퇴행성 관절염, 류마토이드 관절염 및 요통환자에 대한 케토톱 플라스타(Ketotop plaster)의 임상적 효과

원중희,고영도,정성수,신건,전경철,유진선 최신의학사 1995 最新醫學 Vol.38 No.5

소아 상완골 과상부 골절에 대한 교차 핀 삽입 고정술의 결과 : 골절의 정복 및 불안정성을 중심으로 Considering adequate reduction and instability

원중희,강승백,지종훈,장봉순,최의성 대한골절학회 1998 대한골절학회지 Vol.11 No.4

The supracondylar fracture of the humerus is the most common fracture of the elbow in children. New trends of treatment is that if satisfactory reduction is achieved by manual reduction, medial and lateral cross percutaneous pin fixation is better than others for stable fixation. Among many complications, cubitus varus deformity most commonly results from inaccurate reduction and failure in maintenance of fixation. The obliquity of the fracture, together with internal rotation, causes angular deformity. The angulation and coronal rotation, or tilting of distal fragment, often cause the deformity and limitation of motion of elbow. The forty-two Gartland type If, III supracondylar fractures of the humerus were treated by closed reduction or open reduction with percutaneous pinning or internal fixation from May 1993 to December 1995. The results were as follows; 1. The frequency of difference above 5° in Baumann's angle was relatively high if fracture line ic oblique on lateral roentgenogram or medial column comminution is present, that means unstable reduction. 2. In average, 2.7 pins were needed for reduction and maintenance of stability at this time. 3. Even though a few degree of rotation(5mm), translation(2-4mm) and angulation(5-10 ) were present at immediate reduction, carrying angle and Baumann's angle of follow-up period were often remained about the similar values compared with healthy side. If acceptable intraoperative carrying angle was achieved and a few degree of rotation, translation and angulation were permitted after reduction, varus deformity and limitation of motion of elbow were rarely caused. So repeating forceful manual reduction for anatomical reduction must be avoided because the final results may become progressively remodelled to normal.

생체물질

원중희 대한고관절학회 2003 Hip and Pelvis Vol.15 No.4

족저부에 발생한 골격외 연골종

원중희,김용민,서중배,최의성,이호승,고상욱,이건국,Won, Choong-Hee,Kim, Yong-Min,Seo, Joong-Bae,Choi, Eui-Seong,Lee, Ho-Seung,Ko, Sang-Wook,Lee, Geon-Kook 대한족부족관절학회 1998 대한족부족관절학회지 Vol.2 No.1

골격외 연골종은 수부와 족부에 드물게 발생하는 양성 종양으로 방사선학적 및 조직학적으로 연골 육종과 유사하여 감별 진단이 필요하며 국소 절제술로 치료가 가능하다. 저자들은 본원에서 64세 남자의 족저부에 발생한 골격외 연골종을 시험하였기에 문헌고찰과 함께 보고하는 바이다. 본 증례는 제술 후 12개월의 추시결과 재발의 소견은 없었고, 통증없이 정상적인 보행이 가능한 양호한 상태이다. There are various cartilagenous tumors which can be found within soft tissue. Among them, extraskeletal chondroma is benign and rare tumor that is most frequently found in the hands adjacent to periarticular tissues or tenosynovium of the hands. They can exhibit worrisome radiographic and histologic features that may mimic chondrosarcoma. We experienced a case of extraskeletal chondroma in plantar aspect of the foot occurred in a 64 year-old male patient. After investigation with MRI, the mass seemed to be benign. Excisional biopsy was performed, and the histologic outcome was an extraskeletal chondroma. Because this kind of tumor is rare and benign. we report this case with reviewing of the literatures.

