이소성 골형성증을 동반한 Melorheostosis 1례보고

황득수 주식회사 녹십자 1988 녹십자의보 Vol.16 No.6

하지의 만성 폐쇄성 혈관질환에서 절단부위 결정을 위한 색조도플러영상의 진단학적 가치

황득수,오홍록,이승진 충남대학교 의과대학 지역사회의학연구소 1996 충남의대잡지 Vol.23 No.2

There is no definite criteria for the determination of the level of amputation in ischemic limb or diabetic foot. So, We propose our update criterias for this problem as another good method, which are color doppler sonography as a noninvasive method and angiographic imaging as a more accurate but invasive method for the vascularity and its supplimentation in ipsilateral lower extremity as well as Wagner's ischemic index. We are concluded from our experience, as these; 1. Color doppler imaging is a kind of a good method for the determination of the level of amputation in ischemic limb or diabetic foot of lower extermity, even than Wagner's ischemic index. 2. The wound healing of diabetic foot is more difficult than any other foot disease such as Buerger's disease or atherosclerotic vascular disease in our experience.

Arthroscopic Treatment of Symptomatic Internal Snapping Hip with Combined Pathologies

황득수,황정모,김필성,이성민,박승환,강수용,하용찬 대한정형외과학회 2015 Clinics in Orthopedic Surgery Vol.7 No.2

Arthroscopic iliopsoas tendon release was introduced in 2000. The purpose of this study was to evaluate clinical outcomes of arthroscopic iliopsoas tendon release for painful internal snapping hip with concomitant hip pathologies. Methods: Between January 2009 and December 2011, we performed arthroscopic iliopsoas tendon release and related surgeries in 25 patients (20 men and 5 women; mean age, 32 years; range, 17 to 53 years) with combined intraarticular hip pathologies. The patients were followed for a minimum of 2 years postoperatively. Clinical and radiological evaluations were performed. Results: Snapping sounds had disappeared by the 2-year follow-up in 24 of the 25 patients. All patients who had presented with loss of flexion strength postoperatively showed recovery at postoperative week 6 to 10. Harris hip score improved from 65 points (range, 46 to 86 points) preoperatively to 84 points (range, 67 to 98 points) postoperatively (p < 0.001). Seven hips (28%) had an excellent score, 15 hips (60%) a good score, 2 hips (8%) a fair score, and one hip (4%) a poor score (p < 0.001). The Tonnis grade of osteoarthritis did not change in any of the patients at the last follow-up. Conclusions: Patients with painful internal snapping hip have combined hip pathologies. Therefore, the surgeon should keep in mind that painful internal snapping hips are frequently combined with concomitant intraarticular pathologies.

족관절 골절의 분류 : 분류체계간의 비교 Comparison Among the Sysytems

황득수,진영안 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2

The main purpose of a classification system is to provide a mental picture of the injury and also information as to treatment a prognosis. At present, Lauge-Hansen classfication has improved the results of conservative treatment, and Danis-Weber classification which was taken by the AO(ASIF) group was designed for application to operative treatment. But, both system have dificiencies, Recently, the proposed classification system by M. Tile which was based on the ankle stability was interesting. So, compared among the system for identification that these systems are synonymous or if not, one system has a distinct advantage over the other. Total 135 patients, 135 cases have been reviewed at CNUH from January, 1983 to December, 1988. The results were as follows: 1. We considered that it was very difficult to classify the ankle fractures by Lauge-Hansen system because of complexity and variable fracture patterns. But, we have been classified the fractures abut 98.5% by simplification of medial malleolar frecture patterns. 2. Danis-Weber classification was simple and easily applicated, but it was not helpful for decision of the amount of injury, treatment and prognosis. 3. The proposed M. Tile classification added to a aspect of the stability, so it was helpful for descision of the treatment methods. Also, this system classified the isolate medial malleolar freature that was not by Danis-Weber classification. 4. From the above results, we consider that by Lauge-Hansen classification, can be identify the occult ligament injuries, and by M. Tile classification, deside the treatment methods.

Danis-Weber B형 족관적 골절의 치료에 있어서 Antiglide 금속판의 적용에 관한 임상적고찰

황득수,박원 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

Recentely, Posterior antiglide plate have been introduced as a method of fixation for the short obliquefracture of the fibula, ie Danis-Weber type B or Lange-Hansen classification Supination-External rotation type. This plate functions like a buttress plate, which is applied to an oblique fracture to capture the fragment whose spike is opposite the cortex that will be adjacent to the plate. The author analysed 23 cases of ankle fracture(Danis-Weber Type B) which were admitted and treated in Orthopedic Department Chungnam National Hospital from March 1989 to March 1992. The following results were obtained. 1. Posterior antiglide plate fixation is possible in most of the Danis-Weber Type B ankle fracture, especially for stabilization in older patients with osteoporosis. 2. This operative method has several advantages, ie, easy applicable to plate fixation without prebending, less operative time and no potential for penetration of a screw into the joint. 3. When lag screw is inserted across the fracture site, it is no more priority than without intercomplementary screw fixation for stability, but can be closed the fracture gap easily with more anatomical reduction.

