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Cementless 인공관절 전치환술에서 수술중 발생하였던 대퇴거(Calcar Femorale)부위 골절
이창주 ( Chang Ju Lee ),장준동 ( Jun Dong Chang ),조원호 ( Won Ho Cho ),장호근 ( Ho Geun Chang ),이영호 ( Young Ho Lee ) 대한고관절학회 1995 Hip and Pelvis Vol.7 No.2
The purposes of this study are to document the effect of the undisplaced intra-operative fracture of the calcar area during primary cementless total hip arthroplasty and to compare the clinical result of primary cementless total hip arthroplasty in patients who sustained an intraoperative fracture of the calcar area with an unfractured control group. 7wenty-two patients of intraoperative undisplaced fracture of calcar area during cementless total hip arthroplasty matched by age, sex, diagnosis, type of the prosthesis, and length of follow-up were compared with 22 patients who had cemetless total hip arthroplasty without fracture. The fractutes were managed with the application of one or two cerclage wires with stability test. No statistically significant difference was found in clinical or radio- graphic results after cementless total hip arthroplasty between the calcar fracture group and control group. If initial stability of the implant is satisfactory, despite of intraoperaive fracture, good clinical results can be expected with cementless total hip arthroplasty. The subsidence of femoral stem and the unstable fixation/stability were noted in three hips of which the diagnosis was Stage IIIC or IV avascular necrosis of femoral head.
Cements 인공 고관절 전치환술에서 사용하였던 Harris-Galante 비구컵 -고정 방법에 따른 비교-
이창주 ( Chang Ju Lee ),장준동 ( Jun Dong Chang ),조원호 ( Won Ho Cho ),장호근 ( Ho Geun Chang ),최수중 ( Soo Joong Choi ),전영도 ( Young Do Jeon ) 대한고관절학회 1996 Hip and Pelvis Vol.8 No.1
The purposes of this study are to evaluate the clinical and radiological results of Harris Galante porous acetabular cup and to compare the results according to the fixation methods. In cementless total hip arthroplasty using Anatomic stems and Harris-Galante Porous acetabular components, 32 acetabular cups inserted line to line with several screws(Group I) and 21 acetabular cups fixated press fit without screws(Group II) were compared. The follow-up period was between 2 years and 4 years(average, 38 months). The mean Harris hip score at final follow-up was 88.7 for group I and 94.4 for group II(p=0.018). Initial gaps were present in nine hips(28%) of Group I and six hips(29%) of Group II. New radiolucencies on the 2-year follow-up radiograph were identified in group I(eight in zone I, four in zone II, and three in zone III), but there were no new radiolucencies developed in group II. Radiolucent lines at final follow-up were seen in nine hips(28%) of Group I, but there was no radiolucencies in Group II. This study demonstrates excellent clinical and radiographic performance of HGP acetabular components at 2-4 years in primary THA. The press-fit fixation could eliminate the problems associated with use of the screws. The clinical and radiologcial results have shown press fit group to be superior to the line to line fixation group using screw.
후 골간 혈관경을 이용한 도상피판에 의한 손목 및 수부 연부조직 결손의 수복
최수중,나성주,장호근,장준동,이창주,Choi, Soo-Joong,Na, Seong-Ju,Chang, Ho-Geun,Chang, Jun-Dong,Lee, Chang-Ju 대한미세수술학회 1998 Archives of reconstructive microsurgery Vol.7 No.1
The traditionally useful coverage methods of the wrist and hand soft tissue defect are the chinese forearm flap, the ulnar forearm flap. But, this flaps are inevitably sacrifice major vessel to the hand. Advantages of the posterior interosseous artery island flap(PIA Flap) is no need to sacrifice blood supply to the hand and supply relatively large thin, good quality flap and more cosmetic than other forearm flaps. But, it is difficult to dissect and raise because of deep seat, close relation with the posterior interosseous nerve and anatomic variation. Authors evaluated 8 cases of 7 patients in the department of orthopaedic surgery, college of medicine, Hallym University from January, 1993 to December, 1995. The results are as follows: 1. The satisfactory coverage was achieved 7 cases and 1 case failed because of anatomic variation. 2 The pedicle length is average 9cm and the flap size is variable from 3cm by 4cm to 5cm by 8cm. 3. The donor site defect was repaired by direct closure in 5 cases, remained 3 cases combined with skin graft. From our experience we conclude that the PIA flap is one of the useful coverage methods of the wrist and hand soft tissue defect.
