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박주태 ( Joo Tae Park ),신영식 ( Young Shik Shin ),정해전 ( Hae Jeon Jeong ) 대한류마티스학회 1994 대한류마티스학회지 Vol.1 No.2
The elbow joints are often involved in rheumatoid arthritis but it has been suggested that such as involvement is not commonly a major cause of disability in upper limb. To study the result of synovectomy of elbow in rheumatoid arthritis, synovectomy was performed in 16 elbows an 15 patient from March 1990 to April 1933 Average follow-up was 17. 1 months. The results obtained from this study are as follows; 1. Synovectomy of the elbow affected by rheumatoid arthritis is a good procedure even in the presence of advanced radiological changes. 2. All patient are satisfactory results of relief of pain and motion. 3. Although the follow-up in this series are short, averaging 17.1 months, the results see to be maintained. 4. Synovectomy of the elbow may be performed either as an early or as a late procedure with expectation of a useful result. Synovectomy of elbow in rheumatoid arthritis is one of a good treatment if the patient is selected properly.
척추전방 전위증에서 TSRH 기기를 이용한 후측방고정술의 임상적 효과
박주태,신영식,김형근,정해전 대한척추외과학회 1994 대한척추외과학회지 Vol.1 No.2
The management of spondylolisthesis is difficult problem. Some authers advise a nonsurgical policy with a regular clinical review. Srugery would then be advised only if the diformity and pain increase or if a neurologic deficti develops. Fusions after reduction of the deformity would seem to give a chance of better result as the mechanisms of the lumbosacral junction restored to a more stable situation. A retrospective study was undertaken of the effects of posterolateral spinal fusion using TSRH in 42 patients with spondylolisthesis at Pohang St. Mary's Hospital from January 1991 to March 1993. The results are as follows; 1.The age of patients was from 23 to 66 and average 47.8 years old. Among them male were 8 and female were 34 cases. 2.The causes were digenerative(24 cases), spondylolytic(13% cases), taumatic(4 cases) and other cases(1 cases). 3.The reduction was done at Grade ⅠandⅡ spondylolisthesis, reduction rate was 71%. 4.The solid fusion was achieved at 38 cases. 5.There were two casses of pseudoarthrosis with screw breakage 6.The function results by Kirkaldy-Will were as follows; excellent 19 cases, good 14 cases, fair 8 cases and 1 poor case.
박주태,안길영,김형근,성영환 대한척추외과학회 1996 대한척추외과학회지 Vol.3 No.2
The goal of treatment of spinal tuberculosis is eradication of infection, to provide stability for the spine and prevention or correction of deformity. The anterior fusion is the most frequently used surgical treatment of spinal tuberculosis. Advantages of anterior fusion are direct excision of lesion, correction of kyphosis and rapid bone union but several disadvantages are observed as displacement or breakage of graft bone, long immobilization and sometimes increased kyphosis. The two stage operation(combination of anterior fusion and posterior instrumentaion) is attempted to solve the problems, but increased risk comes after two stage major operation. From Jan. 1992 to Jan, 1994, 12 cases of spinal tuberculosis treated with one stage operation(combination of anterior fusion and anterior instrumentation) were analysed. Thses cases were followed up for more than 17 months and following results were obtained. 1. No case was associated with persistence or recurrence of tuberculosis after anterior instrumentation. 2. Bony union was obtained in all cased and average union time was 4 months. 3. By standard Cobb's lateral measurement, mean angle of segmental kyphosis was corrected 7.8 degree on final follow up, loss of correction was only 1 degree.