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광범위한 상악골 골수염의 제한적 접근법과 Le Fort I 하방 골절을 통한 접근법
고택수(Taeksu Go),이원(Won Lee),김인수(Insoo Kim),차현석(Hyunsuk Cha),한형욱(Hyung-Uck Han),서운경(Woonkyung Seo),박수현(Suhyun Park),윤경인(Kyoung-In Yun) 대한구강악안면외과학회 2005 대한구강악안면외과학회지 Vol.31 No.5
Purpose: To compare the case of widespread maxillary osteomyelitis treated through different approach. Method: We report the two case of osteomyelitis. In a case, we had gradually removed the small amount of sequestrum for several times. In the other case, intended Le Fort I fracture was done to approach the lesion. Result: In the gradual sequestrectomy case, bone formations were found after 4 months. In the other case, after intended Le Fort I down fracture, sequestrectomy of Lt. maxilla was done with the labiobuccal alveolar bone preserved for the prosthodontic treatment
안진환,고택수,이용석,정화재,박종근 대한정형외과학회 2018 Clinics in Orthopedic Surgery Vol.10 No.2
Background: Cortical suspensory femoral fixation is commonly performed for graft fixation to the femur in anterior cruciate ligament (ACL) reconstruction using hamstring tendons. The purpose of this study was to compare graft healing in the femoral tunnel, implant-related failure, and clinical results between fixed- and adjustable-length loop devices in outside-in ACL reconstruction. Methods: A total of 109 patients who underwent ACL reconstruction using the outside-in technique from December 2010 to July 2014 were included. For femoral graft fixation, a fixed-length loop device was used in 48 patients (fixed-loop group) and an adjustable-length loop device was used in 61 patients (adjustable-loop group). For evaluation of graft healing in the femoral tunnel, magnetic resonance imaging was performed at postoperative 6 months and the signal-to-noise ratios (SNRs) of the tendon graft and tendon-bone interface in the femoral bone tunnel were evaluated. The presence of synovial fluid was evaluated to determine loop lengthening at the femoral tunnel exit. Clinical results assessed using International Knee Documentation Committee score, Tegner-Lysholm Knee Scoring scale, and knee instability tests were compared between groups. Results: The SNRs of the tendon graft and tendon-bone interface were not statistically different between groups. The presence of synovial fluid at the femoral exit showed no statistical difference between groups. Clinical results were not significantly different between groups. Conclusions: The adjustable-length loop device provided comparable graft healing, implant-related failure, and clinical results with the fixed-length loop device, allowing adaptation of the graft to the different tunnel lengths. Therefore, it could be effectively used with an adjustment according to the femoral tunnel length.
대퇴골두 무혈성 괴사증 환자의 체질량 지수가 인공 고관절 전치환술 후 임상적 결과와 삶의 질에 미치는 영향
임수재 ( Soo Jae Yim ),고택수 ( Taeg Su Ko ) 대한고관절학회 2013 Hip and Pelvis Vol.25 No.3
목적: 대퇴골두 무혈성 괴사로 인공 고관절 전치환술을 시행한 환자에서 수술 전 체질량 지수가 수술 후 결과 및 삶의 질 변화에 미치는 영향을 알아 보고자 하였다. 대상 및 방법: 2005년 3월부터 2011년 5월까지 대퇴골두 무혈성 괴사로 세라믹-세라믹 관절면 인공 고관절 전치환수술 후 2년 이상 추시가 가능하였던 246명을 대상으로 하였다. 체질량 지수에 따라서 4군(저체중 군, 정상체중 군, 과체중 군, 비만 군)으로 나누어, Harris hip score, 36-item shortform health survey (SF-36) score, 방사선 검사, 합병증을 비교 하였다. 결과: 정상 체중 군이 가장 좋은 임상결과(94.36±7.51)를 보였으나 통계적 차이가 없었고, 비만 군이 가장 향상된 SF-36 score 결과를 보였다. 합병증은 저체중 군(50%)과 비만 군(19.5%)에서 유의하게 많이 발생 하였고, 특히 인공관절 치환물 주위 골절(P=0.002)과 폐렴(P=0.005)이 저체중 군에서 많이 발생하였다. 