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RISS 인기검색어
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- 저자 : 위진상 ( Jin Sang Wie ) (검색결과 3 건)
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Legg-Calve-Perthes 병에 있어서 대퇴골 내반 절골술의 장기 성적
위진상 ( Jin Sang Wie ),노성만 ( Sung Man Rowe ),정을오 ( El O Jung ),임영진 ( Young Jin Lim ),송지훈 ( Ji Hun Song ),정명국 ( Myung Guk Jung ) 대한고관절학회 2009 Hip and Pelvis Vol.21 No.3
Purpose: The purpose of this study was to evaluate the long term results of performing femoral varus osteotomy (FVO) for the treatment of Legg-Calve-Perthes disease (LCPD). Materials and Methods: We selected 35 LCPD patients who received FVO and they were followed up to the time their skeletons` matured. The inclusion criteria were patients in a fragmentation stage, the patients were in Catterall group Ⅲ or Ⅳ, and the patients underwent a teleoroentgenographic examination at the time of full skeletal maturity. Results: The radiological outcome at the time of skeletal maturity was assessed using Stulberg`s classification. The final results were 4 hips in class I, 17 hips in class II, 13 hips in class III, one hip in class IV and none in class V. The satisfactory results (good+fair hips) were 34 hips (97%). Significant shortening (>10 mm) was observed in 12 hips (34%). In 35 patients, 5 (14%) had same leg length (less than 2 mm difference), 27 (77%) had shortening of 2 mm or more, and 3 had lengthening of 2 mm or more in the operated limb. Of these 12 patients with significant shortening, only 3 patients (9%) showed shortening of 21 mm or more. Conclusion: FVO is a reliable method for managing LCPD in patients who are in Catterall group III or IV and who are in the fragmentation stage of disease.
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대퇴골 부착부 전십자 인대의 부분 파열에 의한 슬관절 잠김현상
전철홍,황병연,위진상 대한슬관절학회 1997 대한슬관절학회지 Vol.9 No.2
Objectives: Locking of the knee is usually attributed to a tear of meniscus, or to a loose body that mechanically obstructs the motion of joint. A less frequently recognized cause of a locked knee is a partial tear of the ACL. The purpose of this study is to report that the partial tear of the ACL at the femoral attachment site of posterolateral bundle provided a mechanical obstruction in the knee, and it is convicted the injury mechanism of isolated ACL. Material and Methods: The author presents 16 cases in which the torn ACL was observed knee locking under arthroscopy from February 1993 to June 1996. Patients ages ranged from 22 to 54 years. The mechanism of injuries were 6 sports activity(Ski 4, Soccer 1, Badminton 1), 4 slip down, 3 pedestrian car accidents and 3 unknown causes with especially low velocity injuries. Although the chief complain in each case was knee pain, all had locking knee that, on physical examination, locked from 5˚ to 20˚ of full extension, and 4 locked full flexion. The positive Lachman test was obtained 3 of the 16 paitents. Associated intraarticular injuries were 2 tears of the medial meniscus, 1 lateral meniscus. Results: The average time to arthroscopy was 3 nonths with a range of 1 month to 10 months. An arthroscopic diagnosis and treatment were performed and meniscal tears were ruled out as the cause of locking in all patients. The injury mechanism of isolated ACL was the hyperextension of the knee with leg I/R and especially low velocity injuries. The ACL was found to have a partial tear at the site of femoral attachment of an estimated P-L bundle. The torn segment of the ACL to become interposed between the lateral femoral condyle and the latera1 tibial condyle and to act as mechanical block was demonstrated. Conclusion: In all cases, the torn portion of the ACL was excised under arthroscopy and knee locking was resolved.
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