• 제목/요약/키워드: orthopedic

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관혈적 방법과 관절경적 방법을 이용한 재발성 견관절 전방 불안정의 치료 결과 (Results of Open Versus Arthroscopic Method in Recurrent Anterior Shoulder Instability)

  • 한성호;양보규;이승림;정선욱;이동호;오세진;이철호;하권익
    • 대한정형외과스포츠의학회지
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    • 제1권2호
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    • pp.154-158
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    • 2002
  • 목적: 관혈적방법과관절경적방법을이용하여재발성견관절전방불안정환자를수술후추시결과를비교하고자하였다. 대상및방법: 1995년1월부터2000년4월까지관혈적및관절경적Bankart repair를시행하고1년이상추시가가능한68명을대상으로하였으며, 23명은관절경적방법으로45명은관혈적방법으로수술을시행하였다. 추시기간은12개월에서64개월로평균34개월이었다. 결과: 관혈적수술을시행한환자들중2예에서아탈구가발생하여보존적인방법으로치료하였으며관절경적그룹에서는2예에서탈구, 2예에서아탈구가발생하여이중탈구된1예에서관혈적방법으로재수술을시행하였다. Rowe 등에의한기능적평가에서는관혈적그룹에서평균87 점이었고관절경적그룹에서평균85점이었다. 환자의주관적인만족도는관혈적그룹에서84.6 점이었고관절경적그룹에서72.5점이었다. 두그룹간의결과의통계분석상안정성과운동범위점수이외에는통계학적으로유의한차이는없었다.결론: 관혈적수술방법은안정도가높았고, 관절경적수술방법은견관절운동범위에장점이있었다. 견관절재발성전방불안정환자의수술적치료에있어서이학적검사및방사선학적검사, 진단적관절경에의해적절한수술방법을선택하는것이환자의예후에중요한요소가될 것이다.

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Rapid Prototyping and Reverse Engineering Application for Orthopedic Surgery Planning

  • Ahn Dong-Gyu;Lee Jun-Young;Yang Dong-Yol
    • Journal of Mechanical Science and Technology
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    • 제20권1호
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    • pp.19-28
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    • 2006
  • This paper describes rapid prototyping (RP) and reverse engineering (RE) application for orthopedic surgery planning to improve the efficiency and accuracy of the orthopedic surgery. Using the symmetrical characteristics of the human body, CAD data of undamaged bone of the injured area are generated from a mirror transformation of undamaged bone data for the uninjured area. The physical model before the injury is manufactured from Poly jet RP process. The surgical plan, including the selection of the proper implant, pre-forming of the implant and decision of fixation positions, etc., is determined by a physical simulation using the physical model. In order to examine the applicability and efficiency of the surgical planning technology, two case studies, such as a distal tibia comminuted fracture and an iliac wing fracture of pelvis, are carried out. From the results of the examination, it has been shown that the RP and RE can be applied to orthopedic surgical planning and can be an efficient surgical tool.

대둔근에 발생한 근육 내 신경초종 - 증례 보고 - (Intramuscular Schwannoma Arising from the Gluteus Maximus Muscle - A Case Report -)

  • 김상림;남광우;최성욱;방형식;서규범
    • Archives of Reconstructive Microsurgery
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    • 제21권2호
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    • pp.165-169
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    • 2012
  • Intramuscular schwannomma is unusual and rare cases were reported in the literature in the gluteus maximus muscle. We present a case of an intramuscular schwannoma arising from the gluteus maximus muscle in a sixty-five-year-old woman. An oval in shape and well encapsulated tumor was found embedded with the gluteus maximus muscle, and then the lesion was excised surgically. Two years following excision of the lesion, the patient remained asymptomatic, with no evidence of local recurrence.

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후방 변연부 분리가 동반된 양측성 원판형 외측 반월상 연골 (Bilateral Discoid Lateral Menisci with Peripheral Detachment)

  • 정훈;김용주;신이경;하종경;최경업
    • 대한관절경학회지
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    • 제10권1호
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    • pp.99-102
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    • 2006
  • 원판형 반월상 연골 중 Wrisberg ligament 형은 매우 드문 질환이다. 저자들은 후방 분리가 동반된 완전형 원판형 반월상 연골이 양측성으로 발생한 예를 경험하였기에 이를 보고하고자 한다.

