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아킬레스건 파열의 세 가지 수술적 치료법의 임상 결과에 대한 비교: 관혈적 봉합술, 경피적 봉합술, 아킬론을 이용한 최소절개 봉합술
박원석,이명진,강정모,이승엽,Park, Won Seok,Lee, Myoung Jin,Kang, Jung Mo,Lee, Seung Yup 대한족부족관절학회 2018 대한족부족관절학회지 Vol.22 No.2
Purpose: This study compared the clinical outcomes of open repair, percutaneous repair, and minimal incision repair by Achillon in ruptured Achilles tendon. Materials and Methods: The outcomes of 12 patients with open repair (group 1), 8 patients with percutaneous repair (group 2), and 10 patients with minimal incision repair by Achillon (group 3) from February 2013 to March 2016 were analyzed retrospectively. The postoperative clinical evaluations were done by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Arner-Linholm scale, mid-calf circumference difference, one-leg heel raise difference, visual analogue scale (VAS) for postoperative scarring, time to return to work, and complications. Results: No significant difference in the AOFAS ankle-hindfoot score, Arner-Linholm scale, and time to return to work was observed among three groups (p=0.968, 0.509, and 0.585). The mean differences in the mid-calf circumference in groups 1, 2, and 3 were 1.09, 0.73, and 0.58, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.002). In addition, the mean VAS scores for postoperative scarring in groups 1, 2, and 3 were 7.0, 9.1, and 9.1, respectively; groups 2 and 3 were significantly higher than group 1 (p=0.001). The mean differences in one-leg heel raising in groups 1, 2, and 3 were 2.03, 1.91, and 1.33, respectively; group 3 was significantly higher than groups 1 and 2 (p=0.010). The complications encountered were one case of deep infection in group 1 and one case of sural nerve hypoesthesia in group 2. Conclusion: Minimal incision repair by Achillon is recommended as an effective surgical treatment for Achilles tendon rupture because it minimizes the risk of complications, leads to an improved tendon strength and healing, and achieves cosmetic satisfaction.
박원석(Won Seok Park),황성하(Sung Ha Hwang),박용현(Yong Hyun Park),박주현(Joo Hyun Park),진동찬(Dong Chan Jin),김혜수(Hye Soo Kim),이종민(Jong Min Lee),이은희(Eun Hee Lee),김석영(Suk Young Kim),방병기(Byung Kee Bang) 대한신장학회 2001 Kidney Research and Clinical Practice Vol.20 No.5
Metanephric adenoma is a very rare benign renal tumor; only 100 well-documented cases have been reported to date. Metanephric adenoma occurs at all ages, most commonly in the fifth and sixth decades. There is a 2 : 1 female preponderance. They appear to be benign tumors with no malignant potential, and their chief importance is related to the fact that they are most often misinterpreted as renal cell carcinoma or Wilms' tumor. Its light microscopic features are very characteristic, and imunohistochemical and electron microscopic studies are not critical to the diagnosis. We have experienced a case of renal tumor in a 44-year-old female patient diagnosed by ultrasonography-guided needle biopsy which showed small, tightly packed acini or tubular and papillary structures. The patient underwent right nephrectomy. We report metanephric adenoma diagnosed by ultrasonography-guided needle biopsy, which is a very rare and unique case.