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옹상석,황득수 충남대학교 의과대학 지역사회의학연구소 1998 충남의대잡지 Vol.25 No.1
Many amputation have to be done because of complications from peripheral vascular disease or diabetes. Performing the amputation at the most distal level where healing will promptly occur and where the patients symptoms will be relieved will achieve maximum restoration of function. The decision of level of amputation and wound healing depend on local vasculality. There are many effort directed toward identifying reliable predictors of wound healing in ischemic limb. Various non-invasive vascular studies have been reported to provide valuable data for selection of the optimum level of amputation in limbs in patients who have avascular disease. We evaluated two such method: (1) determination, by the Doppler ultrasound, of segmental blood pressure and ischemic index (2) measurement of the temperature of the skin. The records of seventy-five patients (eighty amputations) were retrospectively reviewed for correlations between the result of the vascular studies and the outcome of the amputation. Among the methods, Ischemic index was most reliable predictors for healed amputation ( 94.6%), and measurement of skin temperature were less reliable (70.8%).
이경태,옹상석,양기원,탁상보,Lee, Kyung-Tai,Ong, Sang-Seck,Young, Ki-Won,Tak, Sang-Bo 대한족부족관절학회 1999 대한족부족관절학회지 Vol.3 No.1
Polydactyly is the most common congenital deformity of the foot. The authors present an unusal case of polydactyly of the foot in an otherwise healthy adult male. The patient has an mixed type of polydactyly composed of polysyndactyly of the first toe, Y shaped second metatarsal and polysyndactyly with the fusion to the forth toe of the fifth toe. Meticulous. preoperative plan was prepared and performed at the operation. Main procedures were as follows : 1) Excision of extradigit of first toe and first metatarsocuneiform joint fusion. 2) Excision of lateral bud of second metatarsal and plantar-medial osteotomy of the medial bud. 3) Metatarsal head resection arthroplasty of third & forth metatarsophalangeal joint and 4) Excision of medial polydactyly of the fifth toe and syndactyly release and split thickness skin graft. Postoperatively, The forefoot width was reduced from 11.5 to 9.5cm and the pain was relieved.
최원식,옹상석,유천환 대한골절학회 1997 대한골절학회지 Vol.10 No.1
The indications for surgical stabilization of a pediatric diaphyseal femur fracture are expanding. Children with multiple systemic injury, a head injury, and/or with multiple fractures have fewer local and distant complications if the femur fracture is treated operatively. Other indications include a fracture in a child with a preexisting condition that prevents the application of a spica cast, a child older than 10 years of age, or a child less than 10 years of age who cannot be kept adequately aligned using conventional(traction/casting) methods of fracture management. Here closed intramedullary Ender nailing of 15 femoral fractures in 15 children, 7-l3 years of age, was studied retrospectively. Seven patients had associated injuries. The average operation time was 40 minutes and hospitalization time averaged l6 days. There were no infections, nonunions, or malumions. On follow-up, average 27 months, no patient had deformity of over 8 degree in any plane. No patient had clinical loss of motion, leg length discrepancy, or radiographic evidence of growth disturbance. Here, authors concluded that closed Ender nailing is very useful method in the management of femoral shaft fracture in children over l0 years old or when there is associated head injury or multiple fractures regardless of patient's age.
무지 내반증의 단무지 신전근을 이용한 치료 - 증례보고 1예 -
이경태,양기원,옹상석,김진영,선재명,Lee, Kyung-Tai,Young, Ki-Won,Ong, Sang-Suk,Kim, Jin-Young,Seon, Jae-Myoung 대한족부족관절학회 2000 대한족부족관절학회지 Vol.4 No.1
Acquired Hallux varus is defined radiographically by a negative metatarsophalangeal angle and clinically by adduction of the hallux on the first metatarsal and most commonly occurs after hallux valgus surgery. It's the prevalence has ranged from 2% to 17%. We report a case of hallux varus resulted from weakening of support of lateral soft tissue and resection of an excessive amount of the metatarsal head during a bunionectomy after initial correction of hallux valgus. We corrected the hallux varus deformity using transfer of extensor hallucis brevis tendon with reconstruction os lateral capsule.
