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노성만 ( Sung Man Rowe ),임창석 ( Chang Seok Rhim ) 대한고관절학회 1991 Hip and Pelvis Vol.3 No.1
Forty-nine total hip arthroplasties in patients under 40 years of age, were assessed clinically and radiologically two to eight years after operation. Clinical results were evaluated according to the Harris hip score system. At the final follow up, 45 hips(92 per cent) were excellent or good, 2 hips were fair, and 2 hips were poor. Two patients with poor results were revised. Radiological examination showed migration of acetabular component in 5 hips and subsidence of the femoral stem in 2 hips. In conclusion it is clear that hip arthroplasty provides patients with freedom from pain and excellent function. Recent advances, including the change to cementless fixation and improvement in operation technique, may well lead to still better results in the future.
노성만 ( Sung Man Rowe ),윤택림 ( Taek Rim Yoon ),하태윤 ( Tae Yoon Ha ) 대한고관절학회 1994 Hip and Pelvis Vol.6 No.2
Accurate measurement of BMD(Bone mineral density) is very important for evaluation of osteoporosis. Recently DEXA(Dual Energy X-ray Absorptiometry) has been known to be an accurate, objective, easily reproducible method for measuring BMD. To investigate the level of BMD, we measured BMD in 33 patients with hip fractures. They were 14 femoral neck and 10 intertrochanteric fractures. 12 patients were male and 21 patients were female. The average BMD was 0.627 in the neck, 0.470 in Ward's triangle and 0.597 in the trochanter. In comparison with the normal control group investigated by Ahn et al, the BMD in fracture group was about 76% of normal control group. The Singh Index had close correlation with the degree of BMD. BMD decreased with the increase of age by about 10% decennially after 50 years. The BMD showed close correlation with the height and weight of the patients. The BMD was higher in neck fracture group compared with intertrochanteric fracture group even though it was not statistically significant.
Pathoanatomical Factors Responsible for Femoral Shortening in Legg-Calve-Perthes Disease
Sung-Man Rowe(노성만),Eun-Sun Moon(문은선),Myung-Sun Kim(김명선),Jun-Yub Lee(이준엽),Chang-Ich Hur(허창익),Tae-Yoon Ha(하태윤) 대한정형외과학회 2005 대한정형외과학회지 Vol.40 No.5
목적: Legg-Calve-Perthes 병(LCPD) 환자에서 대퇴골의 단축에 관여하는 병리해부학적 인자들의 상대적인 기여도를 결정하여 그 병리해부와 지단축의 진행과정을 이해하고, 이를 통해 지단축을 감소시킬 수 있는 방법을 찾아보고자 하였다. 대상 및 방법: 106명의 LCPD 환자들을 대상으로 원격 X-선 촬영법을 통해 대퇴골의 골두 골단, 경부 및 간부의 단축정도를 측정하였으며, 질병 시기별 분포는 활동기가 35명, 치유기가 24명 그리고 골성숙기가 47명이었다. 결과: LCPD 환아에 있어서 골성장 완료 후 대퇴골 단축은 골두 골단에서 20% (골단 편평화), 경부에서 53% (성장판의 성장 지연), 그리고 간부에서 27% (저사용에 의한 골위축)로 기여하고 있으며, 이러한 부위별 기여의 정도는 질병의 시기 및 단축의 정도에 따라 차이가 있음을 확인할 수 있었다. 또한 대퇴골 간부의 단축은 골성숙기 총 47명의 환아에 있어서는 평균 3.9 ㎜였으나, 47명 중 20 ㎜ 이상의 고도의 단축을 보인 15명의 환아에 있어서는 평균 5.8 ㎜의 단축을 보였다. 결론: 단축된 하지의 저사용 위축에 의한 대퇴골 간부의 단축은 환자의 운동부족이 원인의 하나로 생각되므로 적절한 운동처방으로 이를 예방할 수 있을 것으로 생각된다. Purpose: The purpose of this study was to determine the relative contributions made by pathoanatomical factors responsible for femoral shortening in Legg-Calve-Perthes disease (LCPD), and to devise a method of reducing the amount of residual shortening based on a better understanding of its pathoanatomy and developmental pattern in LCPD. Materials and Methods: We measured shortening of three anatomical components, namely, the femoral epiphysis, neck, and diaphysis on the teleoroentgenograms of 106 LCPD patients, comprised of 35 children with active disease, 24 in the healing stage, and 47 at skeletal maturity. Results: The proportional contributions made by these 3 anatomical components to residual shortening at skeletal maturity were; 20% by the epiphysis (epiphyseal flattening), 53% by the neck (physeal growth retardation), and 27% by the diaphysis (underuse atrophy). These contributions differed according to disease stage and shortening severity. Mean diaphyseal shortening was 3.9 ㎜ at skeletal maturity, but this increased to 5.8 ㎜ when only patients with severe shortening (20 ㎜ or more) were included. Conclusion: Our findings suggest that diaphyseal shortening is likely to be minimized by the implementation of limb exercise programs.