http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
최종혁,천용민,Choi, Chong-Hyuk,Cheon, Yong-Min 대한관절경학회 2002 대한관절경학회지 Vol.6 No.2
목적 : 관절경을 이용한 거골 박리성 골연골염의 단순 절제술 후 그 결과를 알아보고 이차 관절경을 통하여 결손 부위의 육안 및 조직학적 변화를 알아보고자 하였다. 대상 및 방법 : 관절경으로 유리체 및 괴사 골 조직을 제거한후 출혈되는 기저부를 남겨두고 치료한 22예를 대상으로 하였으며, 임상적 및 기능적 평가를 하여 수술의 유용성을 알아보았다. 7예에서 이차 관절경을 술 후 3개월에서 8년 사이에 시행하여 병변 부위의 관찰 및 타 부위의 이차적인 병변을 관찰하였으며, 생검을 시행하여 결손부 재생 조직에 대한 조직학적 검사를 시행하였다. 추시 관찰은 평균 42개월(14개월$\~$8년) 이었다. 결과 : 최종 추시 관찰에서 Ankle-hindfoot(100점) 점수는 술 전 67점에서 술 후 82점으로 의미있는 호전을 보였고(p<0.003), 주관적 및 기능적 평가(100점)상 술 후 평균 82점으로 만족할 만한 결과를 얻었다. 이차 관절경상 결손부는 섬유성 조직으로 채워지는 양상을 보였으며, 시간의 경과에 따라 섬유성 조직보다는 섬유 연골 조직이 증가되는 소견을 보였다. 술 후 특이한 이차적인 병변의 발생은 관찰되지 않았다. 결론 : 관절경을 이용한 거골 박리성 골연골염에 대한 단순 절제술은 결손 부위를 남겨 놓고 치료하는 방법이나 이차적 병변의 발생없이 결손부가 채워지는 소견을 보여 유용한 방법으로 사료되었다. Purpose : To investigate arthroscopic simple excision for the treatment of osteochondritis dissecans of the talus and to examine gross change and histological evaluation of the defect through second look arthroscopy. Materials and Methods : This study included twenty-two patients who had osteochondritis dissecans of the talus that was treated with excision of arthroscopic loose body and necrotic bone tissue, leaving bleeding bed. In 7 cases, we performed second look arthroscopic examination for the evaluation of gross change of defects and histologic findings. Final results were evaluated with two clinical and functional protocols. Average follow up period was 42 months from 14 months to 8 years. Results : Ankle-hindfoot score (100 point) was improved significantly (p<0.003). Subjective and functional scores (100 points) averaged 82 points. The defect of lesion had a tendency of filling with fibrous tissue and fibrocartilage. Although the defect was filled with fibrocartilage, specific secondary lesion was not detected through second look arthroscopic examination. Conclusion : Arthroscopic debridement was an effective method for the treatment of osteochondritis dissecans of the talus without progression of secondary lesion even though the defect was filled with fibrocartilage.
슬관절 후외측 불안정성 치료의 새 기법: 동종 후경골건을 이용한 후외측 재건술
김성재,류상욱,천용민,용석원,김보람,Kim Sung-Jae,Ryu Sang-Wook,Cheon Yong-Min,Yong Suk-Won,Kim Bo-Ram 대한정형외과스포츠의학회 2003 대한정형외과스포츠의학회지 Vol.2 No.2
슬관절의 후외측 불안정성은 많은 연구가 필요한 손상 중의 하나이다 치료에 있어서도 여러 술기들이 고안되어 왔지만 아직 까지 만족할 만한 치료법은 없는 상황이다. 이에 저자들은 동종 후경골건을 이 용하여 외측측부인대와 슬와건을 동시에 재건하는 새로운 술식을 소개하고자 한다. Posterolateral instability of the knee is known as one of the most challenging injuries . Although several procedures have been designed for the posterolateral instability, there is no gold standard management yet. We present a technique for posterolateral instability of the knee using tibialis posterior tendon allograft, which reconstructed lateral collateral ligament and popliteal tendon.
강호정,강응식,송계욱,천용민,박회완 대한골절학회 2001 대한골절학회지 Vol.14 No.4
Purpose: We investigated injury mechanism, clinical feature, treatment, and prognosis in fracture of medial epicondyle of humerus in children. Material and Method: From April 1997 to April 2000, 10 fractures of medial epicondyle of humerus treated by operative method and followed up for minimum 12 months were analyzed retrospectively. Results: The injury mechanism includes slip down with elbow outstretched in 8 case, throwing ball in one case, arm wrestling in other one case. Ulnar nerve symptom at the distal region of fracture site was noted in one case. 2 cases had elbow dislocation at the time of trauma. Fractured fragment displaced more than 5㎜ in 9 cases and fractured fragment incarcerated in elbow joint in one case. Open reduction and internal fixation was done with medial approach. The mean period of cast immobilization was 6 weeks postoperatively and after removal of cast, gentle exercise of range of motion was started. After operation and postoperative follow up, in all case except one, the full range of motion of elbow joint was recovered and there were no ulnar nerve symptom and valgus instability in affected elbow joint. Conclusion: The indication of operation for fracture of medial epicondyle of humerus is controversial, yet. We had done open reduction and internal fixation for medial epicondyle of humerus only in case of displacement of fractured fragment more than 5㎜ and incarceration in elbow joint after manual reduction, ulnar nerve symptom. In 90 percents of all case, the result was satisfactory.