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흡수성 반월상 연골나사를 사용한 얇은 골연골 골절의 치료 - 증례 보고 -
전재균,선두훈,송인수,김영우,정재용,이봉주,Chon, Je-Gyun,Sun, Doo-Hoon,Song, In-Soo,Kim, Young-Woo,Jung, Jae-Yong,Lee, Bong-Ju 대한관절경학회 2010 대한관절경학회지 Vol.14 No.2
관절내 골연골 골절은 적절한 치료가 이루어 지지 않은 경우 골관절염을 초래하여 통증과 기능장애를 초래할 수 있다. 골 연골 골절의 크기가 큰 경우에는 관혈적 정복 및 금속고정 수술등으로 치료를 할 수 있으나, 골편의 두께가 2mm 이하로 얇은 경우 튼튼한 고정력을 얻기 어려워 제거 하는 경우가 많았다. 저자들은 대퇴 내과에 발생한 박리성 골연골염 환자와 슬개골 골절로 골편의 두께가 2mm이하인 환자에서 흡수성 반월상 연골나사를 이용하여 좋은 결과를 얻었기에 보고하고자 한다. Inappropriate treatment of osteochondral fracture can cause osteoarthritis, pain, functional disorder. With large osteochondral fracture, reduction and fixation of the fragment using metal implant. However, when the bone fragment had less than 2mm, the fragment extracted because of difficulty of fragment fixation. Authors treated patients with fracture fragment thickness less than 2mm of osteochondral dissecans in medial femoral condyle and patella fracture using biodegradable meniscus screw, and then we obtained good result.
연골판 주위 결절종으로 의심되었던 관절 외 연골판 주위 활액막 연골종 - 1례 보고 -
전재균,선두훈,정현석,김영우,정재용,Chon, Je-Gyun,Sun, Doo-Hoon,Jeong, Hyeon-Seok,Kim, Young-Woo,Jung, Jae-Yong 대한관절경학회 2009 대한관절경학회지 Vol.13 No.3
활액막 연골종이 관절 외에서 발생하는 경우는 매우 드물다. 손 발 및 손목 등에서 주로 발생하며, 대 관절 가운데 주로 슬 관절에 발생하며, 건막, 관절막, 및 점액낭에서 발생하는 것으로 알려져 있다. 발생 원인은 특발성이며, 활막 세포가 연골 세포로 화성(metaplasia)에 의한다. 연골 단괴는 석회화가 진행되어 골화가 이루어지는데, 석회화 또는 골화가 이루어지기 전 단계에서는 단순 방사선 소견으로 진단이 어려워 MRI등의 검사가 필요하다. 저자는 크기가 크고 MRI 소견에서도 낭종과 유사한 소견을 보여 결절종으로 의심하여 수술하였던 관절 외 연골판 주위 활액막 연골종을 보고 한다. Extraarticular synovial chondromatosis is a very rare disease which affects the hands, feet, and wrists most commonly. In cases of involvement around large joints, the tissues around knee are usually involved. It arises from tendon sheath, capsular tissue and bursae. It is an idiopathic process in which the synovial cells undergo the metaplasia into cartilage cells. Chondroid matrix of the cartilaginous nodules calcify and ossify to be the osteochondroma. On simple radiograms before calcification and/or ossification of the chondroid tissues the cartilaginous nodules look normal on radiograms. Therefore MRI is needed to establish the diagnosis. We report a case of extraarticular pan-peri-meniscal synovial chondroma around right knee, initially suspected as a ganglion cyst which clinically mimicked a large rounded lesion or a cystic lesion on MRI.
Lospa와 Scorpio NRG 고굴곡형 인공 슬관절 전 치환술의 2년 추시 결과의 비교
전재균(Jae-Gyun Chon),송인수(In-Soo Song),선두훈(Doo-Hoon Sun),장성원(Sung-Won Jang),이종근(Jong-Geun Lee) 대한정형외과학회 2013 대한정형외과학회지 Vol.48 No.6
목적: 고굴곡형 Lospa (Corentec Inc.)와 Scorpio NRG (Stryker Inc.) 인공 슬관절 치환술을 시행하고 임상적 및 방사선적 결과를 평가하고자 한다. 대상 및 방법: 2010년 9월부터 2012년 3월까지 Lospa 인공 슬관절 치환술을 시행받은 128명(205예; A군)과 동일 기간 중 Scorpio NRG 인공 슬관절 치환술을 시행받은 102명(164예; B군)을 전향적으로 비교하였다. 역학적 축의 변화와 대퇴-경골 간 각을 측정하였으며 술 후 치환물의 위치(α, β, γ, δ)와 슬개골 경사를 측정하였다. 또한 hospital for special surgery (HSS), knee society score(KSS)와 관절 운동 범위의 변화를 비교하였다. 결과: 역학적 축은 A군이 술 전 내반 34.8 mm에서 2.6 mm (p=0.02)로, B군에서는 술 전 내반 34.3 mm에서 3.1 mm (p=0.04)로 교정되었으며 두 군 간의 차이는 없었다(p=0.13). 대퇴-경골 각은 A군은 내반 4.3o에서 외반 6.6o (p=0.02)로, B군은 내반 4.4o에서 외반 6.5o (p=0.03)로 교정되었으며 두 군 간의 차이는 없었다(p=0.25). 평균 HSS 점수는 A군이 술 전 48.5점에서 최종 추시상 93.6점으로 향상되었으며(p=0.02) B군은 41.4점에서 94.4점으로 향상되었다(p=0.01). 결론: Lospa 인공 슬관절 치환술은 우수한 방사선적, 임상적 초기 결과를 보여주었으며 Scorpio NRG 인공 슬관절 치환술과 결과에서 유의한 차이가 없었다. Purpose: The purpose of this study is to evaluate the clinical and radiologic results after high flexion Lospa (Corentec Inc.) and Scorpio NRG (Stryker Inc.) total knee arthroplasty. Materials and Methods: We prospectively compared 205 knees in 128 patients who underwent arthroplasty using Lospa (group A) and 164 knees in 102 patients who underwent arthroplasty using Scorpio NRG (group B) from September 2010 to March 2012 at Department of Orthopaedic Surgery, Sun General Hospital (Daejeon, Korea). Mean follow-up period was 23 months in group A and 24 months in group B. The radiologic analysis included the change of mechanical axis deviation and femoro-tibial angle, implant position (α, β, γ, δ), and patellar tilt. The clinical results were evaluated according to hospital for special surgery (HSS), knee society score (KSS), and range of motion. Results: Mechanical