종골 골절과 동반된 비골건 탈구(6예보고)

차승도,김형수,정수태,박재형,김주학,염주상,이창현,Cha, Seung-Do,Kim, Hyung-Soo,Jung, Soo-Tae,Park, Jae-Hyung,Kim, Joo-Hak,Yeom, Joo-Sang,Lee, Chang-Hyun 대한족부족관절학회 2008 대한족부족관절학회지 Vol.12 No.2

Peroneal tendon dislocation in association with calcaneal fracture is not common and difficult to diagnose and is often overlooked. It can result in peroneal tendon tear and tenosynovitis which in turn lead to ankle pain and dysfunction. Early detection with through physical examination and CT scan is important to reduce the subsequent tendon dysfunction. We experienced 6 cases of peroneal tendon dislocation associated with calcaneal fracture, and treated 3 of them at the time of fracture operation and treated the other 3 after calcaneal fracture surgery due to sustained pain. We report the results with a review of the literature.

결핵성 아킬레스 건염의 수술적 치료 -증례보고-

차승도,김재영,이경태,양기원,김응수,박신이,Cha, Seung-Do,Kim, J-Young,Lee, Kyung-Tai,Young, Ki-Won,Kim, Eung-Su,Park, Shin-Yi 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.2

Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).

쇄골 간부 골절의 보존적 치료 분석

차승도(Seung-Do Cha),정수태(Soo-Tai Chung),김용훈(Yong-Hoon Kim),박상준(Sang-Jun Park) 대한견주관절의학회 2010 대한견주관절학회지 Vol.13 No.1

목적: 대부분 쇄골 골절은 보존적 치료하는데 골 유합에는 여러 요인들이 있다. 본 연구의 목적은 보존적 치료를 시행한 쇄골 간부 골절 환자에서 골 유합과 골 유합 후 기능에 미치는 요인들을 분석하여, 좀 더 빠르고 명확한 치료법의 결정을 내리는데 도움이 되도록 하고자 한다. 대상 및 방법: 2004년 1월부터 2009년 6월까지 본원에서 관찰이 가능했던 쇄골 골절 환자 총 523예에서 보존적 치료를 통해 골 유합을 얻은 270예에 대해 수상 직후부터 촬영한 단순 방사선 사진을 이용하여 연령, 골절 위치, 분쇄 및 분리 정도와 쇄골 길이 단축 등 골 유합에 영향을 미칠 수 있는 인자들과 골 유합 후 기능에 미치는 영향에 대해 연구, 분석하였다. 결과: 쇄골 간부 골절을 보존적으로 치료한 결과, 골절의 분리 정도가 증가할수록 골 유합 기간이 증가함을 알 수 있었고 나이는 골 유합 기간이 13세 이상에서 12세 이하보다 2배 정도 증가함을 확인할 수 있었으며 분쇄 정도는 골절부의 분쇄가 없는 경우가 분쇄가 있는 경우보다 2배 정도 골 유합이 빨리 이루어졌다. 그리고 추시 중 골절편의 전위는 2주 이내에 주로 일어남을 확인하였다. 결론: 쇄골 간부 골절 치료시 나이가 13세 이상이고 분쇄가 있는 경우는 수상 기전과 전위 정도를 고려하여 골 유합 기간을 예상할 수 있고 골 유합이 늦어질 것으로 예상되는 경우는 재활 치료의 시기를 늦추는 것이 필요하며 보존적 치료 중 2주 이내에는 전위가 일어날 가능성이 높으므로 적극적인 관찰을 하고 전위가 증가한다면 수술적 치료를 고려해 보아야 한다. Purpose: Most clavicular fractures can be healed by conservative treatment, although there are many factors that influence healing. The aim of the present study was to analyze factors that influence (i) bone union of midshaft fractures of the clavicle treated conservatively and (ii) bone functioning, after union. The long-term goal was to determine which treatments are adequate. Materials and Methods: We evaluated factors that have an effect on bone union and bone function after union. We evaluated age, fracture site, comminution, displacement, shortening and other factors. Among 523 clavicular midshaft fractures that presented between January 2004 and Jun 2009 at our Department of Orthopaedic Surgery, we identified 270 who had conservative treatment and 173 patients who had surgical treatment. Results: The period required for bone union increased with the degree of displacement. For the group below 12 years of age, and the group without comminution, it took half the time to achieve bone union compared with the other groups. Displacement mostly occurred within 2 weeks after conservative treatment. Conclusion: In patients with a comminuted clavicular midshaft fracture, we might, because of expected delays in bone union, delay the start of rehabilitation until patients are more than 13 years old. Because the degree of displacement may be increased within 2 weeks during conservative treatment, we can think about surgical treatments.

