상완골 근위부 골절에 대한 임상적 고찰

노권재 대한골절학회 1989 대한골절학회지 Vol.2 No.1

Most proximal humeral fractures respond satisfactory to simple conservative treatment, It is only the occasional displaced fracture or fracture-dislocation that demands speciai treatment judRement. We analyzed the 32 cases of proximal humeral fractures treated at the Department of Orthopaedic Surgery of Ewha University Hospital during the period from January, 1984 to December, 1987. The resuit was as follows: 1. The age distribution was even but there was some prevalance at 7th decades of female. 2. The most common cause of fractures was traffic accident. 3. According to the Neer's classification, group I was in 15 cases(46.9%) and group was in 11 cases(34.4%) 4. According to the Neer's criteria for evaluation of the result was satisfactory in cases of conservative treatment In cases of group g fractures treated with open reduction, the result after 6 months from injury was worse due to the prolonged preoperative immabiliz ation but after ane year, all were satisfactory. 5. The complication was nonunion in 1 case, malunion in 1 case and joint stiffness in 3

제 18 차 정기학술대회 초록집 : Symposium : 1. Conservative Treatment - Spontaneous Healing?

노권재 대한슬관절학회 2000 정기학술대회 Vol.- No.-

자동차 경피적 요추 추간판 수핵제거술의 임상적 고찰

노권재 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.1

The patient of herniated intervatebral disc of lumbar spine was treated as conservatively and did respond well in majority. But in patient who had not responded to conservative therapy, opeative method was performed such as open discectomy, chemonucleolysis, or automated percutaneous lumbar discectomy. Open discectomy is useful for most patients but still carries the risk of general anesthesia and risk to sofi tissues. joints. nerves, and the invariable production of epidural fibrosis. Chemonucleolysis was introduced by Smith in 1964 as an alternative method but, it carries many complications such as anaphylaxis, subarachnoid hemorrhage, transverse myelitis, and severe back pain. Because of reducing this complications automated percutaneous lumbar discectomy has been advocated as an alternative treatment of herniated intervertebral disc in selected patients. Twenty patients with symptomatic lumbar disc herniation were treated with automated percutaneous lumbar discectomy from August 1989 to October 1991 in Ewha Women University Hospital. They were followed up for more than 12 months. Changes in the objective and subjective signs and aymptoms of patients were examined preoperatively and postoperatively. The results were as follows : 1) Age was ranged from 14 to 54 years with average 30 years, and 12 males and 8 females. 2) LA-5 was the most commonly involved level(80%). 3) In MRI classification subannular herniation was 11 cases and subligamentous herniationwas 4 cases. 4) Average duration of procedure was 31 minutes. and average amount of tissue aspirated was 3.9cc and average hospitalization period was 5 days. 5) Clinical results were satisfactory in 85% and unsatifactory in 15% of patients. 6) Unsatisfactory results were combined stenosis, insufficient removal of disc material, or recurred herniation of interverebral disc. 7) There was no significant complications postoperatively. From this results, automated percutaneous lumbar discectomy is a good treatment method for selected cases of lumbar dsic herniation.

내시경을 이용한 수근관 증후군의 치료

노권재,유재두 梨花女子大學校 醫科大學 醫科學硏究所 1996 EMJ (Ewha medical journal) Vol.19 No.4

The cause of carpal tunnel syndrome is the compression of median nerve at the carpal tunnel. Surgical release of transverse carpal ligament is indicated if symptom persists in spite of conservative treatment. Release of transverse carpal ligament without neurolysis is sufficient to relieve the symptom. Several methods of endoscopic treatment have developed and the good results were reported. We reported the results of 13 cases treated with endoscopic carpal tunnel release in 12 patients from March 1995 to July 1996. Eleven cases treated with one portal technique(Agee) and 2 cases treated with two incision technique(Chow). Average follow-up period is 11months(4-19 months). Average age was 48.5(35-56)years old. There were 11 women and 1 male. Average duration of symptoms before the operation was 9 months. According to Cseuz's creiteria, excellent results was obtained in 77% of patients. Tingling sensation dimnished within 24 hours after operation in six patients. Two thenar atrophy didn't recovered at 8 months after operation. Three scar tenderness occured. Relief of symptom was achieved quickly when endoscopic method was used but several technical pitfall must be avoided.

Interlocking 골수강 금속정을 이용한 대퇴골 간부골절의 치험례

노권재 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.2

The intramedullary nailing of long bone fractures, particularly, fractures of the shaft of femur in adults, is a satisfactory technique as it fulfills the objectives of fracture management. Malunion is, however, a significant problem with intramedullary nailing of the Kuntscher type, the major problem is malrotation which occurs either at the time of the operation or as a result of rotatory instability. Another from of malunion that occurs is shortening of the fracture site especially in the presence of comminution. Klemm & Schellmann(1972), and King(1980) has shown, however, by using interlocking cross-pinning technique that stable fixation can be achieved with no significant shortening and this development has extended the indications of intramedullary nailing. Four cases of femoral shaft fractures were treated by interlocking intramedullary nailing and good results were obtained at Ewha Womans University Hospital, Department of Orthopedic Surgery, Since February, 1985.

