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Outside to Inside 방법을 이용한 반월상 연골 봉합
송은규,정고훈,박재형 ( Eun Kyoo Song,Go Hun Chung,Jae Hyung Park ) 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.2
The meniscus has important function of shock absortion, load transmission, lubrication and significant contribution to stability of the knee. And the long term consequence of complete or partial removal has helped to establish a concept of meniscal preservation of appropriate type of meniscal tears by surgical repair. There are 4 different types of currently available meniscal repair technique, inside to outside, outside to inside, all inside and T-Fix methods. In order to examine the clinical efficacy of outside to inside technique, we performed a clinical analysis of 37 cases who underwent meniscal repair using outside to inside technique from May 1988 to January 1995 and could he followed up at least 6 months at Chonnam t.Jniversity Hospital. There are 29 males and 8 females and the 3rd decade was the most commonly involved. The duration from injury to meniscal repair ranged from 4 days to 8 years(16 months, average), and injury mechanisms were traffic accident in 12 cases, sports injury in l2 and tall from height in 4 and etc. Symptoms and physical examination showed a pain most commonly in 37 cases, joint line tenderness in 29, positive McMurray test in 25. All the 37 cases had peripheral longitudinal tear of which there were l 0 cases of bucket handle tear. There were 22 cases of medial meniscal tear and 15 cases of lateral meniscus tear and 6 cases were combined with ACL rupture. Clinical result, according to Tapper and Hoover criteria, showed excellent in 10 cases, good in 23, fair in 4, and poor in 0. I case of reflex sympathetic dystrophy, 2 cases of mild terminaJ flexion limitation, and 1 case of saphenous nerve injury were noted. In conclusion, outside to inside technique for meniscal repair considered one of the satisfactory methods for the treatment of peri pheral longitudinal tear of meniscus.
송은규,정고훈,홍대연 대한골절학회 1996 대한골절학회지 Vol.9 No.1
The ankle is a modified hinge joint consisting of tibial plafond, medial and lateral malleolus, talus and many soft tissue structures, which play important role in weight bearing and walking. Ankle joint injury is determined by patient's age, quality of bone, the position of a ankle at trauma, direction and degree, velocity of force. Hence, it is very important to understand the mechanism of trauma in order to make definite diagnosis and proper treatment. The authors analysed 71 cases(66 patients) of the ankle fracture which were admitted and treated in Orthopaedic Department, Chonnam University Hospital from Aug. 1985 to June 1994. The most common type of the ankle fracture was supination external rotation type(17 cases, 23.9%), by the classification of Lauge-Hansen, and type C(30 cases, 42.3%) by the AO classitication. According to the criteria of Meyer using the clinical and radiological result, pronation-external rotation type gave the best result and the worst results obtained from pronation-dorsiflexion type. We concluded that classification of Lauge-Hansen & AO were useful in the diagnosis and treatment of ankle fracture and accurate reduction and rigid internal fixation of the lateral malleolus, distal fibula and distal tibiotibular diastasis was important in treatment of the ankle fracture.
Ilizarov 외고정을 이용한 대퇴골 과상부 골절 합병증의 치료 - 2례 보고 -
이근배,송은규,정고훈 대한골절학회 1995 대한골절학회지 Vol.8 No.3
Two patients of nonunion of supracondylar fracture of femur with bone loss and angular deformity were treated by the Ilizarov external fixator. Large bone defect was closed by bone transport technique and angular deformity was corrected by means of hinges on the Ilizarov apparatus. The final results were satisfactory in two cases.
흉추 및 요추의 골절및 탈구에 대한 Zielke 장치 척추경 고정술의 결과
김형순,정재윤,정고훈 대한골절학회 1990 대한골절학회지 Vol.3 No.2
For the evaluation of the clinical and radiological results of transpedicular Zielke instrumentation for the fractures and dislocations in the thoracic and lumbar spine, the authors analysed the 13 patients who were operated by that method and were followed up more than one year after operation(Av. 33 months). l. Operative indications were seat belt type, flexion-distraction injury of fracture-dislocation type and burst type that needed additional stabilization after anterior fusion. 2. Extent of fixation and fusion were 1 motion segment in 6, 2 motion segment in 7. 3. Bony union could be observed within 6 months in all, without any possible complications of metal failure, non-union, loss of correction or neural damage. 4. Kyphotic angular deformity were changed from 25 preoperatively, to 3 post- operatively and 5 at the end of follow up 5. anterior vertebral height in 6 burst type were 46% preoperatively, 77% post operatively and 74% at the and of follow up. From above results, the authors concluded that the transpedicular Zielke instrumentation enabled the fixation of shortest segments and provided enough stability when the method was applied in the types of injury that demand posterior compression for the reduction and stabilization of the deformity and instability.