골화석증 환자에서 발생한 무지 외반증 치험예

차승도(Seung Do Cha),김형수(Hyung Soo Kim),유정현(Jeong Hyun Yoo),박재형(Jai Hyung Park),김주학(Joo Hak Kim),조주원(Joo Won Joh) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.6

골 화석증은 발생 빈도가 극히 낮은 골격계 유전성 질환으로 장관골의 골절에 대한 논문만이 간혹 보고되고 있고 대부분 보존적 방법으로 치료를 하며 수술시 어려운 점이 많은 것으로 알려져 있다. 특히 골 화석증 환자에서 발생되는 무지 외반증은 중증인 경우가 대부분이며 치료에 대해서 언급한 논문은 거의 없는 실정이다. 저자는 골 화석증 환자의 중증 무지 외반증을 삼중 절골술로 치료하여 불유합과 중족-족지 관절의 아탈구, 나사못의 파손 등의 만족스럽지 못한 결과를 경험하여 국내에서는 최초로 문헌 고찰과 함께 그 치료 경험을 보고하는 바이다. Osteopetrosis is a very rare hereditary musculoskeletal disorder with an unknown cause. There are few reports on this condition with most focusing on long bone fractures. Most patients with osteopetrosis require non-surgical treatment and surgery is technically difficult. Hallux valgus deformities in patients with osteopetrosis are always severe and there are no reports on its treatment. We treated a hallux valgus deformity using triple osteotomy method and experienced nonunion, subluxation of the first metatar-sophalangeal joint and screw breakage. This is the first report of the surgical treatment of such a case in Korea. We report this case with a review of the relevant literature.

'후지' 사과즙을 첨가한 반죽 및 식빵의 품질 특성

차승현,신나리,안혜미,유도일,김대일,현태경,장금일,Cha, Seung-Hyeon,Shin, Na-ri,An, Hye-mi,Yoo, Do-Il,Kim, Dae-Il,Hyun, Tae Kyung,Jang, Keum-Il 한국식품영양학회 2019 韓國食品營養學會誌 Vol.32 No.2

In this study, bread was prepared using various amount of 'Fuji' apple juice, and quality and antioxidant properties investigated. Bread was prepared with water, butter, yeast, salt, sugar, wheat flour, skim milk powder and 10, 20 and 30% (w/w) 'Fuji' apple juice. Leavening ability and pH of dough were also investigated. Volume, pH, specific volume, baking-loss rate, chromaticity and texture were investigated as quality properties, whereas the total polyphenol content, ABTS and DPPH radical scavenging activity as the antioxidant properties of bread containing various amount of apple juice. The pH and leavening ability of dough were observed to decrease with increasing amount of apple juice. In the quality properties of bread, pH, volume, specific volume, and baking-loss rate decreased. Regarding chromaticity and texture of bread prepared with increasing amount of 'Fuji' apple juice, L (bright) values at crust and crumb of bread decreased, while hardness, chewiness and gumminess increased. Total polyphenol content increased with increasing amount of apple juice, while DPPH and ABTS radical scavenging activities showed no significant differences. Consequently, these results support the possible use of apple juice for baking foods in food industry, as addition of apple juice enhances the quality and antioxidant properties of bread.

원위 요골 골절에서 고정각과 가변각 수장측 잠김 금속판을 이용한 수술의 비교

차승도 ( Seung Do Cha ),박재형 ( Jai Hyung Park ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tae Chung ),유정현 ( Jeong Hyun Yoo ),김주학 ( Joo Hak Kim ),박정환 ( Jung Hwan Park ) 대한골절학회 2012 대한골절학회지 Vol.25 No.3

목 적: 원위 요골 골절 환자에서 고정각 수장측 잠김 금속판을 이용한 군과 가변각 수장측 잠김 금속판을 이용한 군의 결과를 비교하고자 하였다. 대상 및 방법: 술 후 최소한 6개월 이상의 추시 관찰이 가능하였던 41예를 대상으로 하였으며, 치료 결과의 판정을 위해 관절 운동범위, visual analogue scale score 및 Disabilities of the Arm, Shoulder and Hand Questionnaire score를 이용한 임상적 평가 및 방사선학적 평가를 시행하였다. 결과: 임상적 결과 및 방사선학적인 결과 모두에서 고정각 잠김 금속판을 이용한 군과 가변각 잠김 금속판을 이용한 군에서 통계학적으로 차이를 보이지 않았다. 결론: 원위 요골 골절에서 잠김 금속판의 종류에 따른 수술적 결과의 유의한 차이는 없었으나, 골편의 모양에 따른 적절한 금속판 선택을 하여 수술을 시행해 나사못과 금속판에 의한 합병증을 최소화하도록 노력하는 것이 중요하다고 생각한다. Purpose: To compare the outcomes of distal radius fractures in a fixed-angle volar locking plate group and variable-angle volar locking plate group. Materials and Methods: Forty-one patients observed at least 6 months after surgery were included in this retrospective study. We used the range of motion, visual analogue scale score, Disabilities of the Arm, Shoulder and Hand Questionnaire score, and radiologic findings to measure the clinical results. Results: No differences in clinical results or radiologic results were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group. Conclusion: We believe that it is important to minimize complications by using appropriate screws and plates according to the fracture type, though no differences in the surgical outcome were noted between the fixed-angle volar locking plate group and variable-angle volar locking plate group with distal radius fracture.

