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RISS 인기검색어
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- 저자 : 이광진(Kwang Jin Rhee) (검색결과 170 건)
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이광진,황득수,오선태 ( Kwang Jin Rhee,Deuk Soo Hwang,Sun Tae Oh ) 대한슬관절학회 1991 Knee Surgery and Related Research Vol.3 No.1
The cruciate ligaments of the knee joint are important in providing the stability of the joint and susceptable to the injuries. The treatment for the cruciate ligament injury has been controversial for many years but for the good results, it is very impor- tant to make an early diagnosis and to give prompt management. In general, various methods of repairing the cruciat.e ligament with arthrotomy have been used in acute cruciate ligament injuries. But we tried the arthroscopic repairs of acutely ruptured anterior and posterior cruciate ligaments without arthrotomy in 4 cases. The results were as followings: 1. The patients were all male and aged 21 to 68 years. The causes of irjuries were traffic accidents in all but one case. 2. The injured ligaments were anterior cruciate ligaments in 2 cases (one at femo- ral and one at tibial attachment site), and posterior cruciate ligaments in 2 cases (one at femoral and one at tibial attachment site). 3. Arthroscopic suture technique provided satisfactory stability, full range of motion of the knee joint and early rehabilitation.
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전방 십자 인대 손상 환자에서 인대 재건술 후 정상군과의 보행 양상 비교
이광진,변기용,김봉옥,정현태,홍주형 ( Kwang Jin Rhee,Ki Yong Byun,Bong Ok Kim,Hyun Tae Jung,Joo Hyoung Hong ) 대한슬관절학회 1996 Knee Surgery and Related Research Vol.8 No.2
Patients with anterior cruciate ligament deficiency typically do not have quadriceps muscle activity during stance and this gait pattem has heen termed quadriceps avoidance gait. We performed physical examination and computerized 3-dimensional motion analysis on 7 normal controls and 7 patients who had anterior cruciate ]igament reconstruction by having the patients walking in 3 different walking velocity, I, e, a self- selected walking velocity which the patients felts comfortable, a velocity set a metronome with a frequency of 108 per minute, and a fast velocity (the norrnal controls walk with a frequency of 126 per minute, the patients walle as fast as possible.) All the 7 patients were male and the average age was 32.1 years. The averge follow up duration after operation was 21.0 months. The measured average points by the modified I.arson scoring scale was 83.14 and the results were 1 excellent, 5 good and 1 fair. In all patients, limping was rarely observed and iitlle Jimitation was observed in stepping, squatting and running. All the patients consplained mild discomfort on the knee joint during exercise. There were also no limitation of range of motion on the knee joint. In all patients. On gait analysis using 3-dimensional motion analysis system, exter- nal flexion mornent of the injured knee joint was decreased compare to normal controls and ivas more clccie,ised when the patients walked in a t'aster walking velocity during the, midstance and the loading response phases. However net external fle.xion moment of the knee joints implying the activity of quadriceps euicle was ohserved. In surnmary, gait analysis using 3-dimensional motion analysis system may help us to evaluate the. Present state, objectively and to anticipate the prognosis of the patients who had anterior cruciate ligament reconstruction.
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전위된 요골 원위부 골절에 대한 치료 - 전향적 연구 -
이광진(Kwang Jin Rhee),황득수(Deuk Soo Hwang),양준영(Jun Young Yang),이준규(Jyun Kyu Lee),신현대(Hyun Dae Shin),이장익(Jang Ik Lee),최정희(Jung Hee Choi) 대한골절학회 1999 대한골절학회지 Vol.12 No.2
Fractures of the distal end of the radius, including Colles' fractures, represent the most common fractures of the upper extremity. Over the past years, many clinicians had thought of fractures of the distal radius as being a group of injuries with a relatively good prognosis. Today, fractures of the distal radius are recognized as very complex injuries with variable prognosis that depend upon the fracture type and the treatment given. We performed a prospective study in 51 patients(52 cases), by using treatment protocol of Palmer, we treated each fracture according to physiological age, activity, X-ray findings and stability after closed reduction. Final outcomes were evaluated by modified clinical scoring system, criteria for anatomical results and combined functional and anatomical results. Results by using modified clinical scoring system were excellent; 8 cases, good; 16 cases, fair; 22 cases, and poor; 6 cases. Results by using criteria for anatomical results were excellent; 8 cases, good; 26 cases, fair; 10 cases; and poor; 8 cases. In wrist rating scales of New York Orthopaedic Hospital, excellent; 7 cases, good; 32 cases, fair; 6cases, and poor; 7 cases. In our study, fractures of the distal radius were occurred frequently in active young male with high energy injuries. Criteria about acceptable range of reduction in treatment protocol of Palmer were too wide to obtain satisfactory results. Results from many assessment systems did not matched with each other because of differences of point of views. The results of this study proposed that even acceptable reduction is obtained, better outcomes will be brought by operative modality due to decreased frequency of reduction loss and radial shortening. And also, physical therapy after fracture treatment is considered as one of the important factors influencing functional results and the satisfaction of patients themselves.
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