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종골 고립성 골 낭포의 내시경적 소파술 및 골이식 치료
구본섭,김경철,최재열,정화재,신헌규,홍치욱,Koo, Bon-Seop,Kim, Kyung-Chul,Choi, Jae-Yeul,Jeong, Hwa-Jae,Shin, Hun-Kyu,Hong, Chi-Uk 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1
Purpose: The purpose of this study is to report the result of endoscopic assisted curettage and bone graft for the treatment of simple bone cyst in the calcaneus. Materials and Methods: Three cases in three patients who had curettage and bone graft of simple bone cyst in the calcaneus under endoscopic view were prospectively reviewed. A minimum follow-up of 1 year was required for entrance into the study. The results of treatment were clinically and radiologically assessed. Results: One case with preoperative heel pain gained complete relief of the pain at postoperative four weeks. All three cases had radiological union of grafted bone at an average of thirteen weeks after the operation. Shortened hospitalization and decreased postoperative pain were remarkable. Complications such as infection, skin necrosis, nerve injury, and, fracture were not seen. There was no evidence of the recurrence of the cyst in all three cases. Conclusion: Endoscopic assisted curettage and bone graft of simple bone cyst in the calcaneus is thought as an effective alternative procedure avoiding the possible complications of the classic method.
슬관절 전방십자인대에 발생한 국소형 건막 거대세포종 - 2례 보고 -
구본섭,김경철,이호중,Koo, Bon Seop,Kim, Kyung Chul,Lee, Ho Jooog 대한관절경학회 1999 대한관절경학회지 Vol.3 No.2
국소형 건막 거대세포종이 체중 부하에 관여하는 큰 관절에서 발생하는 경우는 매우 드문 일이며 슬관절의 경우 지금까지 4례만이 보고되고 있다. 슬관절에서 국소형 건막 세포종이 발생할 경우 관절통, 종창, 잠김, 불안정감 또는 신전제한과 같은 증상이 나타날 수 있지만 임상적으로 십자인대파열 혹은 반월상연골 파열이 있는 경우와 감별하기는 어렵다. 저자들은 전방십자인대 재건술 때 국소형 거대세포종 2례를 우연히 관찰하였다. 두 경우 전방십자인대에서 발생하였으며, 관절경하에서 절제한 후 병리학적으로 진단을 확인하였다. 종양의 완전절제후 좋은 결과를 얻었기에 문헌고찰과 함께 보고하고자 한다. The localized form of a giant cell tumor of tendon sheath rarely affected the large weight-bearing joints. Only four cases of localized giant cell tumor arising in the knee joint could be found in the literatures. Physical examination of the affected knee could show pain, swelling, locking, giving way and limitation of extension, but it was difficult to differentiate from meniscal tear or cruciate ligament tear. Two cases of localized giant cell tumor of tendon sheath were incidentally found in the knees during the reconstruction of the anterior cruciate ligaments. Both tumors arising from the anterior cruciate ligament were excised arthroscopically and were confirmed to be localized giant cell tumor of tendon sheath by microscopic examination. The clinical results were good after complete excision, so we reported these cases with a review of the literatures.
