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근위 척골 분쇄를 동반한 주두 골절의 잠김 압박 금속판 치료
홍기도 ( Ki Do Hong ),김태호 ( Tae Ho Kim ),심재천 ( Jae Cheon Sim ),하성식 ( Sung Sik Ha ),성민철 ( Min Chul Sung ),전종현 ( Jong Hyun Jeon ) 대한골절학회 2015 대한골절학회지 Vol.28 No.1
Purpose: The purpose of this study is to evaluate the clinical results of locking compression plate (LCP) fixation for olecranon fractures with proximal ulna comminution. Materials and Methods: We review 10 cases of olecranon fractures with proximal ulna comminution treated with LCPs from August 2011 to August 2013. Follow-up period was from 12 months to 18 months. Mean age was 63.1 years (35-84 years). According to the Mayo classification, there were eight type IIB, and two type IIIB fractures. We used Mayo classification. Clinical evaluation was performed based on radiographic union of olecranon and measurements of range of motion at last follow-up. Disability of the arm, shoulder and hand (DASH) score and Mayo elbow performance score (MEPS) were used for evaluation of functional recovery. Results: All patients had bone union. According to the MEPS, nine of ten patients had a good or excellent outcome. The mean DASH score was 18.6. All cases started postoperative range of motion (ROM) within 14 days. Elbow ROM was more than 110o in all cases except one. Mean radiological bony union time was 4.2 months (2.5-6.0 months) postoperatively. Complication was hardware irritation in three patients. Conclusion: Internal fixation using LCP for olecranon fractures with proximal ulna comminution can be a good treatment option which obtains good clinical results and enables early ROM.
관절 내 종골 골절에서 금속판 고정을 이용한 수술적 치료
홍기도,김재영,하성식,심재천,강정호,박광희,Hong, Ki-Do,Kim, Jae-Young,Ha, Sung-Sik,Sim, Jae-Chun,Kang, Jung-Ho,Park, Kwang-Hee 대한족부족관절학회 2007 대한족부족관절학회지 Vol.11 No.1
Purpose: We evaluated the results of operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures. Materials and Methods: From August 2003 to July 2006, twenty intraarticular calcaneal fractures which were operated with open reduction and internal fixation with F or H plates and screws were evaluated retrospectively. According to the Essex-Lopresti classification, 3 cases were tongue type and 16 were joint depression type. With the Sanders classification, 2 cases were IIA type, 7 were IIB, 5 were IIIAB, 2 were IIIAC and 3 were IV. We have analysed the $B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal width in radiologic evaluation, and evaluated clinical result according to the Creighton-Nebraska Health Foundation Score. Results: Radiologic changes showed as follows: $B{\ddot{o}}hler$ angle improved from $5.8^{\circ}$ to $25.9^{\circ}$, Gissane angle from $119.0^{\circ}$ to $113.3^{\circ}$, and calcaneal width from 50.4 mm to 37.8 mm. In the clinical results, excellent cases were noted in 8 cases, good in 8 cases, fair in 2 cases, poor in 1 case. Conclusion: Operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures was thought to be a useful operative method allowing anatomical reduction.
슬관절 관절내 발생한 양성 섬유성 조직구종: 증례 보고
홍기도,하성식,심재천,김태호,이종성,성민철,Hong, Ki-Do,Ha, Sung-Sik,Sim, Jae-Cheon,Kim, Tae-Ho,Lee, Jong-Seong,Sung, Min-Chul 대한근골격종양학회 2012 대한골관절종양학회지 Vol.18 No.2
슬관절에서의 양성 섬유성 조직구증은 매우 드문 질환으로 대부분의 경우 통증 등의 특별한 증상을 유발하지 않고 심부에 위치하고 있어 진단을 놓치기 쉬우며 우연히 발견되는 경우가 많다. 저자들은 슬관절의 운동제한과 동통을 주소로 내원한 53세 여자 환자에 대해서 외관상 촉지 되지 않았다가 MRI 검사에서 슬개건 하부의 종물을 발견하였고, 진단적 관절경 검사 후 절제 및 조직 생검 결과 양성 섬유성 조직구종으로 밝혀진 1예를 경험하게 되었다. 심부 양성 섬유성 조직구증은 모든 양성 섬유성 조직구증의 5% 이하로 흔하지 않은 것으로 알려져 있는 가운데 슬관절에서 발생한 1예에 대해서 문헌고찰과 함께 보고하고자 한다. Benign fibrous hitiocytoma of the infrapatella fat pad is very rare. It has usually do not induced a pain or a symptom because it was located deep tissue. So it was very difficult to be diagnosed. We experienced a case of deep benign fibrous histiocytoma in a 53-year-old woman. It was diagnosed by MRI. Diagnostic arthroscopic procedure was performed and the lesion was completely resected by open excision. We report a rare case of benign fibrous hitiocytoma presenting as an intra-articular tumor in the joint causing pain and limitation of movement.
