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아킬레스 건 파열과 동반된 동측 족관절 내과 골절(1예 보고)
채수욱,양정환,Chae, Soo-Uk,Yang, Jung-Hwan 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.1
Ankle fracture and Achilles tendon rupture are common as an isolated injury. However, Achilles tendon rupture with ipsilateral ankle fracture is uncommon, and occurs by a different injury mechanism with a risk of negligence. We report a case of Achilles tendon rupture with ipsilateral medial malleolar fracture.
항생제 혼합 시멘트 충전물을 이용한 감염된 족무지 지관절의 2단계 치료(1예 보고)
채수욱,김영진,송하헌,김종윤,Chae, Soo-Uk,Kim, Yeung-Jin,Song, Ha-Heon,Kim, Jong-Yun 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.2
The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.
채수욱,Chae, Soo Uk 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.3
Acute compartment syndrome of the lower leg and foot is a surgical emergency. The clinical symptoms is an important clue to diagnose compartment syndrome. In cases of ambiguous diagnosis, unconscious patients and children additionally need a intracompartmental pressure measuring. Immediate fasciotomy should be performed when clinical signs are obvious or when delta pressure is less than 30 mmHg or intracompartmental pressure is greater than 30 mmHg. Fasciotomy of the lower leg can be performed either by one lateral single incision or double incision, which of the foot mainly has a dorsal or medial incision. A delayed in diagnosis that leads to a delay in treatment can result in devastating disability. Acute compartment syndrome of the lower leg and foot is a relative rare but serious complication of which a surgeon should be aware.
최소 침습적 경피적 나사못 고정 방법을 이용한 전위된 관절내 종골 골절 치료
채수욱,양정환,Chae, Soo-Uk,Yang, Jung-Hwan 대한족부족관절학회 2010 대한족부족관절학회지 Vol.14 No.1
Purpose: The purpose of this study is to analyze the clinical and radiological results of minimally invasive percutaneous screw fixation in intra-articular calcaneal fractures and its complications. Materials and Methods: This study is based on 30 intra-articular calcaneal fractures that treated by index operation from June 2005 to November 2006 with at least 6 months follow-up. We assessed the clinical and radiological outcomes and complications. Results: According to Sanders classification, there were 8 in type IIA, 7 in type IIB, 3 in type IIIAB, 6 in type IIIBC, 6 in type IV. And according to Essex-Lopresti classification, there were 9 in the tongue type, 21 in the joint depression type. Average follow-up period was 14.6 months (range: 6-23 months). Average interval between from injury to operation was 2.3 days. Average AOFAS score was 87.7 (range: 52-92). Satisfactory results were obtained in 22 cases (73.3%) by AOFAS score and in 20 cases (66.7%) by VAS score (mean: 3.4). Radiological results improved from 8.7 to 20.3 degrees in the Bohler angle and from 40.2 mm to 52.1 mm in calcaneal height. Postoperative complications were 2 skin and soft tissue problems and 1 sural neuropathy. Conclusion: Minimally invasive percutaneous screw fixation may be useful alternative surgical method in the management of Sanders type II and III calcaneal fractures, which is possible to achieves the anatomical restoration and minimizes postoperative complication in patients with high risks of soft tissue compromise and allows relatively early operation.
족무지 근위지절 골연골종과 동반한 무지 강직증 (증례보고)
채수욱,김영진,조향정,최덕화,차명수,Chae, Soo Uk,Kim, Yeung Jin,Jo, Hyang Jeong,Choi, Deok Hwa,Cha, Myoung Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.1
Small osteophytes are frequently encountered in the foot and ankle, and not to be confused with true osteochondromas, which are relatively uncommon in this region. Osteochondromas are the most common benign osseous neoplasm, occurs in the metaphysis of the long bone. It is rarely found in bones of the foot. Treatment of the osteochondroma is usually conservative, unless symptoms usually pain, are progressive rapid growth, and malignant transformation is suspected. We experienced a rare case of hallux rigidus with osteochondroma of the hallucal proximal phalanx which cause pain and corn of the plantar.
채수욱,김영진,최병산,송하헌,Chae, Soo-Uk,Kim, Yeung-Jin,Choi, Byong-San,Song, Ha-Heon 대한족부족관절학회 2012 대한족부족관절학회지 Vol.16 No.1
Superficial peroneal nerve entrapment is an uncommon compression neuropathy, and is frequently associated with a fascial defect and a muscle hernia. The standard treatment of that was the nerve decompression by complete or limited fasciotomy. But, we experienced a case of superficial peroneal nerve entrapment had satisfactory surgical outcome by fascial repair of peroneus muscle.
족무지 지관절 종자골에 의한 난치성 족저 각화증 (증례보고)
채수욱,김강득,김종윤,차명수,Chae, Soo Uk,Kim, Gang Deuk,Kim, Jong Yun,Cha, Myoung Soo 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.3
A sesamoid bone can occasionally be found under the interphalangeal joint of the hallux. These had anatomical variants and usually remain asymptomatic, it is uncommon for symptomatic cases of painful plantar keratoses or irreducible dislocation of interphalangeal joint of the hallux with incarcerated sesamoid. While the latter has a few cases, the former has not reported in Korea. We experienced a rare case of intractable plantar keratoses due to interphalangeal sesamoid bone of the hallux which may reqire excision.