스포츠 손상에서의 비구순 파열

황득수,이광진,권육상,Hwang Deuk-Soo,Rhee Kwang-Jin,Kwon Youk-Sang 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1

목적: 스포츠손상에의한비구순파열환자에서진단및치료에대해고찰해보고자하였다. 대상및방법: 1995년3월부터2000년1월까지스포츠손상후발생한고관절통으로본원에내원한환자에서비구순파열로진단된15예를대상으로하였다. 원인별로달리기5예, 격투기3예, 에어로빅3예, 수영2예, 등산1예, 자전거 1예등이었다. 남자가6명, 여자가9명이었고, 나이는 평균41세였다. 모든 환자는6개월간격으로 추시하였고, 보존적 치료를 시행한 경우최소2년 이상 투약 및 증세관찰을 하였고, 관절경적 수술을 시행한6예에서 수술 전, 수술 후 6개월과 12개월에 Harris Hip Score (이하HHS)를측정하였고, JOA pain scoring system에의해결과를평가하였다. 결과: 보존적치료를 시행한9예에서 HHS는 평균 15점 향상되었고, 그중 4예는 1단계의 통증 지수 향상이 있었는데, 이들 모두Czerny 분류상type IA였다. 관절경적수술을 시행한6예에서수술후 HHS는 32점향상되었고, 6예모두에서2단계이상의통증지수향상이관찰되었다.결론: 스포츠손상환자에서급,만성고관절통을호소하는경우비구순파열은반드시감별진단되어야하며, 이학적검사상의심이될경우자기공명관절조영술을이용한진단이유용할것으로사료된다. 확진이된경우관절경을이용한파열된비구순의변연절제술이효과적인치료방법으로생각된다. Purpose: The purpose of this study is to evaluate diagnosis and treatment of acetabular labral tears in sports injuries. Materials and Methods: From March 1995 to January 2000, We treated 15 patients with acetabular labral tear by sports injuries. There were 6 men and 9 women. Mean age was 41 years old. Running injuries are 5 cases, fighting 3, aerobic exercise 3, swimming 2, climbing 1, bicycle 1. For conservative treatment, we performed medication and observation at least for 1 year. For the patients with arthroscopic surgery, we performed Harris Hip Score (pain and function) preoperatively and postoperatively at 6, 12 months, and evaluated patient’s pain by JOA pain scoring system and postoperative subjective satisfaction. Results: The mean score of HHS improved 15 points with conservative treatments and 32 points with hip arthroscopy. In 4 cases of conservative treatment, there was 1 scale improvement of JOA pain scoring system. In arthroscopic partial labrectomy, all cases were improved to more than 2 scale. Conclusion: We considered that acetabular labral tears occurred associated with sports injuries. So it is important to be interested in enthusiastic diagnosis and appropriate treatment for hip pain caused by sports injuries, especially about acetabular labral tears.

전위성 단순 경골 간부골절의 치료에 있어서 보존적 요법과 수술적 요법의 비교 관찰

황득수,변기용 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2

Until recently, the treatment of tibia shaft fractures become one of the most controversial subjects in orthopaedic surgery. One groups insisted that this fractures should primarily be treated with conservative methods, the other groups open reduction & internal fixation has been recommended. Among the nature of fracture patterns, displaced closed or grade 1 open, spiral, oblique and transverse fractures(types Al, A2 and A3 according to Johner's and Wruhs's classification) are still controversial about treatment method. Some auther's have been compared both methods of treatment without detailed criteria. Recently Den Outer compaired both treatments with detaliled criteria and reported that conservative treatment are more preferable. We also compaired retrospectively both treatment methods and the obtained results were, except more complications with conservative treatment, encouraging to us for choosing operative treatment. That is, less malunion and shortening, less delayed union and less disability after fracture healing.

Hip Arthroscopy의 유용성

황득수 대한고관절학회 2003 Hip and Pelvis Vol.15 No.4

고관절의 초기 퇴행성 관절염시 관절경적 치료

황득수 대한고관절학회 2004 Hip and Pelvis Vol.16 No.2

Comprehensive Review of Advancements in Hip Arthroscopy

황득수,노창균 대한고관절학회 2017 Hip and Pelvis Vol.29 No.1

Hip arthroscopy is currently being leveraged in the diagnosis and treatment of a wide range of hip joint problems. In fact, great advancements in hip arthroscopy have resulted in an ever-expanding number of indications to which it is being applied. Minimally invasive hip arthroscopy allows for quicker initiation of rehabilitation and has attracted much attention as the field becomes increasingly focused on surgeries designed to preserve joints. This review aims to summarize the recent advances, applications, and impact of hip arthroscopy.