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RISS 인기검색어
- 검색키워드
- 저자 : 이시욱(Si-Wuk Lee) (검색결과 2 건)
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이시욱 ( Si Wuk Lee ),조철현 ( Chul Hyun Cho ),배기철 ( Ki Choer Bae ) 대한골절학회 2014 대한골절학회지 Vol.27 No.3
Purpose: The purpose of this study was to analyze associated factors of primary radial nerve palsy and to evaluate clinical outcome for its treatment in patients with humerus shaft fracture. Materials and Methods: We divided two groups of patients with (17 patients) and without (116 patients) primary radial nerve palsy and analyzed correlation between radial nerve injury and various parameters, including age, sex, cause of injury, AO classification, fracture type, fracture location, and presence of open fracture. We also evaluated configuration of nerve injury, presence of recovery, and recovery time. Results: The overall prevalence of primary radial nerve palsy after humerus shaft fracture was 12.8% (17 palsies in 133 fractures). Younger age, AO type B, and distal 1/3 fractures showed significantly higher correlation with radial nerve palsy. No significant correlation was observed between radial nerve palsy and other parameters, including sex, cause of injury, fracture type, and presence of open fracture. Thirteen patients (76.5%) underwent early nerve exploration with internal fixation. Intraoperatively, all patients had continuity of radial nerve except one patient with segmental loss. At the final follow-up, 16 patients (94.1%) with radial nerve palsy had made a complete recovery. The mean time to complete recovery was 6.7 months. Conclusion: Primary radial nerve palsy after humerus shaft fracture was more common in young age, AO type B, distal 1/3 fractures. Early surgical exploration can be recommended to confirm the condition of the radial nerve if the fracture should be fixed.
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외전근 부전 환자에서 구속형 라이너를 이용한 인공 고관절 재치환술
이경재(Kyung-Jae Lee),민병우(Byung-Woo Min),배기철(Ki-Cheor Bae),손은석(Eun-Seok Son),이시욱(Si-Wuk Lee),이석중(Seok-Jung Lee),임경환(Kyung-Hwan Lim) 대한정형외과학회 2016 대한정형외과학회지 Vol.51 No.4
목적: 인공 고관절 재치환술 중 외전근 부전 소견을 보인 환자에서 구속형 라이너 사용 결과를 알아보고자 하였다. 대상 및 방법: 재치환술 중 외전근 부전 소견으로 구속형 라이너를 사용하고 2년 이상 추시 관찰이 가능하였던 30예를 대상으로 하였다. 남자 14예, 여자 16예였으며 평균 추시 기간은 4.6년이었다. 재탈구나 삽입물의 무균성 해리가 발생한 경우를 구속형 라이너의 실패로 정의하였다. 임상적으로 Harris 고관절 점수 및 보행능력을, 방사선적으로 골용해, 무균성 해리 및 기타 합병증의 발생 유무를 조사하였다. 결과: 추시 기간 중 구속형 라이너의 실패는 4예(13.3%)에서 발생하였으며 재탈구 2예, 비구컵 무균성 해리 2예였다. Harris 고관절점수는 술 전 평균 38.3점에서 술 후 평균 73.4점으로 향상되었으며, 최종 추시 시 보행능력의 호전을 보인 경우가 20예(66.7%)였다. 합병증으로 감염 1예, 삽입물 주위 골절 1예가 발생하였다. 결론: 인공 고관절 재치환술 시 외전근 부전 소견을 보이는 환자에서 구속형 라이너는 만족할 만한 재탈구 예방 효과를 보였으나 삽입물의 해리 등에 대한 좀 더 장기간의 연구가 필요할 것으로 생각된다. Purpose: The purpose of this study was to evaluate clinical and radiographic results of revision total hip arthroplasty with constrained liner in patients with abductor insufficiency. Materials and Methods: In this study, 30 patients treated with constrained liner during revision total hip arthroplasty due to abductor insufficiency were evaluated after minimum 2-year follow-up. There were 14 men and 16 women and the mean follow-up period was 4.6 years. Re-dislocation and aseptic loosening of the implant were defined as a failure of the constrained liner. Harris hip score and ambulatory function were evaluated as a clinical parameter and osteolysis, aseptic loosening of the implant and other complications were evaluated as a radiologic parameter. Results: During the follow-up period, there were 4 cases (13.3%) of constrained liner failure including two cases of re-dislocation and two cases of acetabular cup aseptic loosening. The average Harris hip score was improved from 38.3 points preoperatively to 73.4 points at last follow up. At the final follow-up, there were 20 cases (66.7%) of improvement in ambulatory function. There was 1 case of infection and 1 case of periprosthetic fracture. Conclusion: Use of a constrained liner during revision total hip arthroplasty showed satisfactory results for prevention of re-dislocation in patients with abductor insufficiency. However longer term studies on loosening of implants are needed.
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