슬관절 관절경술에 대한 고찰

노권재 梨花女子大學校 醫科大學 醫科學硏究所 1993 EMJ (Ewha medical journal) Vol.16 No.4

Arthroscopy of the knee joint is an essential diagnostic procedure of the knee joint lesions because of its high diagnostic accuracy, simple procedure, high safty and low morbidity. Weapplied arthroscopy in the diagnosis of 62 patients with pain, swelling, limitation of motionand giving way of the knee joint from Jan. 1987 to Dec. 1991 at Ewha Womans University Hospital. Only 49 patients of these were followed over 6 months and we analysed and comparedwith clinical diagnosis and rthroscopic findings. The results were follows : 1) Patients with knee joint lesions were most common in 3rd and 4th decades. 2) Patients with traumatic history were 57.1% (28 patients). 3) Most common lesions were meniscal lesion and most commonly used method of treatmentafter arthroscopy was meniscectomy. 4) Three ]patients with internal derangement of knee were diagnosed meniscal injury after arthroscopy.

골 시멘트를 이용하지 않는 고관절 전치환 성형술의 임상적 연구

노권재 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.4

Component loosening is the main important problem in cemented total hip replacement arthroplasty(THRA). And cementless THRA is recommended in recent years to provide the biological fixation of the components. During past 3 years from July 1982 to June 1985, 23 cases of cementless THRA were carried out at Dept. of Orthopedic Surgery, Ewha Womans University hospital and following results were obtained. 1) There was no difference in sex distribution. Age distribution was variable from 22 years old to 78(average 57.2), and 20 cases(87%) was above 40 years old. 2) The primary diseases were 8 cases of avascular necrosis of the femoral head; 8 of femoral neck fracture; 4 of osteoarthritis: 2 of old tuberculosis and 1 of fused hip due to healed tuberculosis. 3) Types of implants were 9 cases of Harris/Galante, 6 of A.M.L. type, 5 of Ceramic Prosthesis and 3 of P.M. type. 4) Intraoperative complication was 1 case of femoral shaft penetration. Postoperative complications were 2 cases of superficial infection and 2 cases of dislocations. 5) The functional results were increased from 45 to 85.5 points by Harris scores and from 5.9 to 9.8 points by D'Aubigne scores.

슬관절 인대손상에 관한 임상적 고찰

노권재 梨花女子大學校 醫科大學 醫科學硏究所 1992 EMJ (Ewha medical journal) Vol.15 No.4

It has been well known that the knee joint is burdened on motion and weight bearing and structurally, it is more frequently injured than other joints. And ligamentous injuries of the knee joint are frequent, because of the increasing traffics and popularity of sports. In seems to be important to understand on the mechanism of injury, method of physical examination and treatment of the ligamentous injuries of the knee. The purpose of this paper is to get accurate diagnosis and proper treatment. Sixty-four cases of ligamentous injuries in patients who were admitted and treated at the Department of Orthopedic Surgery of Ewha Womans University Hospital from March 1989 to February 1992 have been reviewed. The results of this study were as follows : 1) The ligamentous injuries of the knee were more prevalent in male 2.2 times than female. and frequently occured in second to third decades(65.6%). 2) Traffic accident was the most common causes, and the most frequent associated injuries were fractures. 3) The most frequently ruptured ligment was medial collateral ligament and its most common site of rupture was femolar attachment. 4) Frequently, lateral collateral ligament was detached from the femoral attachment, anterior and posterior cruciate ligaments were ruptured through their substances. 5) There were twelve cases of isolated cruciate ligament injury, four cases were posterior and others were anterior. 6) Excellent or good result was obtained in most cases by both operative and nonoperative treatment.

대퇴골 전자부 주변 골절 골수강 금속정 고정술

노권재 대한고관절학회 2003 Hip and Pelvis Vol.15 No.4

미식축구 손상

노권재,김동욱 대한스포츠의학회 1995 대한스포츠의학회지 Vol.13 No.2

American football is currently played in 29 Universities in Korea. It is a contact sport where injuries are inevitable. This study was undertaken to determine the incidence and the anatomical distribution of injury based on evaluation of Yonsei University American football team. A total 74 injury was reported among 77 players. Knee, ankle and hand were vulnerable to injury. Operations were performed on 9)12.2%) of the injuries. Catastrophic injuries can occur in this sport, but none has happened in Yonsei University team during the 20 years for which the sport has been practised. The frequency of injuries and their profile resemble those in US-based studies so it is suggested that the precautions and preventive measures recommended in the USA should be applied and follewed in Korea.