• 제목/요약/키워드: Orthopedic surgery

검색결과 3,064건 처리시간 0.024초

Evaluating the effects of age on the long-term functional outcomes following anatomic total shoulder arthroplasty

  • Troy Li;Akiro H. Duey;Christopher A. White;Amit Pujari;Akshar V. Patel;Bashar Zaidat;Christine S. Williams;Alexis Williams;Carl M. Cirino;Dave Shukla;Bradford O. Parsons;Evan L. Flatow;Paul J. Cagle
    • Clinics in Shoulder and Elbow
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    • 제26권3호
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    • pp.231-237
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    • 2023
  • Background: In the past decade, the number of anatomic total shoulder arthroplasty (aTSA) procedures has steadily increased. Patients over 65 years of age comprise the vast majority of recipients, and outcomes have been well documented; however, patients are opting for definitive surgical treatment at younger ages.We aim to report on the effects of age on the long-term clinical outcomes following aTSA. Methods: Among the patients who underwent TSA, 119 shoulders were retrospectively analyzed. Preoperative and postoperative clinical outcome data were collected. Linear regression analysis (univariate and multivariate) was conducted to evaluate the associations of clinical outcomes with age. Kaplan-Meier curves and Cox regression analyses were performed to evaluate implant survival. Results: At final follow-up, patients of all ages undergoing aTSA experienced significant and sustained improvements in all primary outcome measures compared with preoperative values. Based on multivariate analysis, age at the time of surgery was a significant predictor of postoperative outcomes. Excellent implant survival was observed over the course of this study, and Cox regression survival analysis indicated age and sex to not be associated with an increased risk of implant failure. Conclusions: When controlling for sex and follow-up duration, older age was associated with significantly better patient-reported outcome measures. Despite this difference, we noted no significant effects on range of motion or implant survival. Level of evidence: IV.

경추에서 발생한 골연골종 - 1예 보고 - (Osteochondroma in Cervical Spine - 1 Case Report -)

  • 나화엽;이영상;최준철;최준원;김우성;송우석;노현민
    • 대한골관절종양학회지
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    • 제14권1호
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    • pp.73-77
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    • 2008
  • 골연골종은 골종양중 가장 흔한 양성 골졸양으로, 양성 골종양의 40%를 차지하고 있으나, 척추에서의 병변은 적어 2%에 지나지 않아, 경추 제5, 6번간 극돌기에 발생한 골연골종 1예를 en bloc을 통한 절제 생검을 시행하고, 그 발생 부위의 희귀성에 비추어 보고하는 바이다.

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Long-term Follow-up of Extensive Peri-anchor (Poly-L/D-lactic Acid) Cyst Formation after Arthroscopic Rotator Cuff Repair: A Case Report

  • Kim, Jong-Ho;Kim, Jong-Ick;Lee, Hyo-Jin;Kim, Dong-Jin;Sung, Gwang Young;Kwak, Dong-Ho;Kim, Yang-Soo
    • Clinics in Shoulder and Elbow
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    • 제22권2호
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    • pp.100-105
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    • 2019
  • Suture anchors are commonly used in shoulder surgeries, especially for rotator cuff tears. Peri-anchor cyst formation, however, is sometimes detected on follow-up radiologic image after surgery. The purpose of this report is to discuss the case of a patient who presented with regression of extensive peri-anchor cyst on postoperative 4-year follow-up magnetic resonance imaging and had good clinical outcome despite peri-anchor cyst formation after arthroscopic rotator cuff repair.

결핵성 아킬레스 건염의 수술적 치료 -증례보고- (Surgical Treatment of Tuberculous Achilles Tendinitis - Case Report -)

  • 차승도;김재영;이경태;양기원;김응수;박신이
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.201-203
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    • 2005
  • Although Achilles tendinitis is a relatively common disease, tuberculous involvement of Achilles tendon is rare. We report a case of tuberculous Achilles tendinitis, which was successfully treated with chemotherapy and a combined surgical procedure (Achilles tendon parital excision and FHL tendon transfer).

