• 제목/요약/키워드: Orthopaedic

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비골건구를 깊게 하는 술식을 이용한 비골건 아탈구의 수술적 치료 (Treatment of Peroneal Tendon Subluxation by Fibular Groove Deepening)

  • 유주형;이윤태;하중원;박융;신영석
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.184-187
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    • 2005
  • Purpose: To evaluate the efficiency of fibular groove deepening and superior retinacular reconstruction for peroneal tendon subluxation. Materials and Methods: Six patients who were treated by fibular groove deepening and superior retinacular reconstruction for peroneal tendon subluxation from March 2000 to August 2004 were reviewed retrospectively. Results: No recurrent subluxation of peroneal tendons had occurred. All patients were return to sports by 4 months after surgery and also gained nearly normal range of motion. Five patients were completely pain free, but one patient had mild occasional pain that limit his sports activities. Conclusion: Fibular groove deepening and superior retinacular reconstruction was believed to be a reliable procedure for peroneal tendon subluxation in spite of some minor complications.

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무지 외반증의 수술적 방법에 대한 임상적 고찰 (A Clinical Study of the Operative Treatment in Hallux Valgus)

  • 박인헌;이기병;송경원;이진영;김익지
    • 대한족부족관절학회지
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    • 제1권1호
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    • pp.65-73
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    • 1997
  • Hallux valgus deformity has been slowly getting popular in Korea. Many surgical procedures are available for treating the hallux valgus, but it is still controversial for the best treatment. We operated 25 feet(15 patients) of hallux valgus between May. 88 and December. 94. The clinical results were as follow ; 1. Age distribution was 25 to 82, and all female. 10 patients have bilateral hallux valgus. 2. 19 feet were treated by soft tissue procedures only and 6 feet by combined soft tissue and bony procedures. 3. Bunion deformity was recurred in 2 feet (1 Patient) which were treated with modified McBride Method. 4. Lateral sesamoidectomies were performed in 7 feet without development of hallux varus. 5. The cosmetic and functional results were good in 6 cases treated by proximal metatarsal osteotomy. 6. 9 feet had other digits deformities, which need surgical correction. 7. Tightening repair of medial capsule seems to be important for prevention of recurrence of bunion.

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수근부 주상골의 연골모세포종 (증례 보고) (Chondroblastoma of the carpal scaphoid (A Case Report))

  • 정경칠;김기용;최장석;서승석;김경환
    • 대한골관절종양학회지
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    • 제11권2호
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    • pp.194-198
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    • 2005
  • 연골모세포종은 장골의 골단에 호발하는 상대적으로 드문 양성 종양이다. 양성 연골 모세포종은 양성 골종양의 약 1% 정도를 차지한다. 특히 수근부의 연골모세포종은 매우 드문 것으로 알려져 있다. 이에 저자들은 소파술 및 혈관부착 골이식술로 치료한 수근부 주상골에 생긴 연골모세포종의 증례를 보고하는 바이다.

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쇄골의 저형성을 동반한 신경섬유종증(증례보고) (Hypoplagia of Right Clavicle Associated with Neurofibromatosis (A Case Report))

  • 최창혁;권굉우;김신근;이상욱;윤기현;김용진
    • Clinics in Shoulder and Elbow
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    • 제1권1호
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    • pp.132-137
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    • 1998
  • 환자 및 아버지의 cafe-au-leit반점으로 유전적 소인을 인정할 수 있는, 쇄골의 저성장 및 미란성 변화를 동반한 신경섬유종증 1례를 치험한 바, 상기 환자의 골격계의 변형이 신경섬유종증의 골막침범에 의한 압박 및 그로 인한 영양효과(trophiceffect)로 인한 것임을 확인할 수 있었다.

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Key-hole 술식을 이용한 급성 견봉쇄골관절 탈구의 치료-예비보고- (Key-hole Technique in Treatment of A-C Dislocation - Preliminary Report -)

  • 최창혁;권굉우;김신근;이상욱;윤영준
    • Clinics in Shoulder and Elbow
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    • 제2권1호
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    • pp.8-13
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    • 1999
  • The results of the operative treatment of the Grade III acromioclavicular joint injury is defined by the durability of the reduced joint and free of exertional pain. Several surgical techniques have been applied to reduce and stabilize the joints effectively. Resection of clavicular lateral end and subacromial decompression also could be applied to prevent post-operative arthritic change. Biomechanical studies reveals the role of clavicular elevation and rotation to achieve more than 90 degrees of elevation. It also serves as a attachment site of deltoid and trapezius muscle. The stability and mobility of the both acromioclavicular and coracoclavicular joint are important to get full functional recovery. We modified the methods of coracoacromial ligament transfer described by Weaver-Dunn and by Shoji et a!. to pre­vent pullout of the transferred ligament and to get more improved functional results. Main technical point was harvesting full thickness bone block and fix it through the key-hole to reduce pull out angle.