구본섭(Bon-Seop Koo),김경철(Kyung-Chul Kim),이호진(Ho-Jin Lee) 대한정형외과학회 2004 대한정형외과학회지 Vol.39 No.4
목적: 수술적 치료를 받은 견관절 석회화 건염 환자의 치료 결과를 수술 방법에 따라 비교 분석하고자 하였다. 대상 및 방법: 1996년 1월부터 2002년 12월까지 수술한 32명의 만성 극상건 석회화 건염 환자를 대상으로 후향적 조사를 하였다. 개방적 수술군(16예)과 관절경적 수술군(16예)은 각각 평균연령 43세,46세, 평균추시기간 9개월, 11개월이었다. 치료 결과를 임상적, 방사선학적으로 분석하였으며 기능 평가는 Constant-Murley score를 이용하였다. 결과: 통증 소설, 운동 범위 증가, 외전력 유지에서는 두 군간 차이를 발견할 수 없었다. 두 군 모두에서 회전 운동 범위의 제한이 컸으며 30% 이상의 환자가 수술 후 12주 이상 통증을 호소하였다. Constant-Murley score의 평균값은 개방적, 관절경적 수술군에서 수술 전 각각 33,32, 최종 추시에서는 각각 80, 78로 향상되었다. 결론: 견관절 석회화 건염에서 개방적 및 관절경적 수술법은 우수한 치료 방법이며 전체적인 결과에서 두 방법간 차이를 보이지 않았다. Purpose: We evaluated the results of surgical treatments for calcific tendinitis of the shoulder accord¬ing to operative methods. Materials and Methods: Retrospective review was done on 32 patients surgically treated for calcific tendinitis from January 1996 through December 2002. Mean age of two groups, open (16 cases) and arthroscopic (16 cases), was 43 years and 46 years, respectively, and mean follow-up after the operation, 9 months and 11 months, respectively. The results of the operation were clinically and radiologically evaluated. The Constant-Murley score was used for the shoulder function. Results: There was no significant difference in pain relief, improvement of range of motion and maintenance of abduction power between the two groups. In both groups, range of rotation was markedly limited and more than 30% of the patients in each group suffered postoperative pain for more than 12 weeks. Preoperatively, the Constant-Murley score was 33 and 32, respectively and at the final follow-up, 80 and 78, respectively. Conclusion: Open and arthroscopic surgery for calcific tendinitis of the shoulder were successful and there was no significant difference in the overall results between the two groups.
김경철,이호진,구본섭,Kim, Kyung-Chul,Lee, Ho-Jin,Koo, Bon-Seop 대한관절경학회 2004 대한관절경학회지 Vol.8 No.1
목적: 외상성 반월상 연골 단독 손상을 가진 슬관절에서 골타박의 발생 빈도와 양상을 알아보고자 하였다. 대상 및 방법: 외상성 반월상 연골 단독 파열로 진단 및 수술을 받은 42명 환자(42례 슬관절)의 자기공명영상(MRI)과 병록지를 후향적으로 조사하였다. 평균 연령이 33.7세, 외측 또는 내측 반월상 연골 파열이 각각 19례,18례 그리고 양측 파열이 5례였다. 골타박의 발생 빈도와 위치, 골타박과 반월상 연골 파열 형태와의 관계를 분석하였다. 결과: 골타박은 5례(11.9%)에서 발견되었다. 골타박은 관절의 내측 구획 중간에 위치하였으며 내측(4례) 또는 양측(I례) 반월상 연골 파열을 가진 슬관절에서 발생하였고 다양한 파열 형태에서 골타박이 관찰 되었다. 결론: 외상성 반월상 연골 단독 파열에서 골타박은 발생 빈도가 매우 낮으며 수상일로부터 12개월 이내에 소실되는 것으로 보인다. 골타박은 내측 반월상 연골 손상과 연관되어 있으며 슬관절의 내측 구획에 발생한다. Purpose: We studied the incidence rate and patterns of bony contusions of the knees with isolated traumatic meniscal tears. Materials and Methods: We analyzed retrospectively MRI scans and medical records of forty-two patients(42 knees) which had undergone operations for isolated traumatic meniscal tears. Mean age, 33.7 years, the number of patients with lateral, medial or both meniscal tears were 19, 18 and 5, respectively. Bony contusions were examined according to incidence, Location, and in relation to the types of meniscal tears. Results: Bony contusion was identified in 5 cases (11.9%) which had medial meniscal tear (4 cases0 or both meniscal tear (1 case). It was always located on the medial compartment of the joint. Bony contusion was found in the knee with various type of traumatic meniscal tears. Conclusion: Bony contusions in thd knees with isolated traumatic meniscal tear have very low incidence and they seem to disappear at or less than 12 months after the trauma. The bony contusions are mainly related to medial meniscal tear and located in the medial compartment of the joint.