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 : 백호동 (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
최소 절개 기법에 의한 아킬레스건 파열의 수술적 봉합술
정홍근,백호동,Jung, Hong-Geun,Paik, Ho-Dong 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.2
Propose: There have been many debates about the ideal surgical technique for acute Achilles tendon rupture. The purpose of this study is to review and analyze the clinical outcome of the acute Achilles tendon ruptures that had been repaired by indirect suture technique with minimal incision that utilized an instrument called Achillon (Newdeal, France). Materials and Methods: This study is based on the 14 cases (14 patients) of acute Achilles tendon total ruptures that have been repaired by minimal incision technique utilizing Achillon instrument from June 2003 to December 2004. Two cases were reruptured before 8 weeks and repaired again using Krackow suture which left 12 feet for postoperative functional evaluation with at least 6 months of follow-up. Ten cases were men and average age at time of injury was 34.4 (26-49) years. The time from injury to surgery was an average of 4.5 (1-9) days and the postoperative evaluations were done by an Arner-Lindholm scale and AOFAS score. The ability to return to original work and sports activities as well as patient satisfaction were also evaluated. Results: The follow-up period was averaged for 13.2 (6-24) months. Seventy-one percent of cases were ruptured during sports activities. The ruptured level was the average of 5.1 cm (3.2-8 cm) above calcaneal attachment and the skin incision was averaged for 2.7 cm (2.5-3.0 cm) long. At final follow-up, standing on tip-toe was possible in all cases while the heel-floor height on ruptured side was shorter by 0.7 cm (0-2 cm). By Arner-Lindholm evaluation scale, 9 cases were excellent, and 3 cases were good. Overall AOFAS score was an average of 96.1 (94-100), and all patients were satisfied with the result. Patients returned to work at an average of 1.3 months after the surgery and pre-injury sports activities were all possible from at 6 months after operation. Conclusion: Since we have treated acute Achilles tendon ruptures with minimal incision technique utilizing the Achillon and gained encouraging functional results with all patients returning to previous work with high patient satisfaction, this technique could be recommended as one of the ideal surgical options for the Achilles tendon ruptures.
-
정홍근,김유진,심상호,백호동,Jung, Hong-Geun,Kim, You-Jin,Shim, Shang-Ho,Paik, Ho-Dong 대한족부족관절학회 2006 대한족부족관절학회지 Vol.10 No.1
Purpose: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications. Materials and Methods: Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale. Results: The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations. Conclusion: Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.
-
-
골다공증에 의한 척추체 압박골절에 대한 경피적 추체 성형술 260예 대한 임상 치험예
민상혁 ( Sang Hyuk Min ),김명호 ( Myung Ho Kim ),박희곤 ( Hee Gon Park ),백호동 ( Ho Dong Paik ) 대한골절학회 2006 대한골절학회지 Vol.19 No.3
목적: 골다공증에 의한 척추체 압박골절에서 경피적 추체 성형술의 효과와 안정성을 확인하고 임상적 결과 및 합병증 등을 후향적으로 조사하여 유용성을 확인하고자 하였다. 대상 및 방법: 1999년 7월부터 2004년 7월까지 골다공증에 의한 척추체의 압박골절을 치료하기 위해서 경피적 추체 성형술을 시행하였던 260명을 대상으로 하였다. 남자가 55명, 여자가 205명이었으며 평균 나이는 69.4세 (55-91세)였다. 골 시멘트를 이용한 경피적 추체 성형술을 시행하였으며, 시술 전후로 통증의 등급표를 작성하여 이를 기준으로 통증의 변화 정도를 관찰하였다. 시술 후 단순 방사선 사진과 컴퓨터 단층촬영, 동맥혈검사, 단순 흉부 방사선검사 촬영을 통해 합병증 여부를 평가하였다. 1주째 추시 방사선 검사를 시행하였고 환자의 증상 호전 정도 및 시술 후 합병증 등을 파악하였다. 외래추시 1년마다 골밀도 검사를 하였으며 2년 이상 골다공증약 투여를 권장하였다. 1년째 외래추시상 평가한 임상결과는 우수, 양호, 저하, 불량으로 나누어 평가하였다. 또한 VAS (visual analogue scale, 0∼10) 동통점수를 이용하여 시술 1주째와 1년째에 대해 변화를 평가하였다. 통계학적 분석은 SPSS (version 11.0)을 사용하여 t-test를 이용하였고 p<0.05를 통계적 유의 수준으로 하였다. 결과: 시술 후 증상의 호전 정도는 1주째에 우수 73명 (28.3%), 양호 123명 (45.5%), 보통 45명 (17.8%), 불량 23명 (8.5%)으로 전체 대상 환자의 73.8%에서 양호 이상의 호전을 보였으며 1년 추시상에서 우수 76명 (29.3%), 양호 120명 (44.3%), 보통 43명 (16.8%), 불량 25명 (9.6%)으로 전체 대상 환자의 73.6%에서 양호 이상의 호전을 보여 시술 직후와 1년 추시상 결과에 큰 차이가 없었다. 합병증으로 혈흉으로 인한 사망이 1예, 부정맥이 발생이 4예 있었으며, 인접 추체의 추가 압박 골절이 15명 (21추체)에서 관찰되었다. 결론: 골 시멘트를 이용한 경피적 추체 성형술은 골다공증성 척추체 압박골절 환자의 치료에 있어 수술 후 즉각적인 통증의 완화와 장기 추시상 큰 차이가 없어 고령의 환자에서 장기간의 견인술 및 침상 안정에 따른 합병증을 예방할 수 있으며, 보조기 착용 없이 조기보행이 가능하여 골다공증에 의한 척추체 흉요추부 압박 골절 환자의 치료에 유용한 술식으로 생각된다. Purpose: To evaluate retrospectively the results regarding pain relief, complication after percutaneous vertebroplasty, for an osteoporotic compression fractures. Materials and Methods: 260 patients (male 55, female 260, mean age 69.4 years old) treated by percutaneous vertebroplasty in Dankook University Hospital from July 1997 to July 2004 were reviewed. We performed percutaneous vertebroplasty and observed the degree of pain relief using pain scale pre-/postoperation. we evaluate the complication by plain radiographs and computed tomography, ABGA and chest X-ray. we evaluate pain relief and complication for 1 week by follow- up plain radiographs. we recommended BMD follow-up per 1 year and osteoporosis medication at least 2 years. A clinical result was evaluated as excellent, good, fair, poor and visual analogue scale (VAS 0∼10) for 1 year. We prefaced a statistical analysis by T-test using SPSS (version 11.0) correlating 1 week and 1 years effects. Results: 73 (28.3%) of the patients were evaluated as excellent: 123 (45.5%), as good: 45 (17.8%), as fair; and 23 (8.5%), as poor, show 73.8% over good in 1 week. 76 (29.3%) of the patients were evaluated as excellent; 120 (44.3%), as good; 43 (16.8%), as fair; and 25 (9.6%), as poor in 1 year, show 73.6% over good result. 1 week follow-up and 1 year follow-up show similar results. 1 patient had death (hemothorax), 4 patients had arrhythmia, 15 patients (21 vertebrae) had fracture around vertebroplasty. Conclusion: Percutaneous vertebroplasty using PMMA is valuable method in the treatment of osteoporotic compression fracture, providing immediately pain relief, long term pain relief, prevention of complication originated from long term traction and bed rest, unwearing brace and early ambulation.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