족관절 내과를 침범한 두 부분 삼면 골절(4예 보고)

차승도,김형수,정수태,유정현,박재형,김주학,김용훈,Cha, Seung-Do,Kim, Hyung-Soo,Chung, Soo-Tae,Yoo, Jeong-Hyun,Park, Jai-Hyung,Kim, Joo-Hak,Kim, Yong-Hoon 대한족부족관절학회 2009 대한족부족관절학회지 Vol.13 No.2

The triplane fracture has been described as a fracture of the distal tibial epiphysis occurring across three planes-sagittal, transverse and coronal. The characteristic pattern of fusion of distal tibial epiphysis explains the special configuration of the fragments in the triplane fracture. According to Dias-Tachdjian classification, triplane fracture is classified two part fracture, three part fracture, four part fracture and two part fracture with extension to the medial malleolus. Among four types, two part triplane fracture with extension to the medial malleolus is a relatively rare injury and generally is not treated by closed reduction. Such fractures should have an anatomic reduction and adequate fixation to restore the joint congruity and obtain an anatomic reduction of the growth plate to prevent a future growth deformity. This is usually best accomplished with an open reduction and screw fixation or k-wire fixation. We experienced two part triplane fracture with extension to medial malleolus and check the CT to define the extent of the injury completely. And then we underwent open reduction and screw fixation for the fracture. As a result, we present four cases of two part triplane fracture with extension with review of related literatures.

태권도 선수에서 발생된 장무지 신전건 기능 부전의 치험 예

차승도 ( Seung Do Cha ),김형수 ( Hyung Soo Kim ),정수태 ( Soo Tai Chung ),유정현 ( Jeong Hyun Yoo ),박재형 ( Jai Hyung Park ),김주학 ( Joo Hak Kim ) 대한스포츠의학회 2007 대한스포츠의학회지 Vol.25 No.2

고도의 원위 중족골 관절면 각을 동반한 성인 무지 외반증 환자에서의 삼중 절골술의 결과

이경태,차승도,양기원,김재영,조주원,Lee, Kyung-Tai,Cha, Seung-Do,Young, Ki-Won,Kim, Jae-Young,Joh, Joo-Won 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.1

Purpose: To evaluate the clinical and radiographical results of triple osteotomy as a treatment for adult hallux valgus with highly increased distal metatarsal articular ankle (DMAA). Materials and Methods: From October 2003 to April 2005, we retrospectively reviewed 7 hallux valgus patients (3 cases: moderate, 4 cases: severe) treated with triple osteotomy and followed-up for more than 1 year after operation. The mean follow up was 15.1 months. The hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA) and the length of 1 : 2 metatarsal bone were measured. Proximal chevron osteotomy and distal biplanar chevron osteotomy were done in 1st metatarsal bone. Akin osteotomy was added to the base of the proximal phalanx. The clinical result was assessed using the AOFAS Hallux score, tenderness on the medial eminence, ROM of 1st metatarsophalangeal joint, calluses and patient satisfaction. Results: The mean HVA and IMA was improved from $37.5^{\circ}$ and $13.4^{\circ}$ to $10.5^{\circ}$ and $6.2^{\circ}$ respectively. The mean DMAA was corrected from $34.2^{\circ}$ to $11.2^{\circ}$ and mean shortening of 1st metatarsal was 2.4 mm (0.9-5.8 mm). The mean AOFAS hallux score was improved from 66.4 to 92.5 and VAS score (pain on the medial eminence) from 4.3 points to 0.4 points. Metatarsalgia disappeared in all cases and there was no complications such as necrosis of the metatarsal head. Conclusion: Triple osteotomy for adult hallux valgus with a highly increased DMAA is effective and should be considered as a part of the treatment armamentarium.

족관절 만성 외측 불안정증에서 관절경하 변형 Brostr$\ddot{o}$m 술식의 수술적 결과

차민석,차승도,김응수,Cha, Min Seok,Cha, Seung Do,Kim, Eung-Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.4

Purpose: To evaluate the result of arthroscopic modified Brostrom procedure with suture anchor for chronic lateral ankle instability. Materials and Methods: Fifty-two patients with chronic lateral ankle instability were analyzed, who underwent arthroscopic modified Brostrom procedure between December 2010 and May 2012. Clinical evaluation was performed using AOFAS scroring and Sefton grading system. Results: The average AOFAS hind foot score increased from preoperative 61.9 to 88.8 at the last follow up. There were 35 excellent, 9 good, 4 fair, 4 poor results according to Sefton grading system. For one patient, lateral ankle instability recurred. Conclusion: Arthroscopic modified Brostrom procedure is considered to be an effective and satisfactory technique.