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젊은 대퇴골두 무혈성 괴사 환자에서 세라믹-세라믹 관절면을 이용한 인공고관절 전치환술
김신윤(Shin-Yoon Kim),김용구(Yong-Gu Kim),여준영(Jun-Young Yeo),김도헌(Do-Heon Kim),인주철(Joo-Chul Ihn) 대한정형외과학회 2004 대한정형외과학회지 Vol.39 No.3
목적: 50세 미만의 대퇴골 두 골 괴사증 환자에서 세라믹-세라믹 관절면을 이용한 무시멘트 고관절 전치환술에 대해 초기 임상적, 방사선학적 결과를 분석하고자 하였다. 대상 및 방법: 세라믹-세라믹 관절을 이용한 무시멘트 고관절 전치환술을 시행하여 최소 2년 이상 추시 가능하였던 59명, 68예를 대상으로 하였다. 대상 환자의 평균 연령은 39.4세(범위,16-49세)이었으며, 추시 관찰 기간은 평균 31.6개월(24-50개월)이었다. 수술 전 진단명은 모두 대퇴골 두 골 괴사증이었으며, 원인에 따라 특발성이 21예, 음주(alcohol)가 28예, 스테로이드가 11예, 후 외상성이 8예였다. 임상적으로는 Harris Hip Score (HHS)를 이용하여 평가하였고, 방사선학적 결과는 삽입물의 안정성과 골용해 발생을 관찰하였다. 결과: HHS는 수술 전 평균 61점에서 최종 추시 시95점으로 향상되었으며 우수가 57예(84%), 양호가 11예(16%)였다. 비구 측과 대퇴 측에서 컵의 이동이나 스템의 침강의 소견은 없었으며, 골용해 소견도 관찰되지 않았다. 합병증은 수술 후 탈구가 2예, 수술 중 근위 대퇴골 균열이 1예, 일과성 좌골 신경 마비가 1예 있었다. 결론: 50세 미만의 대퇴골 두 골괴사증 환자에서 세라믹-세라믹 관절면을 이용한 무시멘트 고관절 전치환술의 단기 추시 결과에서 임상적, 방사선학적으로 우수한 결과를 보였으나, 보다 장기적인 추시가 필요할 것으로 사료된다. Purpose: To evaluate the short-term clinical and radiographic results associated with use of the ceramic¬on-ceramic articulation uncemented total hip arthroplasty (THA) in patients less than fifty years old with osteonecrosis of femoral head. Materials and Methods: Sixty-eight THAs with use of the ceramic-on-ceramic articulation were performed in fifty-nine patients who were younger than fifty years old with the implantation of an uncemented plasma coated Plasma cup and Bicontact stem. All patients were available for complete clinical and radiographic analysis after a mean duration of a follow-up of 31.6 months (range; 24-50 months). The average age of the patients at the index operation was 39.4 years (range; 16-49 years). Preoperative diagnosis was osteonecrosis of femoral head in all hips. The causative factors were idiopathic in twenty-one hips; alcohol abuse in twenty-eight hips, steroid in eleven hips, and posttraumatic in eight hips. Clinical evaluation was done by Harris Hip score (HHS). Radiographic evaluation was done in terms of stability of components and prevalence of osteolysis. Results: The mean preoperative HHS of 61 points improved to 95 points at the time of the final follow-up. Excellent results were found in 57 hips (84%), good results were 11 hips (16%). No acetabular or femoral components were loosened radiographically. There was no evidence of osteolysis. There were two postoperative dislocation, one intraoperative femoral fissuring, and one transient sciatic nerve palsy. Conclusion: Short-term clinical and radiographic results associated with use of the ceramic-on-ceramic articulation un cemented THA in patients less than fifty years old with osteonecrosis of femoral head were excellent. However, longer-term follow up is needed.
김신윤(Kim, Shin-Yoon),김병국(Kim, Byoung-Guk),유경무(Yoo, Kyoung-Mu),김형진(Kim, Hyeong-Jin),박재식(Park, Jae-Sik),황수관(Hwang, Soo-Kwan) 대한생리학회 1981 대한생리학회지 Vol.15 No.1
In the present study, an effort was directed to elucidate the effect of osmolality on the absorption of ethanol in rabbits. A single dose of 13.67 ml(2. 16 gm ethanol/kg BW) of hypo-, iso-hyphen and hypertonic ethanol per kg BW was administered into the stomach to albino rabbits and the experiment was performed at 30 th, 60 th and 120 th minute. The blood ethanol level was determined by the method of Williams et al, and hematocrit(Hct) was determined by the conventional Hct centrifuge and reader. The results are summarized as follow. The blood ethanol level showed the highest value at 60 min after the ethanol ingestion in the hypo- and isotonic groups, 171.3±13.3 mg% and 204.5±23.0 mg% , respectively, but in the hypertonic group, the highest value was observed at 120min after the ingestion. The absorption rate of ethanol between 0 to 30 min after the ingestion of hypo- and isotonic ethanol was 88.54±12.04 and 94.73±8.33 mg/min , respectively, but a decreased value of 44.72±6.69 mg/min was noted after hypertonic ethanol ingestion comparing with hypo- and isotonic groups, The Hct value after hypo- and isotonic ethanol ingestion was decreased at 30 min but returned to the control level at 120 min. In contrast with hypo- and isotonic ethanol ingestion, hypertonic ethanol ingestion produced an increase of the Hct value at 30 min and returned to the control level at 120 min. The heart rate was increased but the respiratory rate was decreased after ethanol ingestion regardless of the osmolality.