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비구컵 재치환술에서 파쇄동종골 이식을 이용한 비구 결손의 재건술
안기찬(Ki Chan Ahn),최장석(Jang Seok Choi),김영창(Young Chang Kim),서승석(Seong Seok Seo),손영진(Young Jin Sohn),이창섭(Chang Seop Lee),전진욱(Jin Wook Jeon),손명환(Myung Hwan Sohn) 대한고관절학회 1999 Hip and Pelvis Vol.11 No.1
Twenty-one revisions of acetabular component from twenty patients were peformed using morselized allograft with a porous coated, screw-fixed hemisherical cup, between 1993 and 1996 at Inje university, Pusan Paik Hospital and were followed up for more than two years. Acetabular bone deficiency was classified by the AAOS classification. In our cases, 13 cases (60%) were cavitary deficiency and 8 cases (40%) were of cavitary deficiency combined with focal segmental deficiency. We evaluated our results by Harris hip score clinically and by the degree of cup migration, angular change of cup and resorption of graft radiologically. The definition of radiological loosening of cup was a 4mm migration of cup vertically or horizontally or an angular change of the cup of more than five degrees. The mean Harris hip score was improved 48 points to 85 points. The mean vertical migration was 1.4 mm and medial migration was 1.2 mm and no significant angular change of cup. There was no loosening of cup and rerevision. In conclusion, we had good results of acetabular cup with morselized allograft over a two year follow up period . Further long-term follow-up study is requred.
수술적 도달법에 따른 고관절 전치환술후의 이소성 골형성
안기찬 ( Ki Chan Ahn ),윤현기 ( Hyun Ki Yoon ),최장석 ( Jang Seok Choi ),김영창 ( Young Chang Kim ),유현덕 ( Hyun Duk Yoo ),서승석 ( Seong Seok Seo ),이영구 ( Young Gu Lee ) 대한고관절학회 1994 Hip and Pelvis Vol.6 No.1
Periarticular heterotopic bone(HB) formation after total hip arthroplasty (THA) was unknown causes yet, but occurs more commonly after procedures in which considerable bone was resected or the soft tissues were dissected extensively. The effect of the lateral and the postero-lateral surgical approaches for THA on HB formation were studied in 210 consecutive patients with 246 THA when reviewed 12 months following the operation. Overall rate of formation of HB after THA was 9. 75% and almost HB maturation occured before six months. Although the lowest incidence of HB formation occured after the posterolateral approach, postoperative hip scores for pain, function and range of motion(ROM) scorea showed no significant difference between groups. Therefore, the ability to achieve adequate pain relief and function with THA is not affected by the type of approach.
거대 요추 추간판 탈출의 보존적 요법의 단기 추시 결과 : Result of Conservative Treatment Short term follow up
안기찬 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.5
Objective : The purpose of this study is to evaluate the short-term results of conservative treatment of large ruptured disc. Methods and Material : The 4case of conservative treatment of herniated nucleus pulposus was evaluated after an average duration of follow up of 12.5 months. The age of the patients at the time of diagnosis was twenty three to sixty six years(average 39.5years). Men was 2patients, women was 2patients, Diagnosis was based on physical examination. simple x-ray, MRI were checked. Follow up was the same manner. Last follow up was comparison of MRI. Results : No complain of radiating pain and lower back pain except for 1case(intermittent mild lower back pain). Follow up MRI were revealed that ruptured disc material size was decreased. Conclusion : We evaluate short-term results of consertive treatment of large herniated nucleus pulposus and herniated disc size was decreased.
비구골 결손시에 지주골 및 파쇄골 이식을 이용한 고관절 전치환술
최장석,안기찬,남우동,서승석,김영창,류청창 인제대학교 1998 仁濟醫學 Vol.19 No.2
인공 고관절 치환술 시는 고관절의 회전 중심이 해부학적으로 회복되어야 하고, 비구컵이 비구부에 충분히 유치되어야 만족할 만한 결과를 얻을 수 있다. 비구 이형성이나 인공 고관절 재치환술 시 동반되는 비구부 결손은 고관절 회전 중심의 해부학적 회복과 비구골에 대한 유치를 어렵게 한다. 이에 비구부 결손에 대하여 자가골이나 동종골, 이종골 등의 골 이식을 시행하고 나서 방사선학적 및 임상적으로 분석한 바, 지주 이식골의 유치율이 45%를 넘지 않을 경우와 자가골 이식을 시행하였을 경우, 그 결과는 양호할 것으로 사료된다. The insufficient acetabular bone stock is a major problem in patients with dysplastic hip caused by septic hip sequelae, CDH sequale who required total hip replacement and with required revision total hip replacement. The restoration of the anatomical center of relation and adequate acetabular containment is important to obtain long-term sucess. Many alternative operations were introduced by several authors using small acetabular components, widening the ilium by inserting a graft between the inner and outer tables, or acetabular augmentation by bone graft from femoral head and neck. According to Harris(1986), Autogenous femoral head bone grafting is a useful technique with a good potential for long-term success when amount of coverage by graft is limited to less than 40% of the surface of the acetabular component. Authors analysed 41 patients 45 hips with acetabular deficiency treated with primary or revision total hip replacement using acetabular bone graft and cementless acetabular component at Inje University, Pusan Paik Hospital from Sep. 1983 to Jan. 1995. The 45 hips in 41 patients were available for review with a minimum follow-up of 24 months (mean 5.2 year, maximum 8.7 year). The results obtained were as follows. 1.Strut bone graft to acetabular segmental deficiency combined with cancellous bone graft to cavitary deficiency are useful procedure with a good potential for long term success when amount of strut bone graft is less than 45% of cup coverage. 2.Autogenous bone graft and metal-backed acetabular component with press-fitting are favorable for good result.