거골 골연골병변 치료 동향: 대한족부족관절학회 회원 설문조사 분석

조병기,조재호,양기원,이동연,배서영,2021 대한족부족관절학회 학술위원회,Cho, Byung-Ki,Cho, Jaeho,Young, Ki Won,Lee, Dong Yeon,Bae, Su-Young,The Academic Committee of Korean Foot and Ankle Society, 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.4

Purpose: Given the lack of definite evidence-based guidelines in clinical practice, there may be a wide variation in treatment protocols for osteochondral lesions of the talus (OLT). Based on the Korean Foot and Ankle Society (KFAS) member survey, this study aimed to report the current trends in the management of OLT. Materials and Methods: A web-based questionnaire containing 30 questions was sent to all KFAS members in September 2021. The questions were mainly related to clinical experience and preferences in diagnosis, conservative, and surgical treatments for patients with OLT. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Sixty-two (11.3%) of the 550 surgeons queried responded to the survey. The responses to 9 (30.0%) of the total of 30 questions established a tendency. Answers exhibiting a tendency were as follows; additional diagnostic tools except for plain radiograph (magnetic resonance imaging), most common conservative treatment method (oral medication, rest), most important radiological factor in decision making for surgical treatment and method (size of the lesion, ankle instability, loose bodies), most important patient factors in decision making for surgical treatment and method (age, activity or occupation), infrequently requiring posterior arthroscopy (less than 3%), most common revision surgery for failed bone marrow stimulation procedure (osteochondral autograft transplantation [OAT]), not requiring additional procedure for donor site in OAT, the main reason for unsatisfactory result after OAT (persistent pain without radiological abnormality), no generalization of autologous chondrocyte implantation or chondrogenesis using stem cells. Conclusion: This study presents updated information on current trends in the management of OLT in Korea. Both consensus and variations in the approach to patients with OLT were revealed through this survey. Since recent biologic efforts to regenerate cartilage have been unsuccessful, further studies to identify clinical evidence would be needed.

만성 아킬레스건 파열의 수술 전략

조병기,안병현,Cho, Byung-Ki,Ahn, Byung-Hyun 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.2

Chronic Achilles tendon rupture is likely to result in functional impairment in gait and sports activity. The presence of a large defect secondary to retraction of the tendon ends, atrophy of the calf muscles, and vulnerable vascularity of the soft tissue envelope make it a challenging problem to treat. Surgical reconstruction aims to restore the length and tension of the gastrocnemius-soleus complex. Various surgical treatment options have been described, depending on several factors, including residual gap size after scar tissue removal, remaining tissue quality, and vascularity. Despite good results being reported, there is a lack of high-level, evidence-based clinical guidelines available to select the first-line surgical procedure. This paper overviews the current available surgical options for patients with chronic Achilles tendon rupture.

봉합테이프를 이용한 발목 외측인대 보강술이 생물학적 인대 재생에 미치는 영향

조병기,안민용,김윤호,안병현,Cho, Byung-Ki,An, Min-Yong,Kim, Yoon-Ho,Ahn, Byung-Hyun 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.3

Purpose: The aim of this study was to evaluate biological ligament healing quantitatively after suture-tape augmentation for chronic lateral ankle instability. Materials and Methods: Thirty-two patients underwent magnetic resonance imaging (MRI) at a minimum of 2 years after lateral ligament augmentation using suture-tape. Signal/noise ratios (SNRs) and widths of anterior talofibular ligaments (ATFLs) were measured on preoperative and postoperative MRI by three researchers. ATFL biological healing degrees were analyzed using changes in SNRs and widths of ATFLs and by comparing these metrics with those of normal contralateral ankles. Clinical evaluations were performed using foot and ankle outcome scores (FAOSs), Foot and Ankle Ability Measure (FAAM) scores, and ankle stress radiographs. Results: Mean FAOS and FAAM scores improved significantly from 62.4 to 93.6 and 58.3 to 92.3, respectively, at final follow-up (p<0.001). Mean SNRs and ATFL widths improved insignificantly from 8.49 to 8.21 and 2.07 to 2.15 mm, respectively, at final follow-up (p=0.424, p=0.718). Significant differences in mean SNRs and ATFL widths were found between ipsilateral and contralateral sides (p<0.001, p=0.002). Spearman's correlation analysis revealed no significant association between clinical outcomes and degrees of biological healing of ATFLs based on MRI findings. Conclusion: Despite improvements in clinical outcome measures, the effects of suture-tape augmentation for chronic lateral ankle instability on biological ligament healing were insignificant. In addition, no significant correlation was found between clinical outcomes and degrees of biological healing of ATFLs.

