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      • KCI등재

        견봉 쇄골 탈구의 TightRope(R)을 이용한 관절경적 오구 쇄골인대 재건술

        이지완 ( Ji Hwan Lee ),전철홍 ( Churl Hong Chun ),김정우 ( Jeong Woo Kim ),정기준 ( Ki Joon Jeong ),최윤홍 ( Yoon Hong Choi ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.1

        This study was to introduce arthroscopic coracoclavicular ligament reconstruction for acromioclavicular dislocation using by TightRope(R) and to report the result. This study evaluated 15 patients who were treated with arthroscopic coracoclavicular ligament reconstruction from October, 2007 to June, 2008. There were 6 patients in third type and 9 patients in fifth type. We inserted arthroscopy through subacromial space and operated using tying technique on clavicle after inserting TightRope(R) from superior clavicle to coracoid process. There were 6 cases of intra-articular lesions in arthroscopic findings. At radiological exam, 13 patients were maintained anatomical reduction. 2 patients showed redislocation in 6 weeks, they were reoperated. There were some advantages of this operation, which be able to reduce the postoperative pain and to check and treat the possible intra-articualar pathology of shoulder joint at the same time. we think this procedure can be a better option for coracoclavicular ligement reconstruction than open procedure.

      • KCI등재

        동종골 이식과 NexGen<SUP>®</SUP> LCCK를 이용한 슬관절 재전치환술

        전철홍(Churl Hong Chun),권석현(Seok Hyun Kweon),김현준(Hyun Jun Kim),정기준(Ki Joon Jeong),김광미(Kwang Mee Kim) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.6

        목적: 불안정성과 골 결손이 동반된 경우, NexGenv LCCK (Legacy<SUP>®</SUP> knee constrained condylar knee, Zimmer, Warsaw, IN)와 동종골 이식을 이용한 슬관절 재전치환술 후 임상적, 방사선학적 결과를 알아보고자 한다. 대상 및 방법: 재전치환술과 동종골 이식 후 2년 이상 추시 가능한 20명의 환자, 21예를 대상으로 하였고, 평균 연령은 69.2세, 추시 기간은 평균 3년 5개월(2년-8년 2개월)이었다. 임상적 평가는 Hospital for Special Surgery (HSS) 슬관절 점수를 분석하였으며, 방사선학적 분석은 미국 슬관절 학회의 방사선학적 평가법을 사용하였다. 결과: 재전치환술까지는 평균 6년 4개월이었고, 원인으로는 삽입물의 해리 10예, 감염 9예, 불안정성 2예였다. 모든 예에서 동종골 이식을 시행하였고 금속 보강물은 동종골 이식후 부족한 대퇴골 후방부에 2예, 관절선 회복을 위해 경골부에 6예 사용하였다. 운동범위는 술 전 평균 93도에서 술 후 107도로 증가하였고, HSS 슬관절 점수는 술 전 평균 45점에서 술 후 87점으로 증가하였다. 방사선학적으로 대퇴 경골각은 술 후 평균 외반 5.7도였으며, 모든 예에서 방사선 투과선은 4점 이하였고, 삽입물의 위치 변화는 보이지 않았으나, 주대 주위로 방사선 불투과선이 3예, 합병증으로 창상 이개 1예, 표층 감염이 2예였다. 결론: 동종골 이식과 함께 NexGen<SUP>®</SUP> LCCK를 이용한 재전치환술은 만족할 만한 치료 결과를 얻었으나 장기추시가 필요하리라 사료된다. Purpose: To analyze the clinical and radiographic results after revision total knee arthroplasty (TKA) using Nexgen<SUP>®</SUP> LCCK (Legacy<SUP>®</SUP> knee constrained condylar knee, Zimmer, Warsaw, IN) with allograft. Materials and Methods: Twenty patients (21 knees) taken revision TKA were analyzed. The average age of the patients was 69.2 years old and the average of follow-up duration was for 2 year to 8 years 2 months (average 3 years 5 months). The clinical result and radiographic measurements were assessed using the Hospital for Special Surgery (HSS) knee rating score and the roentgenographic method of the American Knee Society. Results: The mean interval from TKA to revision surgery was 6 years 4 months. In all cases, allograft was used. The average range of motion was increased from 93° to 107°, HSS score was increased from an average of 45 to 87 points. Postoperative femorotibial alignment was averaged 5.7° valgus. In all cases, radiolucency was below 4 scores and there was no loosening of implant. But, three radiopaque lines around a stem. There were wound dehiscence in 1 case and superficial infection in 2 cases. Conclusion: Satisfactory results were obtained in revision TKA using a NexGen<SUP>®</SUP> LCCK with allograft. But, this study is favorable for the long term follow-up.

      • KCI등재

        슬관절 연골 결손에 대한 Fibrin Matrix 자가 연골 세포 이식술 후 임상적 결과와 자기공명영상 소견 및 운동력 회복

        전철홍 ( Churl Hong Chun ),김광미 ( Kwang Mee Kim ),정기준 ( Ki Joon Jeong ),한정규 ( Joung Kyue Han ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.2

        The purpose of this study was to evaluate the clinical results, MRI findings and recovery of sports activity in 11 patients with cartilage defects of the knee who received fibrin matrix autologous chondrocyte implantation (ACI) from December 2005 to February 2008. Their mean age at the time of surgery was 37.8 years and the mean follow-up was 24.1 months. The average size of defect was 6.27 cm2. The site of defect was located in medial femoral condyle or lateral tibial condyle. Clinical results were assessed using the Lysholm score, VAS score, modified Cincinnati knee score, Tegner activity scores. MRI was examined at 12 months postimplantation. The quadriceps and hamstrings strength were measured using Biodex System. Mean modified Cincinnati score, VAS score, Lysholm score and Tegner activity scores were showed significant improvement. MRI studies also were showed significant improvement. Peak torque and total work at postoperative period were significantly greater than at preoperative period. The treatment of chondral lesions of the knee using ACI brought positive clinical results. It has been shown that ACI is an effective means of managing focal chondral lesions of the knee. The clinical, MRI findings and recovery of sports activity reflect the good outcome obtained with the procedure.

      • KCI등재

        동종 반월상 연골 이식술 후 임상적 결과 및 운동력 회복

        김광미 ( Kwang Mee Kim ),전철홍 ( Churl Hong Chun ),정기준 ( Ki Joon Jeong ) 대한스포츠의학회 2011 대한스포츠의학회지 Vol.29 No.1

        The purpose of this study was to evaluate the clinical results and recovery of sports activity in patients who received meniscal allograft transplantation. From December 1999 to May 2009, we selected 36 cases out of 38 cases who received meniscal transplantation using fresh frozen allograft. The mean age was 33.8 years (range: 17-50 years) and the mean follow up was 68.8 months (range: 12-142 months). Clinical results were evaluated with knee assessment scoring system (KASS), Lysholm knee score and International knee Documentation Committee. The information of quadriceps and hamstrings strength recovery was obtained using Tegner activity scale, Tegner activity score and Biodex system 2 (Biodex, USA), and it was used to evaluate the recovery of sports activity. The average KASS score was increased from 61.7 preoperatively to 83.8 postoperatively. The average Lysholm score was increased from 77.7 preoperatively to 87.7 postoperatively. Also, Tegner activity scale, Tegner activity score and the recovery of quadriceps and hamstrings increased at 1year after surgery. In knee joint position sense, the proprioception increased compared to preoperational count. We propose the meniscal allograft transplantation is one of a proper treatment after subtotal or total meniscectomy, which can significantly relieve pain and improve function of the knee joint.

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