고관절 전치환술시 응용프로그램을 이용한 수술 전 계획

원중희,김용민,최의성,손현철,박경진,남기세,정재중 대한고관절학회 2003 Hip and Pelvis Vol.15 No.3

고관절 전치환술에서 하지 길이의 변화 : 수술전 예상 측정치와 수술후 실제 측정치 사이의 차이에 대하여 Differences between preoperative prediction and postoperative measurement

강희중,원중희 충북대학교 의과대학 충북대학교 의학연구소 1994 忠北醫大學術誌 Vol.4 No.2

하지 길이의 적절한 회복은 고관절 전치환술의 목적중 하나다. 수술후 하지 길이의 변화를 수술전 예측 평가한 것이 수술후 실제로 측정한 것과 항상 일치하지는 않는다. 이에 저자들은 골시멘트를 사용하지 않고 수술한 고관절 전치환술 40예에서, 수술전 예측한 하지 길이 변화와 수술후 측정한 하지 길이의 차이에 대해, 이들 차이에 영향을 주는 요인을 조사하였다. 위 예들중에서 치료하지 않은 선천성 고관절 탈구증과 같이 수술전 하지 길이의 차이가 많은 경우는 제외하였다. 대퇴부에 사용한 인공삽입물은 Omnifit(Ostenonics) 혹은 CLS(Protek) 스템이었고 비구컵은 모두 Harris-Galante Ⅱ(Zimmer)였다. 수술전 비구 가늡자(template)를 방사선 사진 위에 놓고 비구컵 중심을 연필로 그린 후, 대퇴 스템 가늡자(template)를 대퇴부에 놓고 대퇴 골두 중심을 그린다음, 위 중심의 거리 차이를 수술전 하지길이 변화의 예측치로 하고, 수술후에는 골반의 눈물방울선(inter-teardrop line)에서 대전자부 끝을 이은 선의 거리를 수술전과 비교하여 하지 길이 변화로 하였다. 수술전 측정한 하지 길이 변화 예측치는 평균 9㎜였고, 수술후 측정한 하지 길이 변화 측정치는 평균 14㎜였다. 이와같은 수술전 예측치와 수술후 하지 길이 측정치의 차이는 여러가지 요인에 의해 영향을 받을 수 있겠다. 우선 방사선 사진의 측정방법이 중요한 요인이다. 확대정도나 방사선조사선의 중심, 그리고 고관절의 정확한 위치 등이 수술전 방사선 촬영에서 고려되어야 할 것이다. 가늡자(template)를 사용하는 기술은 또 다른 중요한 요인이다. 수술전 측정과 비교하여 보면 수술후 비구 중심이 이동하는 경우가 있었다. 수술전 측정과 실제 삽입한 대퇴 스템의 크기가 일치하지 않은 경우가 있는데 이로 인해 하지 길이의 변화가 유발될 수 있다. 수술전 예측한 하지 길이의 변화가 항상 수술후 하지 길이의 변화와 일치하지는 않는다. 따라서 수술전 측정한 것과 수술후의 하지 길이 변화의 차이를 최소화 하려면, 위의 요인들을 수술전 측정에서 충분히 고려하여야 할 것이다. One of the aims of THA is to restore the appropriate leg length. Preoperative estimation of postoperative leg length change does not always result in predicted value when measured postoperatively. We reviewed 40 cases of cementless THA to see the leg length changes after THA and analysed the factors that could affect the discrepancies of preoperative estimation and postoperative measurement. The cases with severe preoperative leg length discrepancy such as untreated CDH were not included in our series. Inserted femoral were Omnifit(Osteonics) or CLS(Protek) stems. All the acetabular cups were HG Ⅱ(Zimmer) cups. Preoperatively the acetabular template was mounted on the film and the center of the acetabular cup was marked with pencil. Femoral template was also mounted on the femoral side and the center of the femoral head was marked. The distance between the two centers was a basis for preoperative estimation. Postoperatively the leg length change was measured by the change of the distance from inter-teardrop line to the greater trochanter tip. Leg length change estimated by preoperative templating was 9㎜ lengthening in average. Postoperative leg length change was 14㎜ lengthening in average. The discrepancies of pre and postoperativen measurement were attributed to following factors. Standardization of taking the X-ray views was an important factor. Magnification, center of X-ray beam and the accurate position of the hip should be considered in taking preoperative X-rays. Templating technique was another factor. Postoperative acetabular center shifted frequently compared with preoperative estimation. The size of the stem was not always matched with preoperative templating, and this resulted in different leg length changes. Templating does not always tell accurate postoperative leg length change. To minimize the discrepancy of pre and postoperative measurement above factors should be considered in peroperative estimation.

