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      • KCI등재

        Early Clinical Outcomes of a New Posteriorly Stabilized Total Knee Arthroplasty Prosthesis: Comparisons with Two Established Prostheses evi

        ( Nimesh P. Jain ),( Sung Yup Lee ),( Vivek M. Morey Ms ),( Suri Chong ),( Yeon Gwi Kang ),( Tae Kyun Kim ) 대한슬관절학회 2017 대한슬관절학회지 Vol.29 No.3

        Purpose: We sought to determine whether early clinical performance of new posterior stabilized (PS) knee system, the Vega-PS (Aesculap), is better than that of two established total knee arthroplasty (TKA) prostheses, the E.motion-PS (Aesculap) and the Genesis II (Smith & Nephew) in terms of functional outcomes, patient satisfaction, and incidence of adverse events. Materials and Methods: We compared the clinical outcomes of 206 consecutive TKAs using Vega-PS with those of 205 TKAs using E.motion-PS and 216 TKAs using Genesis II at 2 years of follow-up. Results: Overall, the knees with the Vega-PS had better functional outcome scores than the knees with the E.motion-PS, but had similar outcome scores to the knees with the Genesis II, as evident from the American Knee Society knee score (94.2 vs. 92.5 vs. 93.2), Western Ontario McMaster Universities Osteoarthritis (WOMAC) stiffness index (1.8 vs. 2.3 vs. 2.0), WOMAC function index (11.8 vs. 16.8 vs. 18.5), Short Form 36 (SF-36) physical component summary score (41.9 vs. 39.3 vs. 41.6), and SF-36 mental component summary score (50.0 vs. 45.8 vs. 46.9). Patient satisfaction was higher in the Vega-PS and Genesis II groups than the E.motion-PS group. No notable group differences were found in terms of the incidence of adverse events. Conclusions: The Vega-PS, a newly developed PS fixed bearing prosthesis, had comparable or superior clinical performance in comparison with the two established fixed or mobile bearing PS prostheses.

      • KCI등재

        이소성 골형성으로 인한 주관절 강직에서 12개월 이내에 시행한 수술적 치료의 효과

        김용민(Yong-Min Kim),박지강(Ji-Kang Park),정수리(Suri Chong) 대한정형외과학회 2014 대한정형외과학회지 Vol.49 No.6

        이소성 골형성으로 인해 주관절 운동 제한이 발생한 5예에 대해 1년 이내에 수술적 치료를 시행하였다. 수상 시로부터 평균 10개월에 수술적 치료로 이소성 골제거술 및 관절 유리술을 시행하였고 방사선 요법은 700 cGy로 1회 시행하였다. 비스테로이드성 소염제는 평균 4주간 사용하였다. 평균 21개월의 추적관찰 기간 중 이소성 골형성의 재발은 발생하지 않았다. 최종 추시에는 굴곡-신전 운동의 범위가 평균 64도에서 133도로 증가하였다. 이소성 골형성으로 인한 주관절의 운동제한이 발생한 경우 수상 시로부터 수술 시점은 기존에 제시되던 12-18개월보다 적은 1년 이내라도 방사선 치료 및 비스테로이드성 소염제를 동반한 수술적 치료로 효과적인 결과를 얻을 수 있었다. Five patients presented with a limited range of motion in their elbow associated with heterotopic ossification. All of these patients underwent surgery within one year. Removal of heterotopic ossification and a posterior capsular release was performed within ten months on average after the initial injury. Each patient postoperatively received prophylaxis consisting of a single-shot radiation of 700 cGY and administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for four weeks on average. With a median follow up period of 21 months, five patients had no radiographic evidence of recurrence. The arc of flexion-extension increased from an average of 64 degrees preoperatively to 133 degrees at the latest follow up. A 12- to 18-month period is generally recommended as necessary for an operation on an ankylosed elbow associated with heterotopic ossification. However, the operative treatment, together with radiation therapy and NSAIDs administration, showed good results within 12 months.

      • KCI등재

        비골 동맥 천공지 기저 프로펠러 피판술을 이용한 족관절 주위 연부조직 결손의 재건술: 4예 보고

        조병기,박지강,박경진,정수리,Cho, Byung-Ki,Park, Ji-Kang,Park, Kyoung-Jin,Chong, Suri 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.4

        Four patients with soft tissue defects around the ankle joint were covered with peroneal artery perforator-based propeller flaps. Using color Doppler sonography, the flap was designed by considering the location of the perforator and soft tissue defects. The procedure was then performed by rotating the flap by $180^{\circ}$. Additional skin graft was required in a patient due to partial necrosis, and delayed wound repair was performed in another patient with poor blood circulation at the distal part of the flap. The remaining patients did not have any complications and results were considered excellent. Good outcomes were eventually obtained for all patients.

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