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골격외 Ewing 육종 - 4예 보고 - (Extraskeletal Ewing Sarcoma - Report of Four Cases -)

  • 이승구;강용구;송석환;박원종;임일재
    • 대한골관절종양학회지
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    • 제5권1호
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    • pp.63-69
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    • 1999
  • Recently we experienced four cases of soft tissue Ewing sarcoma, developed in the calf muscles in two cases, and one case each in the foot and suprascapular region. We also found that the clinical course in all cases was rather rapid, because of local recurrence and metastatic lesions developing within a few months, followed by the patients' death in about 2 years after the primary tumor was excised. These cases were improperly treated initially as some kind of benign soft tissue tumor. The delay led to missed early accurate diagnosis and was thought to be one of the main causes for the rapid local recurrence and metastasis after tumor excision. The pulmonary metastasis was the most common cause of death.

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사지에 발생한 혈관 외피 세포종 - 3례 보고 - (Hemangiopericytomas Occurred in the Extremities - Three Cases Report -)

  • 김태승;조재림;최일용;이창우
    • 대한골관절종양학회지
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    • 제1권2호
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    • pp.233-239
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    • 1995
  • Hemangiopericytoma is a rare tumor of blood vessels, first described and named by Stout and Murray in 1942, arising from the contractile, elongated cells which surround capillaries originated from the pericytes of Zimmermann. It can develop anywhere there are capillaries and mostly in the connective tissue of the human body. It can also develop at any age from 12 to 90 years old, and the rate of metastasis and prognosis vary with its histologic finding, We report three cases of hemangiopericytoma - one recurred in the right forearm where a tumor was excised 15 years ago, another occurred in the left pubis which metastasized to lung and head, the other metastasized from the lung to the right scapular area - treated at the department of orthopaedic surgery, Hanyang University Hospital from 1989 to 1995.

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자연 소실된 거대 세포종의 광범위한 폐전이 - 1예 보고- (Spontaneous Regression of Extensive Pulmonary Metastasis of Benign Giant Cell Tumor of Bone - A Case Report -)

  • 박루뽀;이상훈;조환성;김준혁;김한수
    • 대한골관절종양학회지
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    • 제10권1호
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    • pp.39-44
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    • 2004
  • 거대 세포종은 일반적으로 양성 골종양이지만 드물게 폐로 전이하는 특성이 있다. 임상적으로 거대 세포종의 폐 전이는 지속적으로 진행하기도 하지만 종종 스스로 성장이 정지하거나 또는 자연 소실되는 경우도 있는 것으로 알려져 있다. 저자들은 거대 세포종의 광범위한 폐전이가 자연 소실된 예를 경험하여 보고하고자 한다.

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Calcaneal Insufficiency Avulsion Fracture in a Well-Controlled Type 2 Diabetic Patient: A Case Report

  • Kim, Seong-Tae;Moon, Myung-Sang;Kwon, Ki-Tae;Park, Bong-Keun;Ha, Chang Won;Ahn, Jungtae
    • 대한족부족관절학회지
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    • 제19권2호
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    • pp.73-76
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    • 2015
  • The calcaneal insufficiency avulsion fracture usually occurs in an area of fused apophysis in adults without significant history of trauma or overuse activities. It is an uncommon injury which has been described in patients with complicated diabetes, Charcot neuroarthropathy, amyloidosis with neuropathy, severe osteoporosis, and other conditions. Discussion of the issue of fracture location is still not sufficient. We report on a case of a 50-year-old male who experienced a non-traumatic diabetic calcaneal insufficiency fracture. Intraoperatively, a biopsy specimen was obtained from the exposed fracture site for histological study. We assume that the calcaneal fused apophyseal line is the weak point of failure due to various incomplete mixtures of trabecular bone, woven bone, and cartilaginous tissues, and may fail when repeated tensile stress is imposed.

관절경적 미세골절술이 실패한 거골의 골연골 병변에 대한 치료로서의 재차 미세골절술 (Redomicrofracture as a Treatment for Osteochondral Lesion of Talus after the Failure of Arthroscopic Microfracture)

  • 최우진;박광환;이모세;정광호;이진우
    • 대한족부족관절학회지
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    • 제19권2호
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    • pp.43-46
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    • 2015
  • Arthroscopic treatment has been reported to provide effective improvement of ankle function when used in treatment of small osteochondral lesion of talus; however, favorable long-term results have been less predictable for large osteochondral lesion of talus. In cases in which primary arthroscopic treatment fails, the decision regarding which subsequent technique to choose has become increasingly difficult, as good clinical outcomes may be unlikely for such patients irrespective of the surgical technique used. Redomicrofracture should be used judiciously for treatment of osteochondral lesion of talus in which arthroscopic treatment has failed.