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RISS 인기검색어
- 검색키워드
- 저자 : 조병규 ( Byeong Kyu Jo ) (검색결과 2 건)
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최영준 ( Young Joon Choi ),이기원 ( Ki Won Lee ),안형선 ( Hyung Sun Ahn ),김정환 ( Chung Hwan Kim ),황재광 ( Jae Kwang Hwang ),김재현 ( Jae Hyoun Kim ),주윤석 ( Youn Suk Joo ),조병규 ( Byeong Kyu Jo ) 대한슬관절학회 2010 대한슬관절학회지 Vol.22 No.1
Purpose: This study was conducted to measure the length of the patellar tendon in normal adults and to analyze the effect of several anthropological variables on the patellar tendon length. Materials and Methods: The study included 316 knees (278 males, 38 females) that were undergoing anterior cruciate ligament reconstruction with a bone-patellar-bone autograft. The patellar tendon length was measured on the middle 1/3 of the ipsilateral patellar tendon taken during the operation and we analyzed the relationships between the tendon length and age, weight, height and gender using simple correlation tests and linear regression analysis. Results: The mean tendon length was 42.6 mm (range: 30~60 mm) and the mean age, mean weight and mean height was 32.7 years, 72.8 kg and 170.2 cm, respectively. There was weak negative correlation between the tendon length and age (Pearson correlation r=-0.187) and weak positive correlation between the tendon length and weight (r=0.288) but there was no significant correlation between tendon length and the body mass index (p=0.282) There was a positive correlation between tendon length and height (r=0.434). There was a significant difference between the males and females for the length of tendon (p<0.001), yet after removing the variance of height, the difference was statistically insignificant (beta=-0.041, p=0.491). The linear regression equation for the patellar tendon length (y, in centimeters) as a function of height (x, in centimeter) can be expressed as y=0.032×1.183. Conclusion: The length of the patellar tendon is correlated with height, and a patient`s height can predict the length of the patellar tendon.
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슬관절 재치환술 후 관절운동 범위에 영향을 미치는 인자
최영준 ( Young Joon Choi ),이기원 ( Ki Won Lee ),김정환 ( Chung Hwan Kim ),안형선 ( Hyung Sun Ahn ),황재광 ( Jae Kwang Hwang ),김재현 ( Jae Hyoun Kim ),주윤석 ( Youn Suk Joo ),조병규 ( Byeong Kyu Jo ) 대한슬관절학회 2010 대한슬관절학회지 Vol.22 No.3
목적: 슬관절 재치환술 후 임상 결과를 알아보고 관절운동에 영향을 미칠 수 있는 인자를 찾아보고자 하였다. 대상 및 방법: NexGen(R) LCCK 치환물을 이용하여 슬관절 재치환술을 시행 받은 환자 55명, 61예를 대상으로 운동 범위를 측정하고 이와 환자의 연령, 체질량 지수, 술 전 관절운동 범위, 변형, 재치환술의 원인 (감염군과 비감염군) 및 폴리에틸렌 삽입물(구속형과 후방십자인대 보완형) 등과의 상관 관계를 분석하였다. 임상적 결과의 평가와 방사선학적 평가는 미국슬관절학회 점수와 미국슬관절학회 방사선학적 평가지침을 이용하였다. 결과: 관절 운동범위는 술 전 평균 113.7o에서 술 후 평균 127.2o로 호전되었다. 술 전 관절운동 범위 (p=0.000)와 원인질환(p=0.006)이 술 후 관절운동 범위와 유의한 상관성을 보였고, 연령(p=0.386), 체질량 지수(p=0.054), 변형 정도(p=0.218) 및 폴리에틸렌 삽입물의 종류(p=0.195)는 술 후 운동범위와 상관 관계가 없었다. 슬관절 점수 및 기능 점수는 각각 술전 평균 31.7점, 27.9점에서 술 후 평균 86.7점, 64.7점으로 호전되었다. 결론: NexGen(R) LCCK를 이용한 슬관절 재치환술은 만족할 만한 임상 결과와 운동 범위를 얻었으며 술전 관절운동 범위와 원인 질환이 술 후 운동 범위와 연관성이 있었다. 구속형 폴리에틸렌 삽입물을 사용한 경우 후방십자인대 보완형 삽입물을 사용한 경우에 비해 운동 범위의 소실은 없었다. Purpose: We aimed to analyze the clinical results and investigate the factors that affect the range of motion (ROM) after revision total knee arthroplasty. Materials and Methods: We measured the range of motion from 61 knees of 55 patients who underwent revision total knee arthroplasty using the Nexgen(R) LCCK and we investigated the factors affecting the postoperative ROM, including age, the body mass index (BMI), the preoperative ROM, deformity, causes of revision (septic vs. aseptic) and the type of polyethylene inserts (constrained vs. posterior-stabilized). The clinical results and radiographic findings were assessed using the American Knee Society Score and the roentgenographic method of the American Knee Society. Results: The mean range of motion was improved from 113.7o to 127.2o. The preoperative ROM (p=0.000) and diagnosis (p=0.006) significantly influenced the postoperative ROM, yet age (p=0.386), BMI (p=0.054), deformity (p=0.218) and the type of polyethylene insert (p=0.195) were not related to the postoperative knee ROM. The American Knee Society Knee Score and Function Score on average was improved from 31.7 and 27.9 points to 86.7 and 64.7 points, respectively. Conclusion: The range of motion and clinical results were satisfactory after revision total knee arthroplasty using the Nexgen(R) LCCK, and the important factors affecting the range of motion after operation were the preoperative ROM and the causes of revision. The range of motion after arthroplasty using the constrained type polyethylene insert was not inferior to that using the posterior-stabilized insert.
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