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관절경적 외측 슬개지대 유리술의 술후 예후에 영향을 미치는 인자에 대한 전향성 연구
유석주,유문집,이성철,박진영,김명호 ( Suk Joo Lyu,Moon Jib Yoo,Sung Churl Lee,Jin Young Park,Myung Ho Kim ) 대한슬관절학회 1996 대한슬관절학회지 Vol.8 No.1
Anterior knee joint pain is one of the common symptoms of the knee joint prohlems, and abnormal alignment of the patellofemoral joint is the most common cause of it. Lateral retinacular contracture is one of the main cause of this abnomality, which can exert lateral retinacular strain and finally lead to arthrosis of the patellofemoral joint. Arthroscopic lateral retinacular release is usually performed for the cases not responding to minimum three months of conservative treatment. Though permits earlier rehabilitation than open technique, it also has many problems because of complications including hemarthrosis. As there can be no effects or even adverse effects in case of patellar hypermobility or abnormal lateral femoral condyle, so good prognostic factors are to be sought in order to get good results of the arthroscopic operation. In a prospective study of 15 patients (21 cases), complaining of anterior knee joint pain without any other diseases, ir>tractahle to conservative measures, treated by arthroscopic lateral retinacular releases, the following results were ot>tained. L. In case with positive gliding test of patella ancl without chondromalacia proven hy arthroscopic examination, the results were best(p<0.01). 2. The results are not good if there were deformity or patellar hypermobility(p<0.05). 3. No correlations were found between the ages, sex, knee laxity, Q angles and the results of operations. 4. 1f arthroscopic latera] retinacular releases were performed for the patients with positive gliding test and without chonclromalacic changes, deformity and hypermobility, good results could be obtained.
불안정성 족근관절 골절의 수술적 치료 결과에 영향을 미치는 임상적 예후 인자에 대한 분석
정홍근,유문집,유석주,이성철,박진영,김태원,김명호,Jung, Hong-Geun,Yoo, Moon-Jib,Yoo, Suk-Joo,Lee, Seong-Chul,Park, Jin-Young,Kim, Tai-Won,Kim, Myung-Ho 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.2
Purpose: The purpose of this study is to analyze the clinical prognostic factors which may affect the postoperative clinical results of the unstable ankle fractures. Materials and Methods: This study is based on 62 unstable ankle fractures treated by open reduction and internal fixation from May 1994 to June 2000, with a minimum follow-up period of 12 months(range: 13 months-7 years 3 months). The 62 patients were average 39.1 years old with male: female ratio of 41:21. Based on Lauge-Hansen classification, the supination-external rotation type was the most common with 36 (58.1%) cases. The clinical results was assessed by American Orthopaedic Foot and Ankle Society(AOFAS) functional scale. The sex, age, body weight, trauma-operation interval, operation time, cause of injury, fracture type were statistically analyzed as the possible postoperative clinical prognostic factors. Results: Postoperative AOFAS functional scale was average 82.1 points with 22(35.5 %) cases excellent, 12(19.4%) good. 16(25.8%) fair and 12(19.4%) cases poor results. The age and the operation time were found to be statistically significant factors affecting the prognosis(p<0.001). The sex, weight, trauma-operation interval factors did not significantly affect the clinical results. The pronation-external rotation type showed better clinical tendency among the fracture types, but without the statistical significance. Conclusion: The surgically treated unstable ankle fractures in patients whose age was above 41 years old or operation time exceeding 90 minutes showed significantly poor clinical results.
LCS mobile bearing system을 이용한 슬관절 전치환술 후 장기 추시 결과
민상혁 ( Sang Hyuk Min ),유석주 ( Suk Joo Lyu ),유문집 ( Moon Jib Yoo ),김명호 ( Myung Ho Kim ),박희곤 ( Hee Gon Park ),김유진 ( You Jin Kim ),유현열 ( Hyun Yul Yoo ) 대한슬관절학회 2006 대한슬관절학회지 Vol.18 No.1
Purpose: To evaluate the long-term (over 10 years) clinical and radiologic results of LCS (low contact stress, Depuy, USA) total knee arthroplasty (TKA) retrospectively. Materials and Methods: Out of 57 cases who underwent TKA with LCS knee system between June 1994 and August 1995, 33 cases could be analysed clinically and radiographically. Clinical analysis was performed according to flexion contracture, ROM, Knee Society Clinical Rating System (KSCRS) and Hospital for Special Surgery (HSS) score system. Radiographic analysis was performed according to the roentgenographic evaluation criteria of American Knee Society. Complications and survival rate were evaluated. Results: Average flexion contracture was improved from 10.0˚ preoperatively to 3.7˚ at final follow-up and average ROM was improved from 104.0˚ preoperatively to 115.3˚ at final follow-up (p<0.05). Average HSS score was improved from 49.5 preoperatively to 80.1 at final follow-up and average KSCRS score was also improved from 77.2 to 152.5. Average tibio-femoral angle was changed from 3.3˚ varus preoperatively to 3.5˚ valgus at final follow-up. There were 4 complications, including infection in two cases and fracture dislocation of polyethylene implant in two cases respectively. Ten year survival rate was 94.1 percent. Conclusion: LCS TKA showed excellent results and good survival rate at more than ten years follow-up. However, more cases should be necessary for statistic significance.