근위 경골외과에 생긴 골괴사증

고영도,신 건,정성수,원중희 충북대학교 의과대학 충북대학교 의학연구소 1994 忠北醫大學術誌 Vol.4 No.1

골괴사증은 혈류의 차단으로 골의 괴사가 일어나는 것으로 흔히 세균에 의하지 않고 발생하는 것을 지칭한다. 이는 대퇴골두에 가장 호발하며 그 밖에 상완골두, 수부 주상골, 족부 거골, 대퇴골과 등에 발생하고 있다. 근위 경골에 발생하는 골괴사증은 극히 드물며, 특히 근위 경골외과에 발생한 골괴사증은 그 보고예가 없다. 저자들은 양측 근위 경골외과에 발생한 골괴사증 1예를 치험하였기에 문헌 고찰과 함께 보고하는 바이다. The authors experienced a case with osteonecrosis of both lateral tibial condyles. A 50-year-old male complained of pain in left hip joint and both knee joints. On plain X-ray, there were several findings compatible to osteonecrosis of femoral head on both sides, but in both knees, there were only mild degenerative changes. On technetium bone scan, there was increased uptake in both femoral heads and both lateral tibial condyles. We treated the patient with total hip replacement arthroplasty for left hip joint and with core decompression for right hip joint and both lateral tibial condyles. The pathologic findings confirmed diagnosis of osteonecrosis of femoral heads and lateral tibial condyles. Three months after operation, symptoms had subsided. Osternecrosis of lateral tibial condyle has never been reported previously.

정형외과 환자에서 외과적 항생제 사용에 대한 임상 효과

원중희,고영도,정성수,신건,전경철,유진선 최신의학사 1995 最新醫學 Vol.38 No.5

1989년 한국에서 확인된 급성 출혈성 질환의 혈청 역학적 조사

원중희,백락주,송진원,이호왕 고려대학교 의과대학 1991 고려대 의대 잡지 Vol.28 No.3

Acute hemorrhagic diseases that occurred in Korea have been confirmed as Hemorrhagic fever with renal syndrome (HFRS) and rickettsiosis among suspect hemorrhagic disease patients. In this study, we report the results of serological study of 1.886 sera from suspect HFRS or rickettsiosis patients in Korea, 1989. 1. Of 1,886 sera from acute hemorrhagic disease patient tested in 1989, 344 murine typhus, 352 scrub typhus, 79 spotted fever and 27 leptospirosis were confirmed serologically. 2. It was confirmed that large numbers of murine typhus, scrub typhus and spotted fever patients occurred in Seoul city, Kyunggido and Cheollanamdo. Two murine typhus,two spotted fever and one scrub typhus patients were identified in Chejudo for the first time. 3. Murine typhus, scrub typhus and spotted fever patients occurred mainly in summer or fall and peak was from October to November. Leptospirosis occurred in spring or summer, 4. Of 344 murine typhus, male was 201(59%) and female was 143(41%). In scrub typhus, female were 59% and male were 41%. In leptospirosis, male were predominant, and in spotted fever no sexual difference was found. 5. The majority of age of acute hemorrhagic disease patients in 1989 were above 20 years of age, however small number of children below the age of 10 were also found. 6. In 1985, 14 murine typhus. 6 scrub typhus, 4 spotted fever and one leptospirosis occurred in the Korean Army, and only one scrub typhus occurred in the U.S. Army Above results revealed that a large number of murine typhus, scrub typhus and spotted fever patients occurred In Korea, and murine typhus, scrub typhus and spotted fevor patients were confirmed serologically for the first time in Chejudo.

羊水過多症을 同伴한 奇形兒分娩 2例

元仲喜 大韓産婦人科學會 1965 大韓産婦人科學會雜誌 Vol.8 No.12