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재발한 족관절의 미만성 색소 융모 결절성 활액막염 (Recurred Diffuse Pigmented Villonodular Synovitis of Ankle Joint - Case Report -)

  • 김학준;김택선;서동훈;윤광섭;정국진;전승주
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.220-223
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    • 2005
  • Pigmented villonodular synovitis (PVNS) in ankle is relatively uncommon. This disorder results in increased proliferation of synovium causing villous or nodular changes containing histiocytes, fibroblasts, multinucleated giant cell, and hemosiderin. PVNS is classified into two different type : localized and diffuse. Diffuse type of PVNS in ankle is more common than localized type. Also, recurrence of diffuse type is more frequent. We report a case of diffuse type of PVNS which was recurred soon after the excision.

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Transarticualr portal를 이용한 주관절의 관절경술 (Transarticular Portal for Elbow Arthroscopy)

  • 김성재;박인섭;김주영;정재훈;류상욱;천용민
    • Clinics in Shoulder and Elbow
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    • 제6권2호
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    • pp.127-130
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    • 2003
  • Arthroscopy of the elbow is a very precise and demanding procedure due to the closeness of the recommended portals to neurovascular structures and complexity of articular geometry. So to establish safe portal is not always reproducible especially in case of stiff elbow, even for the experienced arthroscopist. We described new tip of elbow arthroscopy using a new starting portal. This procedure is almost always reproducible even in stiff elbow, and minimizes risk of damage to neurovascular structures.

일측과 양측 발에 동시에 발생한 거종 및 종주상 결합 (Uni and Bilateral Dual Calcaneonavicular and Talocalcaneal Coalitions)

  • 박용욱;김도영;이상수;윤태경;노규철;손현일
    • 대한족부족관절학회지
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    • 제7권2호
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    • pp.263-268
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    • 2003
  • Tarsal coalition is a congenital failure of segmentation resulting in fibrous, cartilaginous, or bony union between tarsal bones. Although single tarsal coalitions are common, dual tarsal coalitions are a rare occurrence. We repport of unilateral and bilateral dual calcaneonavicular and talocalcaneal coalitions.

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부주상골을 동반한 이분 내측 설상골: 증례 보고 (Bipartite Medial Cuneiform Combined with Accessory Navicular: A Case Report)

  • 이태훈;남일현;문기혁;이영현;안길영;이영훈
    • 대한족부족관절학회지
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    • 제19권1호
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    • pp.32-34
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    • 2015
  • Accessory navicular is a congenital anomaly appearing in the secondary ossification center on the tuberosity of the navicular that may cause flatfoot. Bipartite medial cuneiform is another rare congenital anomaly occurring as two primary ossification centers in the medial cuneiform. The authors report a rare case of symptomatic bilateral accessory navicular with bipartite medial cuneiform and flatfoot deformity in a 19-year-old man with a review of the literature.

발에 발생한 골내 결절종 - 2예 보고 - (Intra-osseous Ganglion of the Foot - Two Cases Report -)

  • 박용욱;정영기;유정한;박홍준;유선오;진현철
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.86-90
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    • 2001
  • Intra-osseous ganglion is an uncommon benign bone tumor caused by an intramedullary metaplastic event. Two cases of the intraosseous ganglion of the foot are presented; one in the metatarsus and the other in the talus. Follow-up averaged 14 months. Satisfactory results were obtained with curettage, cancellous bone graft from the ipsilateral calcaneus. No recurrence and complications occurred during the period of follow-up.

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Micro-and nanofibrous scaffold for enhanced cartilage regeneration

  • Lee, Myung-Hee;Shim, In-Kyong;Hwang, Jung-Hyo;Ahn, Hyun-Jung;Lee, Sang-Hoon;Lee, Myung-Chul;Lee, Seung-Jin
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.229.2-230
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    • 2003
  • Extracellular matrix(ECM) is composed of the ground materials(proteoglycan) and nano size diameter fibrous proteins(ex. collagens) that together form a composite-like structure. In this study, fibrous scaffold with biomimetic architecture based on collagen nanofibers interpenetrated in PLGA/chitosan microfibrous matrix. Chitosan was selected for its structure similarity to glycosaminoglycan and neutralizing capacity for PLGA acidic metabolite. Collagen nanofiber were prepared by electrospinning. (omitted)

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