쇄골 간부 골절에 대한 경피적 겸자 정복 및 경피적 골수강내 금속핀 고정 수술법과 결과보고
홍기도 ( Ki Do Hong ),심재천 ( Jae Chun Sim ),하성식 ( Sung Sik Ha ),김태호 ( Tae Ho Kim ),김종현 ( Jong Hyun Kim ),이종성 ( Jong Seong Lee ) 대한골절학회 2012 대한골절학회지 Vol.25 No.1
목적: 쇄골 간부 골절 환자에서 경피적 겸자 정복 및 경피적 골수강내 금속핀 고정술을 시행 후 결과를 보고하고자 한다. 대상 및 방법: 2002년 1월부터 2010년 8월까지 쇄골 간부 골절로 내원하여 Steinmann pin을 이용한 경피적 겸자 정복 및 경피적 골수강내 금속핀 고정술을 시행한 후 1년 이상 추시 관찰이 가능하였던 80예를 대상으로 하였다. 수술 후 골유합 시기, 임상적 결과, 합병증 등을 분석하였다. 결과: 모든 예에서 골유합이 이루어졌으며, 방사선학적 골유합 시기는 평균 10.3 주였다. 임상적 결과 우수 이상의 예가 80예 중 78예로 97.5%의 결과를 보였고 심각한 합병증은 없었다. 결론: 쇄골 간부 골절에서 경피적 겸자 정복 및 골수강내 금속핀 고정술은 우수한 치료결과를 보였다. Purpose: To report the clinical results of surgical treatment of clavicle shaft fracture by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation. Materials and Methods: This study reviewed the results of 80 cases of clavicle shaft fracture treated by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation with Steinmann pins from January 2002 to August 2010, after follow-up for 12 months or more. We evaluated the clinical results, such as union time and complications. Results: Bone union was evident in all cases and the mean time for bone union to appear on radiological findings was 10.3 weeks. Using Kang`s criteria, 78 of the 80 patients (97.5%) showed good results and there were no severe complications. Conclusion: Percutaneous reduction with towel clips and the percutaneous intramedullary pin fixation method showed good results for treating clavicle shaft fracture.
슬관절 전치환술에서 경골 골결손시 골쐐기를 이용한 자가골 이식술
홍기도 ( Ki Do Hong ),하성식 ( Sung Sik Ha ),정남식 ( Nam Sik Jung ),심재천 ( Jae Cheon Sim ),서세익 ( Se Ig Seo ) 대한슬관절학회 2002 대한슬관절학회지 Vol.14 No.2
Purpose: The aim of this study is to report the usability of autogenous bone graft with bone peg in total knee arthroplasty in the patients with tibial medial bone defect from osteoarthritis due to severe varus deformity. Materials and Methods: From July 1998 to December 2000, fifteen total knee arthroplsties with autogenous bon graft were performed for the medial tibial bone defects. The proximal tibia was resected and then bone pegs which were prepared from resected portion of distal femur and proximal tibia were inserted into the defect site with the shape of peg in the anterior posterior view using press fitting method. Instead of applying screw of K-wire, we performed press-fitting method for early stability. For attaining the stability, we preserved the sclerotic rim and designed precisely the bony defect site, We reviewed the result using the HSS Knee Rating Scale and observed the radiologic change. Results: In HSS Knee Rating Scale review, 52.4 of preoperative score was improved to 84.7 at postoperative 1 year. Tibio-femoral angle, the average 17.8˚ of varus was improved to the average 5.8˚ of valgus at 1 year postoperatively. The average union period was 5 months, and there was no evidence of the displacement of grafted bone and loosening of the inserted implants. Conclusion: The method of autogenous bone graft applied with bone peg could be supposed as the stable fixation method without using screws of K-wires.
13세 환자의 종골에 발생한 연골육종 - 증례 보고 -
홍기도,하성식,박영근,이효진,차현종,Hong, Ki-Do,Ha, Sung-Sik,Park, Young-Keun,Lee, Hyo-Jin,Cha, Hyun-Jong 대한근골격종양학회 2001 대한골관절종양학회지 Vol.7 No.2
연골육종이 소아의 종골에 발생한 경우는 매우 드물다. 13세 환자가 수개월간 지속된 우측종골 부위의 통증으로 내원하여 시행한 방사선 검사상 우측 종골의 골밀도의 증가 및 석회화와 피질골 파괴, 그리고 종골 주위 조직의 석회화 침범 소견이 관찰되었고, 조직검사상 원발성 연골육종으로 진단되어 슬하부 절단술 및 술후 항암요법을 시행하였으며 12개월째 경과 관찰중이며 재발이나 원격전이는 발견되지 않았다. Chondosarcoma of the calcaneus in young child is extremely rare. A thirteen-year old male patient has suffered from right heel pain for several months before. Dominant gross feature was hard mass and swelling on one entire right heel, and increased density and calcification on entire calcaneus with cortical destruction, and calcific densities on soft tissues around calcaneus were seen on roentgenogram of right ankle. It was diagnosed to be chondrosarcoma by bone biopsy. It was treated by below knee amputation and chemotherapy, and no recur and distant metastsis during 12 months after operation.
홍기도,하성식,심재천,김재영,Hong, Ki-Do,Ha, Sung-Sik,Sim, Jae-Cheon,Kim, Jae-Young 대한족부족관절학회 2003 대한족부족관절학회지 Vol.7 No.1
Most interdigital neuroma can be diagnosed clinically. But, diagnostic local injection method, sonography and magnetic resonance image(MRI) have been used as secondary tests for clinical confirmation or surgery. Recently, there have been active discussions on the method of interdigital neuroma diagnosis for which sonography or MRI is used. For finding out the location or the number of interdigital neuroma particularly in non-typical clinical manifestation or surgery, MRIs, which are exellent in tissue contrast, may be quite helpful. This case had an interdigital neuroma showing non-typical manifestation. MRIs were used for clinical diagnostic confirmation and finding out the location and the number of interdigital neuroma. Thus, the validity along with literary consideration is being reported.