다발성 손상을 동반한 다발성 불연속 척추골절 -증례 보고-
채수욱 ( Soo Uk Chae ),김영진 ( Yeung Jin Kim ),양정환 ( Jung Hwan Yang ),이지완 ( Ji Wan Lee ),박재인 ( Jae In Park ) 대한골절학회 2011 대한골절학회지 Vol.24 No.3
Multiple non-contiguous spinal fracture is a special type of multi-level spinal injury, which is rare but most frequently occur in motor vehicle accident or a falling from a height. We report five patients of multiple non-contiguous spinal fractures. All patients underwent segmental pedicle screws fixation without fusion for preserving facet joints and minimizing blood loss and operation time. We performed necessary operation for any concomitant injuries at the same day.
채수욱 ( Soo Uk Chae ),김영진 ( Yeung Jin Kim ),양정환 ( Jung Hwan Yang ),이지완 ( Ji Wan Lee ) 대한골절학회 2011 대한골절학회지 Vol.24 No.2
최근 고령화로 발생이 증가하는 골다공증성 천추 부전골절에 대해 척추 성형술의 한 방법으로 풍선 성형술을 이용하여 치료가 시도되고 있다. 85세 여자환자로 특별한 외상소견 없이 발생한 천추 1번 골다공증성 부전골절에 대해 보존적 치료에 호전이 없어 천추풍선성형술을 시행하여 좋은 결과을 보여 치료의 한 방법으로서 유용하기에 문헌 고찰과 함께 보고하는 바이다. Kyphoplasty has recently attended as a potential treatment for sacral insufficiency fracture. We report a 85-years-old female patient with osteoporotic S1 insufficiency fracture with absence of trauma history treated with kyphoplasty which has no symptom improve with conservative treatment. Kyphoplasty is an effective and useful procedure in the treatment of the sacral insufficiency fracture, additionally reviewed of the literatures.
남아 있는 인대를 보존하고 신선 동결 동종 아킬레스건을 이용한 후방십자인대 재건술
김영진,채수욱,김종윤,김병수,Kim, Yeung Jin,Chae, Soo Uk,Kim, Jong Yun,Kim, Byung Soo 대한정형외과스포츠의학회 2011 대한정형외과스포츠의학회지 Vol.10 No.2
목적: 슬관절의 후방십자인대 파열시 잔존하는 절단단 또는 이완된 인대를 유지하면서 신선 동결 동종 아킬레스건을 이용하여 재건술을 시행한 결과를 후향적으로 분석해 보고자 하였다. 대상 및 방법: 2004년 10월부터 2010년 3월까지 후방십자인대 완전 파열로 진단되어서 동종 아킬레스건을 이용한 재건술을 시행한 환자 중에서 최소 1년 이상 추시가 가능하였던 22례를 대상으로 하였다. 평균 추시는 3년 7개월(1년~6년 4개월)이었다. 수술시 연령은 평균 31.5세 이었으며, 성별은 남자가 14례, 여자가 8례였다. 운동 가능 범위, 후방 전위 검사, Telos stress 방사선 검사, Lysholm knee score, Tegner activity score, International Knee Documentation Commiittee (IKDC)의 판정 기준을 이용하여서 술 후 기능 평가, 2차적 관절경 검사 등을 시행하여 주관적 및 객관적 지표로 삼았다. 결과: 슬관절 안정성에 대한 이학적 검사인 후방 전위 검사, 최종 추시 시에 후방 스트레스 방사선 사진, Lysholm knee score, Tegner activity score, IKDC score 등은 통계학적 의의가 있는 좋은 결과를 보였다. 결론: 후방십자인대 파열시 잔존하는 인대의 절단단 또는 이완된 인대를 유지하면서 신선 동결 동종 아킬레스건을 이용한 재건술은 양호한 슬관절의 안정성과 기능 회복을 얻을수 있는 좋은 수술 방법으로 사료된다. Puropse: To evaluate the outcome of arthroscopic posterior cruciate ligament (PCL) reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant or elongated ligament. Materials and Methods: From October 2004 to March 2010, we performed PCL reconstruction with Achilles tendon allografts in 22 complete rupture patients. Mean age was 31.5 years. 14 cases were male and 8 cases were female. Average follow-up period was 3 years and 7 months, range from 1 year to 6 years and 4 months. Subjective and objective parameters were utilized in analyses, such as the mean range of motion, post. drawer test, Lysholm knee score, Tegner activity score, IKDC score, and second look arthroscopic examination. Results: Postoperative Lysholm knee score, IKDC scores, Tegner activity scale, and posterior displacement by the Telos stress test demonstrated statistically significant improvement compared to the preoperative state. Conclusion: Arthroscopic PCL reconstruction using fresh-frozen achilles allograft tendon with preservation of ligament remnant showed good clinical results and posterior stability.