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노권재 ( Kwon Jae Rho ),김종오 ( Jong Oh Kim ),이동욱 ( Dong Wook Lee ) 대한고관절학회 1998 Hip and Pelvis Vol.10 No.1
Recurrent dislocation is a serious and embrassing complication after total hip arthroplasty. If a dislocation occurs, it is desirable to prevent recurrent dislocation and to achieve stability of the hip. In a retrospective study of 96 cases of hips, those who have been treated with total hip arthroplasty, we reviewed the incidence of dislocation, risk factors, and treatment. 1. The incidence rate of dislocation after total hip arthroplasty was 5.4%. 2. The dislocation was affected by the medical condition, previous surgery, malposition of the component and soft tissue imbalance. 3. The treatment was based on the cause of dislocation and all cases were successfully treated.
슬내장증에서 관절경소견으로 분석한 자기공명영상의 진단적 의의
김양현,강충남,노권재,이석범 대한슬관절학회 1994 대한슬관절학회지 Vol.6 No.1
Arthroscopy of the knee is playing on increasingly important role in the diagnosis and treatment of the Internal Derangement of the Knee. Magnetic resonance imaging is a noninvasive, and relatively accurate method of diagnosis but it has some difficulty in reading. Therefore, the purpose of our study is to increase the diagnostic value of MRI by dividing MRI signals specifically. From Sept. 1993 to Jan, 1994, authors analyzed 54 patients on whom MRI, arthroscopy were performed in internal derangement of the knee. The results obtained were as follows : 1) There were 60 meniscus tears and 22 cruciate ligament injuries and 3 extra-articular masses, 21 chondromalacia by arthroscopic diagnosis. 2) MRI finding in actual ACL tear, were quite similar comparing partial rupture of more than 50 % with complete rupture. 3) As for partial rupture of more than 50 %, there was low axis with no visualization, and relatively empty lateral wall findings, these show us that the described findings are not present in minimal partial rupture of less than 50 %. 4) Sensitivity of MRI, in order, is PCL, ACL Meniscus and for specificity, PCL, Medial meniscus, ACL lateral meniscus. From MRl, high PPV is found in anterior, mid horn of medial meniscus, and high NPV is found in anterior, posterior horn of both meniscus. 5) Chonchomalacia were hardly found. In MRI while it was posaible from arthroscopy. 6) MRI is uaeful in diagnosing extra-articular mess, bony contusion, a very low diagnosing rate of chondromalacia and synovitis. We believe that MRI, when combined with clinical and roentgenographic findings, provides the most accurate non-invasive source of information in diagnosis of cruciate ligament and memecus injuries.
Steroid의 국소 주입에 의한 단순성 골낭종의 치험 1례 : One Case
최기홍,강충남,왕진만,노권재,심광석 梨花女子大學校 醫科大學 醫科學硏究所 1985 EMJ (Ewha medical journal) Vol.8 No.4
There are many methods for treatment of solitary bone cyst. But the recurrence rate was relatively high and beside, serious complications may be followed. Recently, simple topical of steroid into cyst was contrived and the result was know as same or even better than surgical management. A patient of solitary bone cyst who had been failed two times by surgical intervention was treated with topical steroid injection for several times. Two years following up, the result was good. No evidence of recurrency was seen and was shown good healing process.