http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
만성 전방 십자 인대 결손 슬관절에서 시행한 반월상 연골판 부분 절제술
성상철,김희중,이명철,이동호 ( Sang Cheol Seong,Hee Joong Kim,Myung Chul Lee,Dong Ho Lee ) 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.2
Authors reviewed 21 knees of meniscus tear combined with anterior cruciate ligament deficiency and treated only arthroscopic partial meniscectomy at the Deparbnent of Orthopedic Surgery, Seoul National University Hospital from November 1987 to January 1993. We analyzed the arthroscopic findings, symptoms and signs, and Lysholm scores. All fhe patients were males. The average age of the patients was 32.6 years(from 22 to 47 years), and the average following period was 38.9 months(from 16 to 78 months). The initial chief complaints were pain on walking in 13 patients(62%) and subjective instabihty in 8(38%). Seven knees had compete or more than 50% rupture of anterior cruciate ligament. Eighteen knees had toin medial meniici, among them posterior horn tear wcre ) l. After arthroscopic partial meniscectomy alone, knee joint pain and other meniscal sign were improved in most cases. Subjective instability of the knee joint including giving way was also improved in about half cases. Sixty seven percents of patients satisfied with the results and objective excellent results were abtained in 71%. However objective instability including positive Lachman test and anterior drawer test, and instability scqres were not improved in most of cases. Arthroscopically excised posterior horn of medial meniscus did not increase subjective instability and ACL-deficient signs. In the knees with the chief complaint of instability or complete or more than 50% rupture of terior craciate ligament, subjective and objective irnprovement of instability and objective overall results were relatively poor, so we authors supposed that the reconstrUction of ACL should be considered at the same time as partial meniscectomy in those cases.
성상철,이명철,문영완,이필상 ( Sang Cheol Seong,Myung Chul Lee,Young Wan Moon,Pil Sang Lee ) 대한슬관절학회 1996 대한슬관절학회지 Vol.8 No.1
Long-term studies of total knee arthroplasty(TKA) have confirmed reliable relief of pain and maintenance of function. We evaluated retrospectively 104 TKAs which were performed between January 1985 and April 1993 and followecl up more than three years. There were 79 knees of osteoarthritis(OA), 21 knees of rheumatoid arthritis(RA) and 4 knees of septic knee sequelae. Among them, 38 TKAs were performed with cemented prosthesis, 21 TKAs with cementless prosthesis and 45 TKAs v,ith hybrid prosthesis. The follow- up period was 4 years and 7 months(range, 3 to 8 years). Using the knee rating scale of the Hospital for Special Surgery, American Knee Society Roentgenographic Evaluation and Scoring System and Tew's method of analyzing the results of TKAs, we evaluated clinical and roentgenographic results of TKAs followed up rnore than 3 years and analyzed the results based on the diagncsis and method of fixation. The results were as follows: 1. Pain scores improved and there as no significant difference between OA group and RA group. 2. ROM of the knees improved in OA group more than RA group postoperatively. Increase of ROM in OA group v,as statistically significant from one to three years postoperatively and decrease of ROM in RA p oup was statistically significant from three to fi ve years postoperatively. 3. Knee scores were higher in OA group than RA group postoperatively hut there was no significant difference among cemented, cementless and hybrid TKA groups. 4. The radiolucent lines wider than 2mm were more frequently observecl in A-P roentgenograph of tibial component hut there was little correlation with clinical results. 5. Cumulative success rate was 86 percent at 8 years provided success is judged hy whether the prosthesis is still in silu without severe pain and annual failure rote was higher at. 3 to 4 years postoperatively.
성상철,이명철,문영완,박윤근 ( Sang Cheol Seong,Myung Chul Lee,Young Wan Moon,Yoon Keun Park ) 대한슬관절학회 1996 대한슬관절학회지 Vol.8 No.2
Glomus tumor is uncommon tumor with an incidence of about 1.6% among soft lissue tumors and the single most common location is the subungical region of the finger and the subcutaneous tissue of the fingertips or the palm. Generally, it is a small and encapsulated organoid tumor, derived from the arteriovemous glomi an chraterized by very sharp pain. Pain is continuoous but reawakened or accentuated by pressure, at times by vasomotorial changes connected with changes in temperature, emotional state,and menstruaticon. Many reports have emphasixed that glomnus tumor were difficult diagnose and the result of surgical removal was good. Glomus tumor adjacent to patellar tendom is very rare and we could find only a few cases on review of the literature. We also experiencecl one case ool glomus tumor adjacent to patellar tendoin, and report with review of the literature.
