기준 내에 있었으며, 족관절 강직은 1례가 있었으나 하지부동의 례는 없었다. 결론 : 심한 개방성 경골 간부골절의 치료시 Ilizarov외고정술은 골수강 내고정법보다 부피가 크고 불편하며 술기가 난해하고 환자가 불편해하며 지연유합, 부정유합의 가능성이 높고, 핀 삽입부 감염과 장기간 착용시 족관절강직의 발생빈도가 높았으나, 골조직에 대한 자극이 적고 공간배열조정이 용이하고 연부조직 손상과 각변형등에 대해 수시로 삼차원적 교정이 가능하여 이후 이차적 금속정으로 치환함으로써 이런 문제점들을 해결 할 수 있으므로, 일시적인 Ilizarov 체외고정술후 이차적인 금속정 치환술이 효과적인 치료방법중 하나라고 사료되는 바이다. Purpose : We tried to compare the results of Ilizarov external fixation cases with the cases of secondary intramedullary nailing after tempory Ilizarov fixation. Materials and Methods : From the January 1996 to February 2001 , 34 cases of severe open tibial shaft fracture in adults were treated with Ilizarov external fixation and secondary intramedullary nailing after temporary Ilizarov fixation. According to Gustilo- Anderson classification, it consisted of type Ⅱ 2 ,ⅢA 7 ⅢB 9 ⅢC 2cases in Ilizarov group and type Ⅱ 2, ⅢA 7, ⅢB 5cases in secondary intramedullary nailing group. Results : There was no significant difference in the union time of Ilizarov external fixation and secondary intramedullary nailing after temporary Ilizarov fixation. But the secondary nailed group had slightly better motion , less final angulation and felt more comfortable . It is the treatment preferred by patients and does not require the same high level of patient compliance as external fixation. Conclusion : Secondary intramedullary nailing after temporary Ilizarov fixation is the useful method in the treatment of open fractures of tibia.
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조현오,곽경덕,손수민,정우근,최종청,Cho, Hyoun-Oh,Kwak, Kyoung-Duck,Shon, Soo-Min,Jung, Woo-Keun,Choi, Jong-Cheong 대한족부족관절학회 1999 대한족부족관절학회지 Vol.3 No.1
The purpose of this study Is to assess the retained range of motion[RROM] of the foot after arthrodesis of the ankle joint, which might help designing the angle of arthrodesis. We reviewed the results including the RROM in 14 cases of ankle arthrodesis. Underlying causes included trauma group(six posttraumatic arthritis) and disease group(three osteoarthritis, three Charcot joints, one chronic synovitis and one pyogenic arthritis). We measured the RROM on the lateral roentgenograms of the ankle in full dorsiflexion and plantarflexion, The results were assessed by the AOFAS hindfoot scale[score]. The RROM in sagittal plane was $23.4{\pm}5.3$ degrees and the score was 71.5 points on average. The RROM and the score were $26.8^{\circ}{\pm}2.1$, 81.2 points respectively in trauma group and $20.8^{\circ}{\pm}5.6$, 64.3 points in disease group; $26.6^{\circ}{\pm}2.3$, 83.4 points in cases younger than 40 years of age and $21.6^{\circ}{\pm}5.7$, 64.9 points in the older. The mean score was 77.3 points in cases whose RROM were $24^{\circ}$ or more and 61 points in cases of less RROM; 69.6 and 73.4 points in cases with and without adjacent degenerative arthritis respectively. The score was 69.7, 73.3 and 71.5 points in cases whose angle of arthrodesis was in dorsiflexion, neutral, plantarflexion respectively. In conclusion, after ankle arthrodesis RROM of the foot was $23.4^{\circ}$, and the more the RROM, the higher the score. In cases with sufficient amount of RROM, the angle of fusion on sagittal plane might not influence the result significantly.
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조현오,곽경덕,최종청,손수민,정우근 대한골절학회 1999 대한골절학회지 Vol.12 No.4
The fractures around the elbow joint in adults are relatively rare in comparision with that in childeren, but the late complications are more common in adults. We have clinically and radiologically analyzed 14 cases of fractures around the elbow joint in adults from January 1995 to December 1998. All patients were treated by open reduction and application of medial and lateral buttress plates providing stable internal fixation enhance early motion. The patients were evaluated for range of motion, infection, pain, degenerative changes. The 14 patients were available for follow-up study for average of 12 months. The result were good in nine, fair in two, poor in three. Traetment of choice for the type g and 1V of distal humerus fracture is open reduction with stable internal fixation with plates combined with early active motion.
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조현오,곽경덕,김병용,손수민,오필환 대한골절학회 1999 대한골절학회지 Vol.12 No.2
We have reviewed seven cases of fracture-separation of the distal humeral epiphysis, two of which were initially misdiagnosed as a fracture of the lateral condyle and one as a fracture of the supracondyle. The four cases were treated by closed reduction and cast immobilization, and three cases by open reduction and internal fixation. The one case with conservative treatment had cubitus varus, other were good result. To distinguish the fracture-separation from a fracture of lat. condyle and from a dislocated elbow is impossible using clinical signs alone. For reducing misdiagnosis, it is important to consider age and there could be need further evaluation such as arthrogram, USG, CT and MRI.
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