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Arthroscopic Reduction of Irreducible Posterolateral Knee Dislocation with Interposition of the Vastus Medialis: A Case Report

  • Sim, Jae-Ang;Kim, Byung-Kag;Lee, Beom-Koo;Yoon, Yong-Cheol;Choi, Eun-Suk
    • Journal of Trauma and Injury
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    • 제29권4호
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    • pp.167-171
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    • 2016
  • Irreducible traumatic knee dislocation is rare. The knee dislocation is classified depending on the incarcerated structures. Complete reduction is achieved by extracting the incarcerated structure. Several reports introduce the reduction of irreducible traumatic knee dislocation by open surgery or arthroscopy. This case describes irreducible posterolateral knee dislocation with interposition of the vastus medialis. Closed reduction failed in the emergency room, and complete reduction was attained by arthroscopically sectioning the muscle and fascia of the vastus medialis in the intercondylar notch.

Arthroscopic Decompression of an Inferior Paralabral Cyst of the Shoulder in an Elderly Patient: A Case Report

  • Kim, Ju-Oh;An, Ki-Yong;Bong, Hwang-Se;Lee, Kyu-Jung;Min, Woong-Bae
    • Clinics in Shoulder and Elbow
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    • 제18권4호
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    • pp.266-268
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    • 2015
  • The widespread use of diagnostic radiography, especially using magnetic resonance imaging, has helped to increase the diagnosis of paralabral cysts in patients with chronic shoulder pain. These paralabral cysts are frequent in the anterior, the superior, and the posterior compartment of the shoulder joint but are rare in the inferior compartment. Paralabral cysts in the shoulder appear particularly in men in their third and fourth decades but rarely in elderly patients. We report a case of an inferior paralabral cyst in an elderly patient whom we treated through arthroscopic decompression.

경피적 나사못 고정술로 치료한 Maisonneuve 골절 (Maisonneuve Fractures Treated with Percutaneous Screw Fixation)

  • 정철용;손영찬;배준범;최문도
    • 대한족부족관절학회지
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    • 제4권2호
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    • pp.61-66
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    • 2000
  • Purpose: To evaluate the clinical validity of percutaneous screw fixation in Maisonneuve fracture. Material and Methods: Out of 5 Maisonneuve fracture patients hospitalized in the department of orthopedic surgery of Seigang hospital from February 1995 to May 1998, 4 patients were treated with percutaneous screw fixation and 1 patient was treated with percutaneous screw fixation and repair of deltoid ligament altogether. The results were evaluated on the clinical and radiological finding. Results: In all cases, the range of motion of ankle joint was normal, the complication such as postoperative pain and post-traumatic arthritis were not found. Widening of medial clear space or talar shift were not found in the follow up X-ray and tibiofibular distance, compared with normal ankle joint was same on follow up CT. Conclusion: Percutaneous screw fixation is simple, less invasive and more effective method in the treatment of Maisonneuve fracture.

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수술 후 발생한 족근관 증후군의 자가 복재 정맥 이식술을 이용한 치료 (Treatment of Postoperative Tarsal Tunnel Syndrome with Autogeneous Vein Wrapping Graft)

  • 김재영;박현규;이경태;양기원;정주선
    • 대한족부족관절학회지
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    • 제10권1호
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    • pp.109-112
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    • 2006
  • Management of postoperative tarsal tunnel syndrome is a perplexing problem to the surgeons. Autogenous vein wrapping graft is a effective method to decompress the tarsal tunnel. We treated 2 cases of postoperative tarsal tunnel syndrome with autogenous saphenous vein wrapping graft technique, and could get good results. Autogenous vein wrapping graft seems to be a good technique for tarsal tunnel syndrome with severe adhesion, particularly after surgery, and postoperative nerve adhesion can be prevented.

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후방 삽입구를 이용한 관절경적 거골하 관절 유합술- 수술 방법- (Technical Note of Arthroscopic Subtalar Arthrodesis Using Posterior Portals - Operative Technique -)

  • 이근배;최진;박유복;서형연;서진수
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.193-196
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    • 2005
  • A posterior 3-portal arthroscopic approach with the patient in the prone position provides a novel and optimal approach for isolated subtalar arthrodesis. This approach facilitates access to the posterior talocalcaneal facet and facilitates safe access with regard to the posteromedial neuromuscular bundle. The technique involves prone positioning, establishment of two posterolateral portals and one posteromedial portal, arthroscopic posterior talocalcaneal facet debridement, percutaneous morcellized bone grafting and internal screw fixation. Preliminary results have shown high patient satisfaction, an excellent fusion rate and less postoperative morbidity than open subtalar arthrodesis.

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