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- 저자 : 양동렬(Dong Lyul Yang) (검색결과 7 건)
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인주철,김풍택,양동렬,김신윤 대한골절학회 1994 대한골절학회지 Vol.7 No.2
We analyzed Twenty eight cases of femoral head fracture associated with posterior hip dislocation managed in Kyungpook National University Hospital between 1984 march and 1993 June. Classification was made by Pipkin and we added impaction fracture as another classification by post reduction CT finding. The results were as follows 1. Most common type of fracture was impaction of femoral head by CT, Which is not included by pipkin classification. 2. Excellent, or Good result according to Epstein criteria, 7 of 8 cases in Pipkin type [, 1 of 3 cases in type II, 0 of 4 cases in type 0, 1 of 4 cases in type N, 6 of 9 cases in impaction fracture. 3. There were no significant difference between the results of operative treatment and conservative treatment. 4. Post reduction CT was useful to determine the method of the further treatment. 5. Complications were avascular necrosis in 5 cases, posttrumatic arthritis in 3 cases, sciatic nerve paresis in 2 cases, heterotropic ossification in 1 case.
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이재성,태석기,정영복,양동렬,임정일 대한골절학회 2001 대한골절학회지 Vol.14 No.1
Purpose: To analyse the frequency of soft tissue injuries associated with tibial plateau fracture through arthoscopy and demonstrate the pattern and treatment of lateral meniscal tear which is the most frequently concomitant injury. Material and Method: We evaluated the charts, X-rays and arthoscopic records of the 27 patients who had been diagnosed as tibial plateau fracture and received the arthoscopic examination or arthoscopic assisted operative management and analysed the injury pattern, association of schatzker classification and treatment of the 9 patients who had been concomitant with lateral meniscal tear. Result: In our cases, lateral meniscus tear was the most common among the soft tissue injury it was revealed that a longitudinal tear at the peripheral area was shown in 8 cases, which were treated with meniscal repair and a radial tear of the central area in l cases, treated with partial menisectomy. Conclusion: Lateral meniscus injury is one of the most frequently concomitant with tibial plateau fracture, In those cases, arthroscopic meniscal repair would be helpful for better prognosis.
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후방십자인대 손상에서 자기공명영상 소견 : 자연 치유력 Can the PCL heal?
강인규,정영복,태석기,양동렬,한정남,송인섭 대한슬관절학회 2000 대한슬관절학회지 Vol.12 No.2
Purpose : The aim of this study was to elucidate the continiuty of ligament in chronic injury of the posterior cruciate ligament(PCL). Materials and Methods : Magnetic resonance imaging(MRI) of twenty-six PCL injury patients with grade II or III laxity and more than 5mm side to side difference on stress radiographs were reviewed in terms of ligamentous continuity and thickness of the ligament at average 7.2 months(range:1-36) after injury. Resalts: Eighteen PCLs(69%) showed continuity of PCL. When thickness of the ligament in cases without continuity was rated as zero, the average thickness of the PCLs as compared to intact portion of the ligament increased as the time from injury elapsed; 16.4% in 0∼2 months group(7 cases), 30.0% in 3-5 months group(6 cases), 53.8% in 6-8 months group(9 cases) and 80.0% in over 9 months group(4 cases). Conclusion: More than two thirds of PCLs in symptomatic chronic injury showed ligamentous continuity on MRI. The longer the interval from injury was, the thicker the PCL was.
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김종원,태석기,한정우,정영복,양동렬,박철경 대한슬관절학회 2001 대한슬관절학회지 Vol.13 No.2
목적 : 남아있는 후방 십자 인대를 제거하지 않고 재긴장시킴 후 약해진 부분을 보강하는 술식으로 만성 후방 십자 인대 손상 환자를 치료한 결과를 분석하기 위함이다. 대상 및 방법 : 만성 후방 십자 인대 손상 환자에게 후방 십자 인대 재긴장술 및 보강술을 받은 환자 중 술후 추시관찰이 1년이상된 23명의 환자를 대상으로 하였고 평균 추시기간은 24.9개월 (16~43) 이었다. 관절경 검사상 연속성을 가진 인대를 경골부착부의 뼈와 함께 떼어낸 뒤 재긴장술을 시행하고, 자가 이식건 또는 동종이식건을 이용하여 보강술을 시행하였다. 결과 : 후방 불안정성 정도는 Telos^�기기를 이용한 방사선 사진 및 KT-1000 관절계측기를 이용한 최대 도수 전이 검사결과 건측과의 차이가 각각 수술전 평균 9.4mm(6~20) 및 7.0mm(5~10)에서 술후 평균 2.0mm*0~8) 및 1.7mm(0~5)로 감소되었다. 임상결과는 IKDC Knee Score경우 수술전 C군 11례, D군 12례에서 술 후 A군 4례, B군 14례, C군 5례이었고, OAK Knee Score는 수술전 양호 9례, 불량 14례에서 술후 최우수 8례, 우수 13례, 양호 2례이었고, 수술전 평균 66.3(42~79)에서 술후 87.3(79~97) 이었다. 결론 : 만성 후방 십자 인대 손상의 재건술시 연속성이 있는 후방 십자 인대를 제거하지 않고 재긴장술 및 보강술을 시행한 결과 후방 불안정성 및 임상결과에서 만족할 만한 결과를 얻었다. Purpose : To evaluate the outcome of the retensioning and augmentation of posterior cruciate ligament(PCL) in chronic PCL deficient patients. Materials and Methods : Twenty-three patients who underwent retensioning and augmentation of PCL were evaluated at average 24.9 months(16~43) after operation. Retensioning of remnant fiber of PCL by distally transferring of tibial bony attachment and augmentation with autogenous or allograft tendon were performed through a posterior approach in supine position. We assessed the posterior instability by stress radiographs with Telos^� stress device(Telos stress device; Austin & Associates, Inc.,G. Scheuda, HD) and maximal manual test with KT-1000 arthrometer(KT-1000(tm), MED metric, USA), and the clinical results by IKDC and OAK knee score before operation and after operation. Results : Average side to side difference in posterior stress radiograghs by Telos(r) stress device decreased from preoperatively 9.4mm(6~20) to postoperatively 2.0mm(0~8). Average side to side difference in maximal manual test with KT-1000 arthrometer also decreased from preoperatively 7.0mm(5~10) to postoperatively 1.7mm(0~5). Final IKDC score was A in four patients, B in fourteen and C in five, which was C in eleven and D in twelve preoperatively. Postoperative OAK score was excellent in eight patients, good in thirteen and fair in two, which was fair in nine and poor in fourteen preoperatively. Average OAK score improved from 66.3(42~79) to 87.3(79~97). Conclusion : The above results show favorable outcome after retensioning and augmentation of PCL without sacrificing the remaining fibers in reconstructive surgery for chronic PCL injury.
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