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F2L Multineck 무시멘트 대퇴 스템을 이용한 인공고관절전치환술-최소 10년 이상 추시 결과-
황성관,,허승만,조태현 대한고관절학회 2007 Hip and Pelvis Vol.19 No.3
Purpose: To analyze the results of cementless total hip arthroplasty with a F2L Multineck femoral stem. Materials and Methods: A total of 64 patients (73 hips), who underwent cementless total hip arthroplasty with a F2L Multineck femoral stem, SPH acetabular cup and a ceramic liner from December of 1998 to October of 2001 were followed up for at least 4 years, were selected for the clinical and radiological evaluations. Results: At the final evaluation, 63 patients had an improved average Harris hip score ranging from 51.4 preoperatively to 95.1. None of the patients had any significant leg length inequality. Thigh or inguinal pain was observed in 3 hips (1 hip of femoral stem subsidence and 2 hips of damaged ceramic parts), for which revision total hip arthroplasty was performed. Hip dislocation occurred in 2 hips within 2 weeks after surgery and conservative management was performed after a closed reduction. Conclusion: Total hip arthroplasty with a F2L Multineck femoral stem produced satisfactory results. Postoperative complications such as hip dislocation and leg length inequality could be minimized by modulating the anteversion angle, femoral offset and leg length with multineck femoral stem. 목적: F2L Multineck 대퇴 스템을 이용한 무시멘트 인공관절 치환술의 결과를 분석하고자 한다. 대상 및 방법: 1998년 12월부터 2001년 10월까지 F2L Multineck 대퇴 스템 및 반구형 금속 비구컵과 세라믹 관절면을 사용 하여 무시멘트 고관절 전치환술을 시행 받고 최소 4년 이상 추시 관찰이 가능하였던 64명(73례)을 대상으로 임상적, 방사선학 적 분석을 시행하였다. 결과: 최종 추시상 63명(72례)의 Harris hip score는 술 전 평균 51.4점에서 술 후 평균 95.1점으로 향상되었으며 모든 환자에 서 의미 있는 하지부동은 없었다. 대퇴 스템의 불안정성 고정 1례(1.4%), 세라믹 부품 손상 2례(2.7%), 총 3례(4.1%)에서 대퇴 부 및 서혜부 동통이 관찰되었으며 이에 대하여 재치환술을 시행하였다. 술 후 2례(2.7%)에서 고관절의 탈구가 발생하여 도수 정복 후 보존적 요법으로 치료하였다. 결론: F2L Multineck 대퇴 스템을 이용한 인공관절 치환술은 비교적 만족스런 결과를 얻을 수 있었으며 특히 multineck 대퇴 스템의 사용으로 전염각 및 하지 길이의 조정, 대퇴 오프세트 조정을 통하여, 술 후 탈구 및 하지부동 등의 합병증을 최소화할 수 있었다.
가골 신연술로 치료한 무지내반증을 동반한 선천성 제 1중족골 단축증증 -증례 보고-
황성관,오진록,이두희,Hwang, Sung-Kwan,Oh, Jin-Rok,Lee, Doo-Hee 대한족부족관절학회 1999 대한족부족관절학회지 Vol.3 No.1
Brachymetatarsia of the first metatarsal is uncommon. It may occur as a congenital condition. Hallux varus is the name given to a medially deviated position of the first metatarsophalangeal joint with a nonpurchasing hallux in varus position. To have a patient with not only both hallux varus and brachymetatarsia, but for the brachymetatarsia to occur about the first metatarsal, is extremly rare. We experienced a case of the brachymetatarsia of the first metatarsal with hallux varus treated by callotasis. Excellent cosmetical and funtional outcome were obtained. So we reporting the case with a review of the literatures.
황성관,유광종 대한골절학회 1996 대한골절학회지 Vol.9 No.4
Fractures of the talus are uncommon injuries. Because of the unique blood supply and biomechanical features, the complication of the displaced fractures are frequent and long term disabilities are so severe that the importance of proper treatment is emphasized. A clinical evaluaton of 25 patients with fracture of the talus has been made from lanuary, 1985 to December, l994 and followed them more than l 2 months for each. The result were as follows; 1. There are 20 men and 5 women and the average age was 3 l.2 years. 2. The common causes of fracture were traffic accidents in 13 cases(52%) and fall from height in 9 cases(32%). 3. According to the classification by Hawkins. four of the fractures were included in type l .eight in type I, six in type I, one in type F and six in body and process. 4. All 4 cases in type I. 1 case in type I and 4 cases in body and process fracture were treated conservatively. 7 cases in type I, 6 cases in type I, I case in type N and 2 cases in body and process fractures were treated operatively. 5. According (o the Hawkins criteria. final result were as follows; excellent in l0 cases, good in 7 cases, fair in 5 cases, poor in 3 cases. 6. Among the operatively treated type I, I, IV. delayed operations were performed in type l (2 cases), type III(3 cases). The final results of the delayed operations were good in one case, fair in one cases, poor in three cases. In conclusion, the results of the delayed operation was worse than those of the early operation. so we think that the early operation of talar fracture and dislocation will give good results.
대퇴골 골절에서 나사못 맞물림 골수정을 이용한 치료의 합병증
황성관,한재범 대한골절학회 1995 대한골절학회지 Vol.8 No.1
A retrospective review was undertsken in 31 patient with femoral fracture which had complication after undergoing the closed reduction and internal fixation using interlocldng intramedullay nail. The technical complexity associated with the locking nail introduccs a new set of complications. This article discusses these problems and suggests means to avoid certain difficulties. The results were as follws; l. Intraoperative complications were new fracture near the original fracture site(3 cases), Iatrogenic femur neck fracture(1 case), pudendal nerve nauropraxia(1 case). 2. Postoperative complications were delayed union(13 cases), limb shortening(4 cases), nonunion(3 cases), infection(3 cases), distal screw breakage(3 cases), nail breakage(1 case), proximal screw breakage(1 case), and angulation(1 case). 3. At final follow up, the major complications were 11 cases(13.4%) but, bone union was achived in all cases except 3 case, union rate was 96.4%. 4. Highly developed operative technique and postoperative management were necessary to diminish complications.