요추 경막외 지방종증 : 3례 보고 Three Cases Report
최원식,김환정,김규현,옹상석,박종현 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.1
Study Design : The authors identified three cases of epidural spinal lipomatosis not associated with steroid use and endocrine disease. Objectives : To discuss the clinical manifestation, diagnosis and treatment of this rare epidural lipomatosis with neurologic symptoms. Summary of Background Data : Idiopathic spinal epidural lipomatosis rarly found and MRI is the most helpful diagnostic tool. Treatment is decompressive laminectomy, debulking of fat and weight reduction. Methods : Three epidural lipomatosis with neurologic symptoms were discussed. Presurgical clinical & laboratory findings, imaging studies and pathologic findings of surgical specimens were evaluated. Result : One case was treated with laminectomy and debulking of fat, the other two cases were treated with laminectomy and debulking of fat combined with treatment of other diseases of spine. Postoperatively neurologic symptoms were relieved and remained so in the last follow up more than two years postoperative. Conclusion : The authors report three cases of epidural compression of the thecal sac caused by idiopathic spinal epidural lipomatosis without history of steroid use or endocrinopathy and reviewed the literature.
금속 대 금속 고관절 전치환술 후 혈청 코발트와 크롬 수치
최원식 ( Won Sik Choy ),이광원 ( Kwang Won Lee ),김환정 ( Hwan Jung Kim ),김하용 ( Ha Yong Kim ),옹상석 ( Sang Suk Ong ),김영환 ( Young Wan Kim ),유수근 ( Soo Geur You ) 대한고관절학회 1998 Hip and Pelvis Vol.10 No.1
Release of the metal particles from the prosthetic materials occurs by various types of wear, corrosion and mechanisms such as fretting, stress and fatigue. To eliminate the large amount of polyethylene wear debris in the polyethylene on metal joint bearing cup, the metal-on-metal bearing (Metasul) made of a wrought Co-28Cr-6Mo-0.2C alloy was introduced. We measured the levels of cobalt and chromium in the plasma of 36 patients with 5-31 tnonths after Metasul metal on metal articulation total hip replacement and of 4 persons as a control group. All implants were stable radiographically. The serum level of the cobalt in all patients and control group were below the detection limit. Postoperatively the serum chromium level was 2.9930+2.380yg/l in average and that of the control group was 0.5750+0.299ug/1. The serum concentration of chromium was significantly different between the patients with stable implants and the control group(p<0.05). The regression analysis showed no difference in the serum chromium levels of patients with progression of time (p>0.05). Our finding is based on a short-term result, however long-term result is yet to be further studied.
초기 비외상성 대퇴골두 무혈성 괴사의 골 이식에 대한 임상적 고찰
최원식 ( Won Sik Choy ),김환정 ( Whan Jeong Kim ),이광원 ( Kwang Woo Lee ),유천환 ( Chun Hwan Yoo ),송대화 ( Dae Hwa Song ),김규현 ( Kyou Hyun Kim ),옹상석 ( Sang Suk Ong ) 대한고관절학회 1996 Hip and Pelvis Vol.8 No.2
The authors retrospectively reviewed 21 patients who underwent 22 bone grafting procedures for early atraumatic avascular necrosis of femoral head to evaluate effectiveness of the procedure. The minimum follow up period was 2 years and evaluation included clinical results using Merle d'Aubigne-Postel scale as modified by Charnely and radiographs using Ficats staging system. The result were as follows. l. All case". were males and 20 patients have bilateral involvement. The ages ranged from 26 to 67 years and mean age was 46.1 years. 2. According to the Ficat stage, Stage I was 8 cases (36%), Stage II were 14 cases (64%). At last follow up, Stage I were 1 case (5%), Stage II were 4 cases (18%), Stage III were 8 cases (36%) and Stage IV were 9 cases (41%). 3. The successful results in clinical and roentgenological evaluations were obtained in 5 cases (23%). Progressive collapse was not prevented in 17 cases (77%). 4. The role of core decompression with bone grafting in precollapse stage of avascular necrosis of femoral head is uncertain.