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손종민,장주해,하난경,조성태,황정택,Sohn, Jong-Min,Jang, Ju-Hae,Ha, Nan-Kyoung,Cho, Seong-Tae,Hwang, Jung-Taek 대한관절경학회 2006 대한관절경학회지 Vol.10 No.1
저자들은 우 슬관절에 발생한 이중 내측 활막추벽 증후군 환자를 경험하였기에 보고한다. 일반적으로 활막추벽 증후군은 전형적인 증상이나 통증이 없을수 있으며, 다양한 골관절 증상을 유발하는 다른 슬내장증의 원인들과 감별진단이 요구된다. 결정적인 진단에는 MRI와 관절경술이 필요하며, 증상이 있는 경우 관절경적 제거술에 의해 증상의 호전이 이루어진다고 보고된다. 본 환자는 앉거나 계단을 오를 때, 우 슬관절 동통을 호소하였고, MRI상 전형적인 이중 내측 활막추벽이 관찰되어 관절경적 절제술을 시행하였다. 술후 환자는 만족스러운 임상호전을 보였다. We present a case of double medial plica that developed on right knee joint. There has been no documented case of double medial plica of the knee joint. In a general way, double medial plica syndrome is very difficult to diagnose because it does rarely develop and symptoms are non-specific or not present. It is difficult to distinguish between pain originating from the medial plica and from other internal derangement of the knee. This patient had symptoms including aggravating right knee pain with sitting position or knee flexion for 3 months. We performed MRI and arthroscopy for more accurate diagnosis. MRI T1, T2 images showed typical double medial plica and we had performed arthroscopic excision of symptomatic medial plica in right knee joint. Arthroscopic resection provided satisfactory relief of symptom.lasting and satisfactory relieve of symptom.
김형민,이승구,송석환,정양국,이주엽,하난경,손일남,박일중,Kim, Hyoung-Min,Rhee, Seung-Koo,Song, Seok-Whan,Chung, Yang-Guk,Lee, Joo-Yup,Ha, Nan-Kyoung,Son, Il-Nam,Park, Il-Jung 대한미세수술학회 2006 Archives of reconstructive microsurgery Vol.15 No.2
With advances in techniques and instrumentation, the primary concern of microsurgeons has shifted from flap anatomy and survival toward flap refinement and donor-site function and aesthetics because flap survival rates have risen 96 percent. However, the problem still remains on regard that most flap has disadvantages that flap itself is too bulky or leaves unaesthetic scar to the donor site. These problems can be solved by using adipofascial flap instead of fasciocutaneous flap. The adipofascial flap not only has minimal donor site morbidity, but also can be retained thin. It seems that its advantages can be applied on soft tissue defect of exposed body part.
원위부 전방 굴곡이 있는 경골 골수강내 금속정 삽입시의 골수강 확장 효과
김형관,백대현,장주해,손종민,하난경,이혁재 대한골절학회 2000 대한골절학회지 Vol.13 No.2
Purpose: We have studied medullary canal widening effect on anteroposterior plane by intramedullary nails with distal anterior bend in the surgical treatment of tibial fracture and signified the clinical importance of the effect. Materials and methods: Intramedullary tibial nails with distal anterior bend, Russell-TaylorR and AIM™ tibial nails were compared and the amount of medullary canal widening was calculated mathematically using the length and angle of distal anterior bend of the nails. The length and angle of distal anterior bend of Russell-TaylorR and AIM tibial nails were 64 mm, 3 and 47.5 mm, 5, respectively. Results: The amount of medullary canal widening on anteroposterior plane by Russell-TaylorR and AIM™ tibial nails were 2.81 mm and 3.26 mm more than the nail diameter, respectively. Conclusion: On insertion of tibial nails with distal anterior bend, the medullary canal widening effect on anteroposterior plane by the nails should be carefully considered. We think it will be better to insert these nails with unreamed technique or to insert smaller diameter nails after minor reaming and forceful blow should be avoided especially when the nail passes down through the isthmic portion of the tibial diaphysis to prevent the fracture of isthmic portion.