http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 홍세혁 (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
원위 요골 골절 도수정복 후 부목 종류가 골절 전위에 미치는 영향: Short Arm Double Splint와 Sugar-Tong Splint의 비교
이재훈,홍세혁,김영준,백종훈,이정석 대한수부외과학회 2015 대한수부외과학회지 Vol.20 No.3
Purpose: This study was to compare short arm double splint allowing forearm rotation with sugar tong splint in terms of loss of reduction and incidence of shoulder stiffness after closed reduction of the distal radius factures. Methods: From June 2012 to February 2013, we retrospectively reviewed patients with distal radius fractures applied short arm double splint or sugar tong splint after closed reduction. Patients with more than 18 years old, acceptable reduction in X-ray and followed up at least 4 weeks were enrolled. Short arm double splint (SD) group was applied in 47 cases and sugar tong splint (ST) group was 34 cases. Gender, age and fracture types were not significantly different between two groups. The radiographic parameters were measured for palmar tilt, articular step-off, radial length, radial inclination, ulnar variance. The incidence and time of the reduction loss were also evaluated. In functional outcomes, the occurence of ipsilateral shoulder stiffness and the disabilities of the arm, shoulder and hand (DASH) score were evaluated with the medical records or telephone questionnaires at 6 months after initial trauma. Results: Loss of reduction was occured 16 cases in SD group (34%) and 10 cases in ST group (29.4%), which did not differ significantly between the groups (p=0.169). The DASH score and shoulder stiffness were not statistically different between two groups. Conclusion: There was no significant difference in loss of reduction after closed reduction of distal radius fractures and functional outcomes in both groups. 목적: 원위 요골 골절의 도수 정복 후 sugar tong splint를 사용한 군과 전완의 회전 운동을 허용하는 short arm double splint를 사용한 군에서 정복 소실 및 견관절의 강직 정도를 비교하였다. 방법: 2012년 6월부터 2013년 2월까지 전위성 원위 요골 골절로 내원하여 도수 정복 및 sugar-tong splint 또는 short arm double splint를 적용하고 성공적인 정복을 얻었던 환자 중 최소 4주간 외래에서 추시 관찰한 18세 이상의 환자를 대상으로 후향적으로 조사하였다. 도수 정복 후 short arm double splint를 적용한 군(SD군)은 47명, sugartong splint를 적용한 군(ST군)은 34명이었으며, 두 군 간 성별, 연령 및 골절 형태는 통계학적으로 유의한 차이가 없었다. 방사선학적 평가로 추시 시 palmar tilt, articular step-off, radial length, radial inclination, ulnar variance를 측정하였고, 정복의 소실 유무와 그 시기에 대해 조사하였다. 기능적 평가로 수상 후 6개월에 의무기록 및 전화 설문에서 수상한 상지의 새로운 견관절 강직 발생과 disabilities of the arm, shoulder and hand (DASH) score를 평가하였다. 결과: 전정복 소실의 발생은 SD군에서 16예(34%), ST군에서는 10예(29.4%)에서 보여, 두 군 간 유의한 차이는 없었다(p=0.169). DASH score 및 견관절 강직 및 통증은 두 군 간 유의한 차이를 보이지 않았다. 결론: 두 군에서 원위 요골 골절 정복 후 정복의 소실 및 기능적 결과에서 유의한 차이를 보이지 않았다.
-
-
김기택,손은석,석경수,이상훈,이정희,박경준,곽윤호,홍세혁 대한척추외과학회 2011 대한척추외과학회지 Vol.18 No.4
Study Design: Comparative study. Objectives: To compare the outcomes of unilateral TLIF, bilateral TLIF using Wiltse approach and bilateral TLIF using conventional midline approach. Summary of Literature Review: There are many studies about outcomes of Unilateral TLIF, but few have compared the 3 different fusion procedures. Materials and Methods: 60 patients were divided into 3 groups. Each group has enrolled 20 patients (Study group: unilateral TLIF,Control group 1: bilateral TLIF using Wiltse approach, Control group 2: bilateral TLIF using conventional midline approach). For clinical outcomes, we compared operative time, blood loss, time for ambulation and discharge, VAS for back pain and leg pain and ODI among three groups. For radiologic evaluation, disc height and segmental lordosis were examined. Results: The mean operative time was 147 minutes in study group(SG), 172 minutes in control group 1(CG1), 167 minutes in control group 2(CG2). The mean total blood loss was 466ml in SG, 569ml in CG1, 1140ml in CG2 respectively. VAS for back pain at the third postoperative day significantly decreased in SG and CG1 compared with CG2. There was no significant difference in ODI, disc height and segmental lordosis among the groups. Conclusion: Using Wiltse approach, there were several advantages in decreasing blood loss, immediate postoperative back pain,hospital stay and early ambulation. Clinical and radiological results of unilateral TLIF were comparable with bilateral TLIF.
-
조윤제 ( Yoon Je Cho ),전영수 ( Young Soo Chun ),김강일 ( Kang Il Kim ),유기형 ( Kee Hyung Rhyu ),유명철 ( Myung Chul Yoo ),홍세혁 ( Se Hyuk Hong ) 대한류마티스학회 2011 대한류마티스학회지 Vol.18 No.2
Objective. This study analyzed the midterm results of hip resurfacing arthroplasty in patients with rheumatoid arthritis. Methods. Between October of 2003 and September of 2008, 13 consecutive hips that were treated with hip resurfacing arthroplasty due to rheumatoid arthritis were analyzed. The average follow up period was 48.6 months and the mean age at the time of operation was 35.9 years old. The mean BMI at the operation was 23.2 kg/m2. The implanted prostheses were the Conserve Plus system in five hips, the Birmingham hip resurfacing system in four hips and the Durom system in four hips. The results were clinically evaluated with the Harris hip score, the UCLA activity score, hip or thigh pain, the limb length discrepancy and the range of motion. As radiological evaluation, we observed the patterns of bone remodeling and complications such as femoral neck fracture, loosening and osteolysis. Results. The average Harris hip score improved from 62.2 to 98.9 at the final visit. The range of motion improved to 0˚ in flexion contracture, 118.1˚ in further flexion, 22.7˚ in internal rotation, 40.4˚ in external rotation, 28.8˚ in adduction and 38.1˚ in abduction, respectively. No patient complained of a limb length discrepancy and hip or thigh pain. Radiographically, impingement between the acetabular component and the femoral neck was observed in one case. However, radiographic findings such as osteolysis, radiolucency, wear and loosening were not observed. Conclusion. The midterm results of hip resurfacing arthroplasty in patients with rheumatoid arthritis were excellent. But long-term studies are needed to determine the survivorship and to evaluate the osteoporotic change, the metal ion level and their influence after hip resurfacing arthroplasty.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