경피적 추체 성형술을 시행한 추체에 인접 추체가 미치는 영향
김용찬 ( Yong Chan Kim ),장호근 ( Ho Geun Chang ),이기병 ( Kee Byung Lee ) 대한골절학회 2010 대한골절학회지 Vol.23 No.1
목적: 골다공증성 흉요추부 압박골절로 시행된 경피적 추체 성형술에 대한 인접 상하 추체의 상태가 흉요추부 시상면에 미치는 영향에 대해 분석하고자 한다. 대상 및 방법: 2003년 6월부터 2005년 11월까지 경피적 추체 성형술을 시행한 제12흉추 또는 제1요추 압박골절 61예를 대상으로 하였으며, 제1군은 인접 상하 추체에 진구성 붕괴가 없는 경우, 제2군은 상부 추체에만 진구성 붕괴가 있는 경우, 제3군은 하부 추체에만 진구성 붕괴가 있는 경우로 정하였다. 측정인자로 전방, 중간, 후방 추체 높이, 추체 쐐기각 및 국소 후만각을 비교 분석하였다. 결과: 제1군의 최종 추시 시 전방 추체 높이의 증가율은 0.41%, 중간 추체 높이의 증가율은 0.31%, 후방 추체 높이의 증가율 0.16%, 추체 쐐기각의 회복률은 1.47%, 국소 후만각의 회복률은 -3.48% 였고, 제2군은 각각 -3.19%, 0.11%, -3.02%, -1.23%, -4.63%였으며, 제3군은 각각 -2.28%, 4.72%, -1.01%, -2.41%, -13.12%였다. 통계적으로 제3군의 국소 후만각을 제외한 모든 대상에서 유의한 차이를 보이지 않았다. 결론: 흉요추부 압박골절에서 시행된 경피적 추체 성형술에 대해서 인접된 진구성 쐐기형 변화를 가진 추체는 국소 시상면에 유의한 영향을 미치지 않는다. 그러나 하부 인접부에 진구성 쐐기형 변화를 가진 추체는 국소 후만각에 유의한 영향을 주는 것으로 확인되었다. Purpose: To analyze the effect of adjacent vertebral body on local sagittal segment in performing vertebroplasty for thoracolumabr vertebral compression fracture on the terms of radiological results. Materials and Methods: We experienced 61 cases of T12 and L1 Compression fracture between June 2003 and November 2005. We classified with 3 groups; no collapse of adjacent body, collapse of adjacent upper body, and collapse of adjacent lower body. The measuring factors were anterior, middle, posterior vertebral height, wedge angle and local kyphotic angle. Results: In group I, Increase rate of anterior, middle, posterior vertebral height and restoration rate of wedge angle, and local kyphotic angle were average of 0.41%, 0.31%, 0.16%, 1.47%, -3.48% respectively. Group II was -3.19%, 0.11%, -3.02%, -1.23%, -4.63%. Group III was -2.28%, 4.72%, -1.01%, -2.41%, -13.12%. There are no significant differences among the groups except local kyphotic angle in Group III statistically. Conclusion: The previous wedged collapse of adjacent vertebral body do not affect local sagittal segment performed vertebroplasty in the thoracolumbar compression fracture. However the previous wedged collapse of adjacent lower body affect significantly local kyphotic angle.