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정형외과 특정질환에 따른 β-glucuronidase의 활성에 관한 연구
류총일 ( Chong Il Yoo ),서근택 ( Kuen Tak Suh ),김철영 ( Cheol Young Kim ),문희철 ( Hee Chul Moon ),윤평주 ( Pyung Ju Yoon ) 대한류마티스학회 1997 대한류마티스학회지 Vol.4 No.2
Objectives: The purpose of this study was to get help in order to diagnose orthopaedic disease, measure its activity and determine treatment plan by measuring the β-glucuronidase activity in urine, serum and joint fluid. Methods: The β-glucuronidase activity was determined in the serum, urine and joint fluid of the patients with degenerative arthritis, rheumatoid arthritis, osteomyelitis and osteogenic sarcoma, and some other disease to study the change of the enzyme activity. These values of each specimen were calculated by standard curve and treated by statistical analysis. Results: The results obtained were summarized as follows. 1. The β-glucuronidase activity in the serum, urine and joint fluid was increased in patients with degenerative arthritis, rheumatoid arthritis, osteomyelitis and osteogenic sarcoma etc. 2. The increased β-glucuronidase activity in the serum and joint fluid of each disease does not show a specific finding about respective disease, but the increased β-glucuronidase activity was statistically significant in the urine of all disease groups (male: p=0.0041, female: p=0.0001). Conclusions: On the basis of these results, it was suggested that β-glucuronidase activity was affected by the orthopaedic disease and differed according to each specimen.
류총일,은일수,정용욱,Yoo, Chong-Il,Eun, Il-Soo,Jung, Yong-Wook 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.1
Purpose: To determine the efficacy of the SDBBA (Subtalar distraction bone block arthrodesis) procedure on patients with late complication of intra-articular calcaneal fractures including subtalar joint arthritis and anterior ankle impingement syndrome. Materials and Methods: Five cases in which the SDBBA procedure was implemented were followed for more than one year. All five patients were male with an average age of 56. Clinically, the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score and the pain score were assessed. Radiographically, the talocalcaneal height and the talar inclination angle were determined. Results: All five patients achieved subtalar joint fusion. The average pre-operative AOFAS score was 22.8 scores (range, 8-32 scores). At last follow-up, these scores improved to an average of 72.4 scores (range, 64-82 scores). The average pre-operative pain score was 8.2 scores (range, 7-10 scores). At last follow-up, these scores improved to an average of 13.2 (range, 12-15 scores). The average pre-operative talocalcaneal height was 72.8 mm (range, 70-77 mm), average post-operative talocalcaneal height improved to 79.8 mm (range, 78-84 mm). At final follow-up, these measurement was slightly decreased to average 78.6 mm (range, 74-83 mm). The average pre-operative talar inclination angle was 13.2 degrees (range, 12-15 degrees), average post-operative talar inclination angle improvedto 19.2 degrees (range, 15-24 degrees). At final follow-up, these measurement was slightly decreased to average 18.6 degrees (range, 12-24 degrees). Four patients achieved successful outcomes. One patient developed a wound infection with subsequent sural neuropathy as well as collapse of the bone graft. Conclusion: This study shows that the SDBBA procedure successfully restores the talocalcaneal height and tibio-talar relationship. This procedure is useful in surgically managed patients with talo-calcaneal height loss and anterior ankle impingement syndrome due to the late complications of calcaneal intra-articular fractures.