비골 동맥 천공지 기저 프로펠러 피판술을 이용한 족관절 주위 연부조직 결손의 재건술: 4예 보고

조병기,박지강,박경진,정수리,Cho, Byung-Ki,Park, Ji-Kang,Park, Kyoung-Jin,Chong, Suri 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.4

Four patients with soft tissue defects around the ankle joint were covered with peroneal artery perforator-based propeller flaps. Using color Doppler sonography, the flap was designed by considering the location of the perforator and soft tissue defects. The procedure was then performed by rotating the flap by $180^{\circ}$. Additional skin graft was required in a patient due to partial necrosis, and delayed wound repair was performed in another patient with poor blood circulation at the distal part of the flap. The remaining patients did not have any complications and results were considered excellent. Good outcomes were eventually obtained for all patients.

만성 발목 불안정증 수술 후의 지속적인 발목 통증

조병기,안병현,Cho, Byung-Ki,Ahn, Byung-Hyun 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.1

Patients with chronic lateral ankle instability often experience a range of associated injuries. The well-known comorbidities include intra-articular pathologies (osteochondral lesion, soft tissue or bony impingement, and loose body), peroneal tendon pathologies, neural injuries, and other extra-articular pathologies. Surgeons should have a high index of suspicion for these associated pathologies before operative intervention, correlate the clinical findings, and plan the treatment. Despite the restoration of ankle stability following ligament repair or reconstruction surgery, a high prevalence (13%~35%) of postoperative residual pain has been reported. This pain can negatively affect the clinical outcomes and patient satisfaction. This study examined the causes of persistent pain after surgical treatments for chronic ankle instability.

족관절 관절염 치료 동향: 대한족부족관절학회 회원 설문조사 분석

조병기,조재호,곽희철,김학준,배서영,2021 대한족부족관절학회 학술위원회,Cho, Byung-Ki,Cho, Jaeho,Gwak, Heui-Chul,Kim, Hak Jun,Bae, Su-Young,The Academic Committee of Korean Foot and Ankle Society, 대한족부족관절학회 2021 대한족부족관절학회지 Vol.25 No.3

Purpose: Variations in the preferred conservative and operative treatment methods for ankle arthritis may be observed in the practice of orthopedic surgeons. This study is based on the Korean Foot and Ankle Society (KFAS) member survey and aims to report the current trend and changes in the management of ankle arthritis over the last few decades. Materials and Methods: A web-based questionnaire containing 24 questions was sent to all KFAS members in July 2021. The questions were mainly related to the preferred techniques and clinical experience in osteotomy, arthrodesis, and total ankle arthroplasty (TAA) for patients with ankle arthritis. Results: Sixty-three out of 550 surgeons (11.5%) responded to the survey. The responses to 6 out of the total of 24 questions (25.0%) achieved the levels needed to reflect a tendency. Answers that showed a tendency were related to the following: a surgical approach for arthrodesis (anterior approach), use of auto-bone graft for arthrodesis (iliac bone), a nonunion rate of more than 10% following arthrodesis, main reason related to unsatisfactory results after arthrodesis (nonunion or delayed union), the main reason to change total ankle prosthesis (unstable supply of prosthesis), the unusualness of revision TAA and conversion of fusion to TAA. Diversity was found in several aspects of treatment (degree of experience and satisfaction in supramalleolar osteotomy, fixation method for arthrodesis, preferred TAA prosthesis and longevity, degree of experinece, annual number of TAA operation. Conclusion: This study proposes updated information with regard to the current trends in the management of ankle arthritis in Korea. Both consensus and variations in the approach to patients with ankle arthritis were identified through this survey. With an increasing preference for TAA, the need for the development of a prosthesis optimized for Koreans and a stable supply of prostheses were the suggestions made by the study.

슬관절 전치환술 후 슬개 삽입물 단독으로 발생한 조기 해리

조병기 ( Byung Ki Cho ),최의성 ( Eui Sung Choi ),김용민 ( Yong Min Kim ),김동수 ( Dong Soo Kim ),손현철 ( Hyun Chul Shon ),박경진 ( Kyung Jin Park ),김석원 ( Seok Won Kim ) 대한슬관절학회 2007 대한슬관절학회지 Vol.19 No.2

一般外科領域의 乳幼兒 腹部疾患

趙丙紀(Cho Byung Ki),朴成基(PAK Sung Ki) 대한외과학회 1968 Annals of Surgical Treatment and Research Vol.10 No.8

Calcific Amyloidoma of Tibialis Anterior Muscle

Byung-Ki Cho(조병기),Yong-Min Kim(김용민),Dong-Soo Kim(김동수),Eui-Sung Choi(최의성),Hyun-Chul Shon(손현철),Kyung-Jin Park(박경진),Hu-Shan Cui(최호산),Seok-Won Kim(김석원),Ok-Jun Lee(이옥준) 대한정형외과학회 2008 대한정형외과학회지 Vol.43 No.3

