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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.
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,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.
40세이상 환자에 있어서의 관절경적 반월상 연골 부분절제술의 결과
성상철,김희종,임군일,김석준 ( Sang Cheol Seong,Hee Joong Kim,Gun Il Im,Sug Jun Kim ) 대한슬관절학회 1991 대한슬관절학회지 Vol.3 No.2
During the period from Wlay 1987 to August 1990, arthroscopic partial menisectomy was perfaaned in twenty-five knees of twenty-five patients over 40 years of age. There wexe Mteen malea and ten females an4 the mean age at surgery was 47.1 years ran frcm 40 to 64 yeara. The mean follow-up period was 21 months ranging from 13 to 52 months. Medial meniscus was affected in fifteen knees, lateral meniscus in nine knees and both meniscii in one knee. There wete eight cases of bucket handle t4ar, three cases of longitudinll tear, three cases of flapping tear, one case of transverse tear, one case of horizontal teax and nine cases of complex tear. Overall results 6f arthroscQpiq partial menisectomy in the patients over 40 years of age were aatisfactory. So it seieins that the age of a patient does noi affect the result of arthroscopic partial menisectoOy for meniacus tear significantly. And there was no statistical evidence that the preaxisting degenerative arthritis affects the result of arthroscopic partial menisectomy adversely.
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.