반월상 연골 병변으로 오인된 활액막 충돌 - 1례 보고 -
성상철,이명철,문영완,박윤근 ( Sang Cheol Seong,Myung Chul Lee,Young Wan Moon,Yoon Keun Park ) 대한슬관절학회 1996 대한슬관절학회지 Vol.8 No.2
The synovium is a thin, innervated, highly vascularized tissue that cover all internal surfaces of the knee, apart from the articular cartilage and menisci. So located, the synovium was known to he prevented from impirvement. During flexion and extension movements of the, the knee joint by space filler effect of tnenisci. While there are rnany reports on the impingement between the patella and femoral condyle, like in the plica eyclroine ancd Hoffas disease (infrapatellar fat plicf sydrorne), there is no report on the synovial impigment between the menniscus and the femoral condyle. We experienced the syniovial impigment between the femoral condyle meniscus in 52-year-old man complaining of' Iateral knee joint plain with positive McMurray test, and report with review of the literature.
중형공간에서 중앙공조방식과 시스템에어컨 방식에 따른 PMV와 CO₂농도, 에너지소비량 비교
성상철(Sang-Chul Sung),노광철(Kwang-Chul Noh),진심원(Sim-Won Chin),오명도(Myung-Do Oh) 대한설비공학회 2008 대한설비공학회 학술발표대회논문집 Vol.2008 No.2
PMV, CO₂ and the energy consumption performance were numerically investigated in a large space with air-conditioning systems of four type. The numerical results showed that thermal comforts in the occupied zone are nearly similar in three systems except 3-way wall type system air-conditioner with ventilation system installed 2.2m height from the bottom. In case of 3-way wall type system air-conditioner the energy consumption for cooling loads was reduced about 25.5% compared to other air-conditioning systems. From the viewpoint of IAQ, it was turned out that system air-conditioner with ventilation system became worse about 20% compared to central air-conditioning systems for cooling load. The PMV, CO₂ concentration and energy consumption of all systems for heating loads were similar in a large space considered.
경피적 장력대 강선 고정법과 개방성 장력대 강선 고정법을 이용한 슬개골 골절의 치료
성상철(Sang Cheol Seong),이명철(Myung Chul Lee),박상은(Sang Eun Park),조현철(Hyun Cheol Cho),장진대(Jin Dae Jang),김재윤(Jae Yoon Kim),김상림(Sang Rim Kim) 대한슬관절학회 2000 대한슬관절학회지 Vol.12 No.1
Purpose: By comparing the results of the percutaneous tension band wiring with those of the open tension band wiring for the treatment of patellar fracture, we tried to sh6w the practical use of the percutaneous tension band wiring. Materials and Methods: We analyzed radiological and clinical results of 10 cases of isolated patellar fractures treated with the percutaneous tension band wiring and 10 cases of isolated patellar fractures treated with the open tensian band wiring. Results: There were no significant differences between the percutaneous tension band wiring and open tension band wiring on operation time, knee score and function score, but the percutaneous tension band wiring showed more rapid on bony union. Two cases treated with the open tension band wiring showed limitation of motion of the knee joint, and one case treated with the open tension band wiring showed patellar elongation. Conclusion: Comparing with the open tension band wiring, the percutaneous tension band wiring can be done without wide skin incision and can give patients more satisfaction. We concluded that the percu-taneus tension band wiring is a good method and can replace the conventional open tension band wiring.
비대칭적 경골 치환물을 사용한 슬관절 전치환술의 임상적, 방사선학적 결과
성상철(Sang Cheol Seong),김재광(Jae Kwang Kim),박상은(Sang Eun Park),장진대(Jin Dae Jang),조현철(Hyun Chul Cho),김상림(Sang Rim Kim),이명철(Myung Chul Lee),임창균(Chang Kyun Lim) 대한슬관절학회 2000 대한슬관절학회지 Vol.12 No.2
Purpose : Purpose of this study was to evaluate the clinical and radiological results and complications of total knee arthroplasty(TKA) using the systems including an asymmetric tibial tray and a deep trochlear-grooved femoral component. Materials and Methods: Ninety-five total knee replacement arthroplasties(68 patients) with the implant system, which has the asymmetric tibial tray and a deep trochlear grooved femoral component were analyzed clinically and radiologically. Retrograde analysis with the Knee Society clinical rating system, roentgenographic evaluation and scoring system and the Hospital for Special Surgery(HSS) score were done. The patients were average 66 years old and the follow-up period was 23month(range, 12 month to 49 month) Results : Knee score was improved from 43 points to 90 points. Function score was improved from 47 points to 85 points. HSS score was improved 57 points to 89 points. Tibio-femoral angle was improved from varus 4o to valgus 5o. In last clinic visit, there was no case which had progressive radiolucent line or above 4 points in radiolucent score except one septic loosening case. There was no case of patellofemoral complications, including patellofemoral instability, patellar fracture, patellar component failure, patellar component loosening, and patellar clunk syndrome. Conclusion: The TKA in this series showed excellent clinical and radiological results and low inci- dence of patellar complication.