axis deviations were change in varus from 34.8 mm to 2.6 mm (p=0.02) in group A, and change in varus from 34.3 mm to 3.1 mm (p=0.04) in group B; no statistically significant difference was observed between them (p=0.13). Femoro-tibial angles were varus 4.3° to valgus 6.6° (p=0.02) in group A, and varus 4.4° to valgus 6.5° (p=0.03) in group B; no significant difference was observed between them (p=0.25). No significant difference in implant position was observed between the two groups (p=0.25 in α, p=0.17 in β, p=0.12 in γ, p=0.17 in δ). Mean HSS improved from 48.5 to 93.6 (p=0.02) in group A, and from 41.4 to 94.4 (p=0.01) in group B. Conclusion: Lospa total knee arthroplasty showed excellent early radiologic, clinical results and no statistically significant difference in the results was observed between Lospa and Scorpio NRG.
최호림,유현종,임영택,이상선,전재균,Choi, Ho-Rim,Yoo, Hyun-Jong,Lim, Young-Taeg,Lee, Sang-Seon,Chon, Jae-Gyun 대한족부족관절학회 1999 대한족부족관절학회지 Vol.3 No.1
Traumatic dislocation of the peroneal tendon is a rare injury. It should be distinguished from other conditions that can cause pain and disability of lateral aspect of the ankle joint. We experienced a case of chronic recurrent dislocation of the peroneal tendon, which was treated by deepening of the peroneal groove of the lateral malleolus and reattachment of the superior peroneal retinaculum. The clinical result was satisfactory.
동종 골 - 슬개건 - 골 과 자가 골 - 슬개건 - 골을 이용한 전방십자인대 관절경적 재건술 23례의 임상결과 비교(중간 보고)
조재영,배상원,이진홍,전재균,윤석현 대한슬관절학회 1996 대한슬관절학회지 Vol.8 No.2
Although there have been various treatment methods for ruptured ACL from the conservative care to the reconstructive surgery, arthroscopic ACL reconstruction with bone patella tendon bone graft has been gold standard technique. It has been reported that clinical results of autograft and allograft for ACL reconstruction were about the same. The purpose of this study is to compare the clinical results after arthroscopic ACL reconstruction with BPTB allograft( Group 1: 12 cases ) and BPTB autograft ( Group 2: 11 cases ). Average duration of follow up was 12 months( Group 1: l2 months, Group 2: 11 months ). The clinical results were evaluated by IKDC ligament standard evaluation form, KT 2000TM knee ligament ARTHROMETER and analyzed with Mann-Whitney U test. Clinical result of harvest sight pathology showed clear statistical difference (P(0.05 ). But other clinical results did not show obvious statistical difference between Group 1 and Group 2. We think that these above mentioned results are due to a short term follow up. But higher rate of ligament laxity was shown in the ligament evaluation, such as anterior translation more than 5mm, occurred in 3 cases of allograft group (25%). We know that longer duration of follow up should be necessary to (obtain the more meaningful clinical results, and we wiil report again because it is preliminary study.
이치원,한성준,최호림,최원태,이정웅,전재균,이상선 대한골절학회 2000 대한골절학회지 Vol.13 No.1
Purpose : To evaluate the results of operative treatment for intercondylar fracture of the distal humerus in adults. Materials and Methods: From February 1994 to June 1998, 15 patients with more than one year follow-up periods were treated by operative method at Sun General Hospital. 12 of them were treated by open reduction and internal fixation(dual plate for 8, screw & K-write for 4) and 3 of them by open reduction & Ilizarov fixation. Open or closed fracture and AO classification of fracture were considered as a prognostic factor. The functional results were analyzed by Jupiter's critera. Results: There were 2 excellent, 2 good in C1 type, one excellent, 2 good, one fair and 2 poor in C2 type, and one excellent, 2 good, 2 poor in C3 type. And there were one good and one poor in 2 open fractures and 4 excellent, 5 good, one fair and 3 poor in closed fractures. The average range of motion of the elow joint was 85�(30�-115�). Overall results show excellent and good in 67%(10 of 15) and poor in 27%(4 of 15). Conclusion: It's not easy to get satisfactory results in treatment for intercondylar fracture of the distal humerus. We suggest that more efforts are needed to get anatomical reduction, rigid internal fixation and early joint motion in interconylar fracture of the distal humerus.