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      • KCI등재

        주사형 황산 칼슘($MIIG^{TM}$)을 이용한 전위성 종골 관절내 골절의 수술적 치료

        안성준,김부환,송무호,유성호,서상혁,Ahn, Seong-Jun,Kim, Bu-Hwan,Song, Moo-Ho,Yoo, Seong-Ho,Seo, Sang-Hyok 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.2

        Purpose: To evaluate the clinical results of operative treatment of the intra-articular calcaneal fracture with injectable calcium sulfate ($MIIG^{TM}$). Materials and Methods: Between March 2004 and October 2006, a total 19 intra-articular calcaneal fracture (16 patients) with a large bony defect that underwent operative treatment with plate fixation and injectable calcium sulfate ($MIIG^{TM}$) with minimum follow-up of one year following. The mean age at time of surgery was 44.7 years (23 to 54). All of the cases were type 2 and 3 on the basis of Sanders classification. The lateral L shaped approach was used in all cases. Full weight bearing on the affected extremity was regained at an average 10 weeks postoperatively. Results: The mean Bohler angle was improved from $2^{\circ}$ ($-18.5{\sim}12.5^{\circ}$) preoperatively to $23.8^{\circ}$ ($12{\sim}37.5^{\circ}$) and the angle at last follow-up was $22.5^{\circ}$ ($11.5{\sim}37.5^{\circ}$), showing about 0.3 degree decline compared to postoperative Bohler angle. Only two case of whitish leakage of graft material but other complication were none. Conclusion: $MIIG^{TM}$ augumentation of displaced intra-articular calcaneal fracture with large bone defect seems to bo useful method for initial stabilized and plate fixation.

      • KCI등재

        무지 외반증 환자의 원위 갈매기형 절골술시 절골면 고정유무에 따른 치료결과 비교

        유성호,김부환,송무호,안성준,서상혁,Yoo, Seong-Ho,Kim, Bu-Whan,Song, Moo-Ho,Ahn, Seong-Jun,Seo, Sang-Hyok 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.2

        Purpose: The distal chevron osteotomy has gained popularity for the mild to moderate hallux valgus, but necessity of fixation is controversy. No fixation of distal chevron osteotomy cause instability, but fixation has problem which has pin site infection and irritability, extension of operation time, discomfort of rehabilitation. So, the author was going to analyse and compare with and without in the fixation of distal chevron osteotomy. Materials and Methods: Between 2004 and 2005, a total 18 patients (20 feet) following with and without in fixation of distal chevron osteotomies. The fixation group (A) was performed for the treatment of 10 patients (10 feet) and no fixation group (B) was done to 8 patients (10 feet). Results: On group A, the mean first MTP (metatarsophalangeal) angle corrected $17^{\circ}$ pre-operatively to average $29^{\circ}$ (range; $20-37^{\circ}$) and the mean first IM (intermetatarsal) angle corrected $10^{\circ}$ pre-operatively to average $15^{\circ}$ (range; $9-18^{\circ}$). On Group B, the mean first MTP angle corrected $16^{\circ}$ pre-operatively to average $29^{\circ}$ (range; $18-33^{\circ}$) and the mean first IM angle corrected $7^{\circ}$ pre-operatively to average $13^{\circ}$ (range; $9-16^{\circ}$) (P>0.05). Clinical results, based on AOFAS score showed an improvement in the overall results. Conclusions: Comparing the clinical and radiographic results of the distal chevron osteotomies no difference in with and without fixation of distal chevron osteotomies.

      • KCI등재

        증상을 유발시킨 슬개골 외측 추벽

        송무호(Moo-Ho Song),김부환(Bu-Hwan Kim),안성준(Seong-Jun Ahn),유성호(Seoung-Ho Yoo),서상혁(Sang-Hyok Seo) 대한정형외과학회 2006 대한정형외과학회지 Vol.41 No.6

        추벽은 태생기 8주에 슬관절이 형성되는 과정에서 3개의 관절낭을 나누고 있던 활막이 흡수되지 않고 남아있는 것이다. 위치에 따라 세분되는데 슬개골상 추벽, 슬개골 내측 추벽, 슬개하 추벽 및 슬개골 외측 추벽으로 분류된다. 이 중 슬개골 내측 추벽이 가장 임상적인 문제를 많이 유발하며 여러 문헌에 잘 나와 있다. 하지만 슬개골 외측 추벽이 증상을 일으키는 예는 아주 드물다. 저자들은 증상을 일으킨 슬개골 외측 추벽을 관절경으로 제거한 증례를 문헌고찰과 함께 보고하는 바이다. The plica is a remnant of the synovial folds during the coalescence of three compartments of the knee at 8 weeks of fetal development. The plica are classified according to their corresponding anatomic sites of the knee, such as suprapatellar, medial patellar, infrapatellar and lateral patellar plica. The medial patellar plica is considered to be the one most likely to cause problems and has been well documented in the literature. However, there are very few reports of problems being caused by lateral plica. We encountered one case of pathologic lateral plica that was excised by arthroscopy. We report this case with a review of the relevant literature.

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