결론: 비만 및 저체중이 수술 후 임상 결과에 미치는 영향은 미미하고, 비정상 체질량 지수를 갖는 환자도 수술 후 높은 삶의 질을 기대 할 수 있다. Purpose: This study examined the association between the pre-operative body mass index (BMI) and the post total hip replacement arthroplasty result, as well as postoperative change in the life quality of patients diagnosed with femur head avascular necrosis (AVN). Materials and Methods: Patients diagnosed with femur head AVN undergoing total hiparthroplasty (THA) with a ceramic-ceramic articular surface from March 2005 to May 2011 were analyzed retrospectively. The Harris hip score (HHS), 36-item short-form health survey (SF-36) score, radiological examination, and complications at two years or longer after THA in the 4 groups were analyzed in terms of the BMI (underweight group, normal weight group, overweight group, and obesity group). Results: The normal body weight group showed the best result(94.36±7.51) in all scores but the difference was not significant. In the SF-36 physical scores, obese group showed the greatest improvement. Complications occurred frequently in the underweight(50%) and obese groups(19.5%). In particular, periprosthetic fractures (P=0.002) and pneumonia (P=0.005) occurred frequently in the underweight group. Conclusion: The impacts of obesity and underweight on the clinical outcome after surgery are insignificant but patients with an abnormal BMI can expect a high quality of life after surgery.
한국인에서 근위 대퇴부 골절 유형과 체질량 지수의 연관성
신헌규,정화재,김유진,박재형,고택수,최영민 대한골다공증학회 2014 Osteoporosis and Sarcopenia Vol.12 No.2
Objectives: The purpose of this analysis is to study whether the factors including bone mineral density (BMD) and age which influence fracture occurrence is involved in proximal femur fracture type. Any correlation of body mass index (BMI) and obesity to fractures of the proximal femur was investigated in particular. Methods: Two hundred fifty two patients hospitalized for femur neck fracture and intertrochanteric fracture over 60 under 90 years old were examined. Only simple fall down trauma for excluding pathologic fractures was included. About 225 patients, past medical, drug and social history were investigated and BMD and BMI (body mass index) were measured. Patients were classified into two groups (femoral neck fracture and intertrochanteric fracture). Significant differences in BMD and BMI between these two groups were investigated. Results: There was no statistically significant difference between two proximal femur fracture type with regard to age, sex and BMD. But two groups seem to have statistically significant different with BMI. Most patients had normal weight, thus no significant differences were found in degree of obesity between two groups. Conclusions: This study shows that the higher the patients have BMI, the more frequently intertrochanteric fracture is occurred. But, owing to normal obesity levels seen in most patients in this study, any definitive correlation between obesity and each type of proximal femur fracture could not be found.
서운경,허필우,이원,김성훈,고택수,허현아,김인수,Seo, Woon-Kyung,Huh, Pil-Woo,Lee, Won,Kim, Seong-Hun,Go, Taek-Su,Heo, Hyun-A,Kim, In-Soo 대한악안면성형재건외과학회 2005 Maxillofacial Plastic Reconstructive Surgery Vol.27 No.4
Chondroblastoma was introduced as a rare benign cartilaginous neoplasm by Codman in 1931. It described by Jaffe and Lichtenstein in 1942 as a benign cartilaginous neoplasm that represents less than 1% of all primary bone tumor. It commonly arises in the epiphysis of long bone but, it occurs very rare in temporal area. Sometimes, microscopic identification of chondroblastoma and giant cell granuloma is difficult. An immunohistochemical studies was performed for S-100 protein which is useful in arriving at the correct diagnosis. Treatment modalities are total curettage, en-bloc excision, irradiation, and radiation combined with surgical excision. But radiation therapy was controversial. We describe a case of chondroblastoma which was arisen in the right temporal area and the recurrence that was treated by surgical excision and radiation therapy with review of literature.