• Title/Summary/Keyword: 대한정형외과학회지

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The Septic Knee Arthritis Caused by Klebsiella pneumoniae in a Patient with Type 2 Diabetes Mellitus and Osteoarthritis of the Knee (제2형 당뇨 및 골관절염을 동반한 환자에서 발생한 Klebsiella pneumoniae균에 의한 화농성 관절염)

  • Ha, Joong-Won;Lee, Sanghyeon;Park, Sang-Hoon;Kim, Tae-Yup
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.67-71
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    • 2019
  • Klebsiella pneumoniae causes that liver abscess mostly, also spread to pneumonia, meningitis, urinary tract infections. Septic arthritis caused by K. pneumoniae is a quite rare and has not been reported in Korea. Therefore, the authors report a case of the septic arthritis in the knee joint caused by K. pneumoniae in a patient with type 2 diabetes mellitus and osteoarthritis of the knee that successfully treated by early detection and arthroscopic synovectomy.

Robotic Surgery in the Orthopedic Field (정형외과 영역에서 로봇수술)

  • Lee, Woo-Suk;Jung, Woo-Suk
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.459-465
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    • 2018
  • Of the many factors that affect the clinical outcomes of orthopedic surgery, the surgical procedure is the most important. Robotics have been developed to perform the surgical procedures more accurately and consistently. Robotic surgical procedures in the orthopedic field were developed 20 years ago. Some designs of surgical robots have disappeared due to practical problems and complications, and an another design of surgical robots is emerging. To date, the use of robot surgery in arthroplasty is still controversial in terms of the clinical outcomes, practicality, and cost-effectiveness, even though it has been reported to be effective in the alignment and positioning of components in the field of artificial joints. Early robotic surgery was based mainly on active robot surgery according to the scheduled operation without the intervention of the operator. Recently the semi-active system of robotic surgery has been introduced. In a semi-active system, the robot constrains the surgeon to a haptic boundary defined by the computer based on the 3-dimensional imaging preoperative plan, and the operator can change the preoperative plan through real-time feedback during operation.

Evolving Indication of Meniscal Allograft Transplantation (진화하고 있는 동종 반월연골판 이식술의 적응증)

  • Lee, Bum-Sik;Bin, Seong-Il;Kim, Taehyung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.200-209
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    • 2020
  • The first human meniscal allograft transplantations (MATs) were performed 30 years ago. In the early era, candidates were limited to patients who have favorable joint conditions. MAT is currently indicated for patients with post-meniscectomy symptoms, such as compartmental pain or effusion after a subtotal or total meniscectomy. The current indication for MAT is being expanded to other patients who were not indicated previously. The present article reviews how the indications of MAT have changed over the years.

Carpal Tunnel Syndrome Caused by Pseudogout (가성통풍으로 인한 수근관 증후군)

  • Kim, Eugene;Chae, Seoung Wan;Lee, Hoseok;Lee, Seok Won
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.372-376
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    • 2019
  • Carpal tunnel syndrome (CTS) caused by pseudogout is an uncommon disease. The authors report a 65-year-old female who complained of sudden pain and neurological symptoms on her left hand. Surgical decompression was performed. In the histologic study, a calcium pyrophosphate dihydrate crystal deposit was confirmed. Her pain and neurological symptoms were relieved. Because CTS caused by pseudogout is rare, it is difficult to differentiate it from other diseases. This paper reports an uncommon case of CTS caused by pseudogout.

Biportal Percutaneous Endoscopic Spinal Surgery for Lumbar Spinal Stenosis (요추 척추관 협착증 환자의 양방향 경피적 내시경을 이용한 척추 수술)

  • Kang, Taewook;Lee, Soon Hyuck;Park, Si Young
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.219-226
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    • 2019
  • Lumbar decompressive surgery is a standard surgery for lumbar spinal stenosis. Many surgical techniques have been introduced, ranging from open surgery to percutaneous procedures. Minimally invasive techniques are preferred because of the less postoperative pain and shorter hospital stay. Uniportal percutaneous endoscopic decompression has technical difficulties due to the narrow field. Biportal percutaneous endoscopic decompression is a satisfactory technique that can compensate for the shortcomings and provide sufficient decompression.

Use of Ultrasonography for Foot and Ankle Sports Injuries (족부 및 족관절 스포츠 손상에서 초음파의 활용)

  • Moon, Youngseok;Kim, Chong-bin;Ahn, Jae Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.5
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    • pp.402-410
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    • 2019
  • Sports injuries of the foot and ankle are commonly encountered in clinical practice. Ultrasound is very useful for the diagnosis of such injuries, because it is more economical, readily accessible, and can perform a dynamic study compared to magnetic resonance imaging. This review focused on the sonographic features of common foot and ankle sports injuries.

Symptomatic Calcific Deposition in Posterior Cruciate Ligament of the Knee (슬관절 후방십자인대에 발생한 동통성 석회침착)

  • Chung, Whan-Yong;Park, Sang Jun;Sung, Seung-Yong
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.172-176
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    • 2019
  • Calcium deposition disease, including calcific tendinitis, rarely affects the knee joint. Only a few cases can be found in the literatures and there is no case report of symptomatic calcific deposition arising from the posterior cruciate ligament in Korea. The authors encountered a case of symptomatic calcific deposition arising from the posterior cruciate ligament, which was excised arthroscopically and confirmed pathologically. This paper reports this case with a review of the relevant literature.

Surgical Treatment of Recurrent Giant Cell Tumor Occurring at the First Metatarsal (제1 중족골에 발생한 재발성 거대 세포종의 수술적 치료)

  • Kim, Kap Jung;Lee, Kwang-Won;Lee, Jong Shin
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.182-186
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    • 2019
  • Giant cell tumor is a benign but locally aggressive tumor with common recurrence. Most cases occur around the knee joint. Giant cell tumor of the foot is rare and very few cases involving the first metatarsal have been reported. Its characteristics and treatment in adult patients remain unclear. This paper reports a case of recurrent giant cell tumor at the first metatarsal that was excised surgically and subsequently reconstructed with non-vascularized fibula graft.

Perioperative Medical Treatment to Improve Surgical Outcomes: Management of Osteoporosis (수술적 치료 결과 향상을 위한 수술 전후 약물요법: 골다공증의 치료)

  • Shin, Hun Kyu;Lee, Jae Wook;Song, Seung Cheol
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.18-23
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    • 2019
  • As the population grows older and medical treatments are advancing, the number of spine surgeries in elderly patients has been increasing. To obtain a successful outcomes of spine surgery in elderly patients, surgeons should prepare meticulously because elderly patients can have osteoporosis and surgery can be more extensive than in younger patients. Therefore, this study reviewed the perioperative medical treatment, particularly for osteoporosis, to improve the surgical outcomes in elderly patients.

Diagnosis of Partial Thickness Tear of Supraspinatus Tendon Using Dynamic Ultrasonography Under Resisted Scaption Position (저항 Scaption 동적 초음파를 이용한 극상건 부분 파열의 진단)

  • Song, Jae Hwang;Ko, Kwang Pyo;Cha, Hyun Jae
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.426-430
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    • 2020
  • Magnetic resonance imaging and static ultrasound imaging do not indicate some cases of partial thickness tears of the supraspinatus tendon. The authors observed a partial thickness tear of the supraspinatus tendon that was not found using other imaging tools but was observed by resisted scaption in shoulder extension position dynamic ultrasound in several cases. This paper outlines this technique is reported by describing two cases.