견관절 불안정성의 견갑하근 및 관절 낭 수평 분할을 이용한 하방 관절 낭 이동술
박진영,임수택,유문집,유석주,Park Jin-Young,Lim Soo-Taek,Yoo Moon-Jib,Lyu Suk-Joo 대한정형외과스포츠의학회 2002 대한정형외과스포츠의학회지 Vol.1 No.1
목적 : 견관절 불안정성의 관절경적 수술로 재발의 가능성이 높은 환자에 대해견갑하근 및 관절낭 수평 분할을 이용한 하방관절낭이동술을시행하고이에대한결과를분석하고자하였다. 대상및방법 : 1994년부터 1999년까지수술을시행한환자중1년이상추시(평균: 2년, 범위: 1$\~$3년)가가능한 15례를대상으로하였다. 남자가13례여자가2례이었으며평균연령은27 이었다. 질환은다방향성불안정성4례, 수의성불안정성3례, 골성Bankart 병변이있는전방불안정성2례, 접촉성운동선수의전방불안정성6례였다. 13례는관혈적봉합술과하방관절낭이동술을 동시에 시행하였고, Bankart 병변이없던2례는하방관절낭이동술만 시행하였다. 관절낭중첩 정도는평균 19 mm (범위: 10$\~$5 mm)였다. 결과 : 14례에서우수혹은양호의결과를보였으며술후1례에서아탈구되었고, 1례에서전방염려검사에양성소견을보였다. 술후전방거상과팔을체간에붙인외회전, 90$^{\circ}$ 외전에서의외회전의운동범위는술전과통계학적인차이가없었다. 결론 : 견갑하근및관절낭수평분할을이용한하방관절낭이동술은관절운동범위의감소없이과잉관절낭과Bankart 병변을치료할수있어관절경적치료로재발의가능성높은환자에서권장될치료법으로사료되었다. Purpose: The aim of this retrospective study were to report the short-term results of inferior capsular shift procedure using splitting subscapularis and capsule for the patients who had shoulder instability and were apt to recur after arthroscopic stabilization procedure. Materials & Methods : Fifteen cases of instability of the shoulder were included with an average follow-up of 2 years (range: 1$\~$3 years). There were 13 men and 2 women with an average age of 27years. Multidirectional instability was found in 4 cases, voluntary instability in 3 cases, bony Bankarte lesion in 2 cases and 6 cases were contact sportmen. Thirteen shoulders underwent the inferior capsular shifts and Bankart repairs and 2 shoulders without Bankart lesion underwent the inferior capsular shift only. Average 19 mm of shift (range: 10$\~$25 mm) was done. Results : Fourteen patients showed good and excellent results with one subluxation and one positive apprehension test. Postoperative ranges of motions did not change in forward elevation, external rotation at side and external rotation at 90$^{\circ}$ abduction (p>0.05). Conclusion : Inferior capsular shift procedure using splitting subscapularis and capsule can be helpful in shoulder instability patients who were high-risk group of recurrence with arthroscopic procedure.
정상체중성인과 과체중성인의 거골-제1종족골 및 종골하면-제1종족골하면 관절간 각도 차이에 대한 연구
유문집,김명호,유석주,이성철,박진영 단국대학교 1997 論文集 Vol.31 No.-
Normal feet have the longitudinal arch for the distribution of the weight. The longitudinal arch is known lateral and medial longitudinal arch. Collapsed arch of the foot is flat foot and it is the cause of the foot pain. Of course the low arch does not always make a foot problem in sports and daily activity. Longitudial foot arch is visible in the standing foot lateral radiograph, Harris mat and visual observation. In Radiographic study the lateral Talo-lst Metatarsal angle is known in standing foot lateral film. But the longitadinal medial arch is not correctly obtained in Talo-lst Metatarsal angle. So this study for Calcaneo-lst metatarsal angle in standing lateral foot radiograph is more valuable angle in medial longitadinl arch. And we do the study on difference in the longitadinal arch in normal weight versus overweight person.
김명호,유문집,이성철,박진영,유석주,박희곤 단국대학교 1996 論文集 Vol.30 No.-
The purpose of operative treatment in thoracolumbar spine fractures is anatomical reduction and stabilization of the fractures and thus promote neurological recovery and early rehabilitation. To achieve these goals, complete preoperative assessment and recognition of the fracture pattern is necessary in addition to good surgical technique. The authors analyzed 27 cases of thoracolumbar spine fractures operated from Jun. 1994 to Dec.1995 at the Department of orthopaedic surgery, Dan-kook University Hospital. All cases were analysed according to McAfee classification. In deciding the appropriate surgical approach, fracture pat-tern, stability and neurologic status were considered. The result were as follows; 1. Unstable burst fracture, 11 cases, was the most frequent type. 2. 1st lumbar fracture was the most common level in this series. 3. Fall down, 15 cases out of 27, was the most common cause on thoracolumbar spine fracture. 4. Anterior approach was performed in 8 cases and posterior approach was performed in 19cases. 5. Good results were obtained through firm fixation and early rehabilitabion.