진구성 Freiberg병의 수술적 치료(3가지 방법의 비교)
류총일,정철용,김병철,최성종,정용욱,Yoo, Chong-Il,Jung, Chul-Yong,Kim, Byung-Cheol,Choi, Sung-Jong,Jung, Yong-Wook 대한족부족관절학회 2004 대한족부족관절학회지 Vol.8 No.2
Purpose: We compared the results of three surgical procedures of the old neglected Freiberg's disease that was managed with metatarsal head reshaping, metatarsal head resection, and dorsal closing wedge osteotomy. Materials and Methods: From march 1996 to July 2002, five cases in six patients whose metatarsal head collapse already progressed underwent operative treatment. We compared the operative results in the view point of the radiographic follow-up and lesser toe metatrasophalangeal joint scale of AOFAS. Results: There were no further joint destruction and loose body formation. Also, lesser toe metatrasophalangeal joint scale of AOFAS improved from average score, 38.5 (range $22{\sim}49$) of preoperative one to average score, 86.6 (range, $72{\sim}100$). Especially, the 2 cases that underwent dorsal closing wedge osteotomy showed most favorable result and the 2 cases with metatarsal resection showed next favorable result. The 2 cases with intra-articular loose body removal and metatarsal reshaping showed the least effective result among three operative methods. Conclusion: Our Operative experiences of old neglected Freiberg's disease were all satisfactory irrespective of operative options and dorsal closing wedge osteotomy was thought to be most effective method.
슬근 좌골 결절 견열 손상의 지연 수술후 발생한 좌골신경 손상 - 증례 보고 -
김휘택,류총일,윤평주,이종서,Kim Hui Taek,Yoo Chong Il,Yun Pyung Ju,Lee Jong Seo 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1
슬근의좌골결절부착부 견열손상은스포츠인구의증가와군대훈련을받고있는 젊은 남자에게 간혹볼수있는손상이며 대부분은젊은성인 특히 운동선수에게주로발생한다. 이는 슬관절이신전된상태에서고관절이 과도히굴곡되면슬근에강력한 긴장을 일으켜야기된다. 조기에진단하여 견열된 근육을 좌골에 부착시키는 수술적 치료로 기능을 회복시키고 기형을 교정할수있으나진단과치료가지연되면기능적으로나임상적으로양호한결과를얻기어렵다. 좌골결절에서슬근견열골절의수술적치료후생길수있는합병증은이소성골형성과고정실패외에크게알려진것이없으며, 특히좌골신경손상은보고된적이없다. 저자들은수상후3개월된슬근의좌골결절부착부파열을수술적치료한후좌골신경손상을경험하여보고하는바이다. Avulsion of the hamstring tendon from the ischial tuberosity is common in many sports, especially with younger athletes. The injury results from a sudden forceful flexion of the hip joint when the knee is extended and the hamstring muscles powerfully contracted. Early diagnosis and surgical repair with reattachment of avulsed muscles to the ischial tuberosity restore function and correct deformity. But, a delay in the diagnosis and treatment leads to a poor result functionally and clinically. Complication, such as heterotopic ossification and failure of the fixation, etc., were reported following a surgical procedure for this injury. However, sciatic nerve injury has not been reported in the literature. We report our experience of a sciatic nerve palsy after surgery that was performed three months after that the initial injury.
서정탁,정주영,류총일,Suh, Jeung-Tak,Jung, Ju-Young,Yoo, Chong-Il 대한근골격종양학회 1999 대한골관절종양학회지 Vol.5 No.4
Giant cell tumor of the talus is an extremely rare condition and therapeutic options are ill defined. Recently we experienced a case of giant cell tumor of the talar body in a 20-year-old male treated by curettage and bone graft. There was no recurrence at 1year follow-up. A case report and review of the literature are presented.
서정탁,윤평주,류총일 ( Jeung Tak Suh,Pyung Joo Yun,Chong Il Yoo ) 대한슬관절학회 1997 대한슬관절학회지 Vol.9 No.1
Fractures of the patella are intra-articular fractures of a sesamoid bone. The goal of treatment is to restore the function of the extensor mechanism and congtvity of the articular surface of the knee. So postoperative traumatic arthritis is minimized by an accurate reduction of the articular surfaces. We analyzed nine cases of the patella fractures which were treated by the use of arthroscopy to allow visualization of and working inside of joints, and the use of the image-intensifier fluoroscope to allow real-time vi.sualization of the skeleton. The results were as follows The fixation of patelia fractures using an arthroscopy could be applied to transverse or vertical fractures without comminution and severe osteoporosis. 2. In the treatment of two types of patella fractures(simple transverse e rnarginal vertical fractures without comminution), clinically satisfactory results were obtained through the accurate reduction of articular surface using an arthroscopy and image intensifier.