연부조직에 발생하는 단발성 아밀로이드종은 매우 드물다. 저자들은 경골 근위부 골절 후 20여년 뒤에 전경골근에서 발생한 염증을 동반한 석회화성 아밀로이드종 1예를 경험하였으며, 종양 제거술 후 재발없이 만족스런 결과를 얻을 수 있었다. 아밀로이드종은 매우 드물기도 하고 골수염이나 골종양과 구분이 어려웠던 경우이므로 문헌고찰과 함께 증례보고를 하는 바이다. Calcific amyloidoma of the soft tissue is quite rare and it is difficult to make a differential diagnosis from other lesions such as osteomyelitis or bone tumor. We encountered a case of a calcified amyloidoma found in the anterior tibial muscle that occurred more than 20 years after a proximal tibial fracture adjacent to the origin of the muscle. The features of the lesion resembled osteomyelitis. Satisfactory result was obtained by a thorough mass excision. We report this case with review of the relevant literature.

무대감독의 교육과 양성에 관한 방법 제언

조병기(Byung-Ki Cho),황민(Min Hwang) 한국엔터테인먼트산업학회 2014 한국엔터테인먼트산업학회논문지 Vol.8 No.1s

현대 공연 예술은 다양한 장르가 복합되어 총체적인 예술 형태를 띠고 있다. 연극과 무용과 콘서트와 뮤지컬, 오페라 등은 기존 장르의 특성을 벗어나 서로 교류하며 발전하고 있다. 그리고 기술적인 부분에서 영상과 음향, 조명, 무대장치의 기술적인 발전으로 관객들에게 보다 더 많은 일루전(illusion)을 제공한다. 공연 제작 시스템 속에 있는 많은 스태프들 중에서 무대감독(stage manager)은 연습의 준비와 진행, 공연의 준비와 진행, 공연의 내용을 최상의 컨디션으로 유지하는 작업, 공연 자료의 정리와 보관, 각 파트를 유기적으로 연결 해주는 소통의 창구 등 다양한 임무를 지닌 스태프이다. 하지만 이러한 무대감독을 교육하고 양성하는 기관은 많지 않다. 국내의 공연 예술은 양적으로나 질적으로 매년 그 규모가 커지고 있으며, 많은 제작 회사들은 경쟁력 있는 전문 무대감독을 필요로 하고 있다. 그렇기 때문에 무대감독의 교육과 양성은 공연 예술 발전을 위하여 필요한 실정이다. 본 논문은 무대감독의 정의와 교육의 필요성을 말하고, 그에 따른 교육 방법으로 대학교의 연극학과 또는 유사 전공 학과의 수업에서 무대감독과 공연 제작 과정을 이론 수업과 제작실습을 중심의 교육을 제언 하였다. 이론 수업은 공연 제작의 시뮬레이션을 통해 공연 제작 과정을 습득하고, 그 안에서 무대감독의 역할을 배울 수 있게 하였다. 그 후에 공연 제작 실습을 통해 이론 수업의 과정을 적용하고 무대감독과 제작 스태프들과 유기적인 작업을 경험할 수 있게 하였다. 교육 방법을 제언하면서 실제 공연 제작 시스템에서 통용되는 서류의 양식과 공연 자료들을 수업 자료로 쓸 수 있게 첨부 하였다. 나아가 무대감독 교육의 효과와 전망을 제시하였다. 앞으로 공연 예술의 발전을 위해 무대감독 교육을 정립하는데 본 논문이 활용되길 기대한다. Modern performing arts is a combination of multiple genres creating a new form of its own. Play, dance, concert, musicals and operas are breaking previous rules to share each other’s characteristics. Technology in performing arts has been developing quickly to create a deeper illusion to the spectators. Because of the complexity of modern shows the role of the stage manager is not limited to calling the show but managing staffs, planning and running rehearsals, show maintenance, creation of show bibles and being the liaison between the company, staffs, performers and creative. Despite the role of the stage manager has been rapidly growing training and education for future stage manager is very underdeveloped. The fast growing market of live performance in Korea is constantly looking for trained professional stage managers therefore the education system to train such professionals is essential to the growth of the performing arts development in Korea. This thesis focuses on the definition of the stage manager’s role and the need of such education. It also proposes an education system inside the drama school or similar department for theoretical and practical study of stage management. Simulations of real productions will take place during the theoretical classes and practical training will take place during field works in real performances and interaction with stage managers on the field. Attached are document formats and show records to be used in classes. This thesis also enlightens the future of stage management and it embraces the hope that stage managers will play a bigger role in the development of performing arts.