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슬관절 인공관절 치환술 후 배액관의 위치에 따른 출혈량 및 임상결과 비교
최영준(Young-Joon Choi),이기원(Ki-Won Lee),이현일(Hyun-Il Lee),조완종(Wan-Jong Cho),황도연(Do-Yon Hwang),심상준(Sang-Jun Shim),조형권(Hyung-Kwon Cho) 대한정형외과학회 2015 대한정형외과학회지 Vol.50 No.4
목적: 슬관절 인공관절 전치환술 후 배액관의 위치에 따른 외부 배액량, 혈액 손실량 및 임상 결과를 비교하고자 하였다. 대상 및 방법: 양측 슬관절 인공관절 전치환술을 같은 날 동시에 시행받은 환자 100명을 대상으로, 실험 1에서는 50명에서 편측은 관절강 내에, 반대측은 피하지방층에 배액관을 삽입하여 수술 후 외부 배액량과 통증 정도, 관절 운동 범위, 합병증의 빈도를 비교하였다. 실험 2에서는 또 다른 50명에서 양측 모두 관절강 내에 배액관을 삽입하여 총 혈액 손실량을 산출하여 실험 1의 환자 50명과 비교하였다. 결과: 실험 1에서 외부 배액량은 피하지방층에 배액관을 삽입한 군이 관절강 내에 삽입한 군보다 유의하게 적었으나(p<0.001), 통증의 정도는 수술 후 2일경에만 두 군 간 유의한 차이를 보였다. 실험 2에서 총 혈액 손실량을 비교했을 때 두 군 간 유의한 차이를 보이지 않았다. 결론: 피하지방층에 배액관을 삽입한 군의 외부 배액량은 관절강 내에 삽입한 군보다는 적었으나 배액관의 삽입 위치에 따른 총 혈액 손실량은 유의한 차이를 보이지 않았으며 임상 결과의 큰 차이가 없어 피하지방층에 배액관 삽입의 큰 이점은 관찰되지 않았다. Purpose: The aim of this study was to compare the drainage amount, total blood loss, and clinical results between two different positions of suction drainage after total knee arthroplasty. Materials and Methods: A total of 100 patients who underwent one stage bilateral total knee arthroplasty were enrolled. In experiment 1 with 50 patients, we compared the drainage amount, pain, range of motion, and complications of the leg whose suction drain was inserted into the joint cavity with those of the contralateral leg whose suction drain was inserted in subcutaneous tissue. Another 50 patients of experiment 2 had suction drainage in the joint cavity of both legs and the total blood loss (sum of drainage output, exudates, and hematoma of subcutaneous tissue and joint) was calculated and compared with that of experiment 1. Results: In experiment 1, the drainage amount was less in the leg with suction drainage in subcutaneous tissue compared with the contralateral leg with suction drainage in the joint cavity (p<0.001). However, the postoperative joint pain was significantly different only on post-operative day 2 between two legs. In experiment 2, there was no significant difference in the total blood loss between the two groups. Conclusion: Although the drainage amount was less in the leg whose suction drain was kept in subcutaneous tissue compared with the contralateral leg whose suction drain was in the joint cavity, the total blood loss and the clinical results were not significantly different according to the position of the suction drain. Therefore, we can conclude that the subcutaneous position of the suction drain did not yield superior results.
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스키 및 스노우보드 손상의 최근 동향과 10년간 변화분석
이기원 ( Ki Won Lee ),최영준 ( Young Joon Choi ),이선우 ( Seon Woo Lee ),안형선 ( Hyung Sun Ahn ),황재광 ( Jae Kwang Hwang ),조병규 ( Byung Kyu Cho ),김정환 ( Chung Hwan Kim ),조완종 ( Wan Jong Cho ) 대한스포츠의학회 2010 대한스포츠의학회지 Vol.28 No.2
To analysis the trend of ski and snow board injury, and use this study result in designing injuries prevention strategy. We studied 25,292 patients who had the ski and snow board injuries in a ski resort in Pyeongchang Gun, Gangwon Do, Korea during 1999-2001 season, 2005-2007 season, and 2008-2010 season. They were studied with a questionnaires, physical examination and radiograph. And the analysis was based on age, sex, injury type and site and slope level of difficulty. Snow board related injury have increased, injury to teens and thirties increased, injury to female snowboarder increased (p<0.001), contusion type of ski and snow board injury increased (p<0.001) and upper extremity injury increased but beginner grade slope injury (p<0.001) decreased since last 10 years. The overall type and site of ski and snowboard injuries have changed due to increased snowboard injury, gender and age of them have shown the diversity since last 10 years.
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이기원(Ki-Won Lee),최영준(Young-Joon Choi),안형선(Hyung-Sun Ahn),김정환(Chung-Hwan Kim),황재광(Jae-Kwang Hwang),강정호(Jeong-Ho Kang),이선우(Seon-Woo Lee),조완종(Wan-Jong Cho),박준석(Jun-Seok Park) 대한견주관절의학회 2011 대한견주관절의학회지 Vol.14 No.2
목적: 견관절에 발생한 만성 재발성 다발성 골수염의 진단 및 치료 경험을 보고하고자 한다. 대상 및 방법: 견관절에 발생한 만성 재발성 다발성 골수염을 가진 16세 남자 환자에 대해 관절경하 변연 절제술 및 Naproxen을 이용한 치료를 시행하였다. 결과: 치료 후 16개월 동안 추시상 재발 없이 증상이 소실되었다. 결론: 만성 재발성 다발성 골수염은 비특이적 임상 양상과 드문 발병률 때문에 진단에 어려움이 있는 질환이다. 저자들은 16세 남자 환자에서 견관절에 발생한 만성 재발성 다발성 골수염 1예를 경험 하였기에 문헌 고찰과 함께 보고하는 바이다. Purpose: We report a case of chronic recurrent multifocal osteomyelitis of the shoulder. Materials and Methods: A 16 year-old male who had suffered from chronic recurrent multifocal osteomyelitis of the shoulder was diagnosed by clinical features and biopsy and was treated with arthroscopic debridement and Naproxen. Results: Symptoms was subsided without relapse during 16 months follow up. Conclusion: Chronic recurrent multifocal osteomyelitis is rare disease and it can be misdiagnosis because of its rarity and non-specific clinical presentation. This is a report of a case of chronic recurrent multifocal osteomyelitis of the shoulder in 16 years man.
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