• Journal of Korean Neurosurgical Society
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• 제48권6호
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• pp.544-546
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• 2010

Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.

• Journal of Computational Design and Engineering
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• 제1권1호
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• pp.55-66
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• 2014

A knee joint's longevity depends on the proper integration of structural components in an axial alignment. If just one of the components is abnormally off-axis, the biomechanical system fails, resulting in arthritis. The complexity of various failures in the knee joint has led orthopedic surgeons to select total knee replacement as a primary treatment. In many cases, this means sacrificing much of an other-wise normal joint. Here, we review novel computational approaches to describe knee physiotherapy by introducing a new dimension of foot loading to the knee axis alignment producing an improved functional status of the patient. New physiotherapeutic applications are then possible by aligning foot loading with the functional axis of the knee joint during the treatment of patients with osteoarthritis.

• International Journal of Internet, Broadcasting and Communication
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• 제14권4호
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• pp.154-162
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• 2022

This study aimed to systematically review the available body awareness interventions in patients with musculoskeletal disorders. A total of 3,462 studies were searched in relevant databases using the search keywords, and six studies that met the selection criteria after review were included in the final analysis. The qualitative level of the studies was classified using the five levels of evidence-based classification, and systematic analysis was conducted according to PICO model (patient/population, intervention, comparison and outcomes). Of the six studies included in the final analysis, there were one, three, and two randomized controlled trials, non-randomized two-group studies, and case reports, respectively. Body awareness therapy was applied to patients with idiopathic scoliosis, non-specific musculoskeletal disorder, hip osteoarthritis, and amputation, who showed positive improvements after the interventions. Our results suggested that body awareness therapy is an important intervention with positive effects on the recovery of patients with musculoskeletal disorders.

• Journal of Acupuncture Research
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• 제27권2호
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• pp.123-142
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• 2010

Objectives : The knee pain is the main reason of getting acupuncture treatment. In order to have confidence in the results of a study, it is necessary to establish that questionnaire is both valid and reliable in questionnaire related study. The aim of this study was to review the instruments that are currently in sue for assessing the knee joint. Methods : A literature study was performed to choose appropriate scales for assessment for pain and the function of the knee. Theoretically based scales were selected for review. Therefore, 18 scales for knee and 9 scale for pain were reviewed. the status of scales involved in knee treatment of acupuncture throughout several countries was evaluated. Results & Conclusion : Lysholm Knee Scoring Scale, Cincinnati knee rating system(CKRS) are adequate for ligament injury in knee. International Knee Documentation Committee scoring system(IKDC) may become a publication requirement for journals in view of the international standing of the committee. The available outcome measure for use in osteoarthritis are Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC), Lequesne Functional Severity Index(LFI) and Knee Injury and Osteoarthritis Outcome Score(KOOS), and in rheumatoid arthritis are McMaster-Toronto Arthritis patient function preference questionnaire(MACTAR), Quality of Life-Rheumatoid Arthritis Scale(QoL-RA Scale). Visual analog scale(VAS), verbal rating scale(VRS) are commonly used for the standard pain scale. For long term follow-up study The Medical Outcomes Study Short Form-36(SF-36), Arthritis Impact Measurement Scales(AIMS), Health Assessment Questionnaire(HAQ) should be included. Each measurement has its own composition and characteristics. Their validity, reliability, responsiveness and practical characteristics were already evaluated. We found 20 domestic and 28 overseas papers about knee treatment using acupuncture assessed with knee scales.

• 대한방사선기술학회지:방사선기술과학
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• 제28권2호
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• pp.97-103
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• 2005

목 적 : 본 연구에서는 표준인 AP-WB(Weight-Bearing AP) 촬영법과 MTP(Semiflexed or metatarsophalangeal) 촬영법을 소개하고 판독 시 중요하게 여기는 관절간격과 신생골 묘출에 따른 항목을 각각 비교 고찰하여 골관절염 환자의 진단율을 향상시키고자 한다. 대상 및 방법 : 2004년 1월에서 2005년 1월까지 Knee Pain이 있는 환자로 본원의 류마티스내과에 내원한 220명(남:38명, 여:182명, 평균연령:57.3세)의 환자를 대상으로 표준인 AP-WB와 MTP검사를 병행하여 실시하였다. MTP검사는 20명의 모의환자로 발의 위치를 확인하며 슬개골이 슬관절부 정중앙에 위치하고, 관절강의 좌우대칭이 일치하도록 하였다. 관절간격과 신생골을 0(나쁨), 1(보통), 2(좋음), 3(아주좋음)점으로 구분하여 정형외과의사 3명, 류마티스 내과의사 2명, 방사선과 전문의 3명, 방사선사 5명이 PACS 모니터에서 영상을 Blind test하였다. 장비는 PHILIPS(Buckey Diagnostic-TH)를 사용하였고, 100 cm거리에서, 60 Kv, 8 mAs로 설정하였다. 결 과 : 위 방법으로 다음과 같은 결과를 얻을 수 있었다. 1. MTP 촬영법 : 발을 바깥쪽으로 $15^{\circ}$회전하고 무릎을 구부려 카세트 면에 대면 슬개골이 슬관절부의 정중앙에 위치하였고,관절강의 정렬에 따른 좌우대칭이 일치하였다. 2. 관절간격 점수 : AP-WB 촬영법; $1.32{\pm}0.050$, MTP 촬영법; $2.51{\pm}0.046$ 3. 신생골 점수 : AP-WB 촬영법; $2.14{\pm}0.054$, MTP 촬영법; $2.10{\pm}0.054$ 결론 및 고찰 : 이번 연구는 임상적인 판독 방법으로 관절간격과 신생골에 따른 점수를 비교 했을 때, MTP 촬영법이 가장 중요한 관절간격을 영상으로 표출하는데 있어서 기존의 AP-WB 촬영법보다 훨씬 더 우세하다는 결론을 갖게 되었다. 따라서 향후 골관절염 환자의 진단율을 향상시키는 데는 MTP촬영법이 유용할 것으로 사료된다.

• Journal of Acupuncture Research
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• 제33권3호
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• pp.153-159
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• 2016

Objectives : The purpose of this study is to report the effect of Miniscalpel acupuncture therapy on a patient with traumatic tears of both meniscuses. Methods : We treated a patient with tears in both meniscuses stemming from a traffic injury. The clinical effects of this treatment are measured by Visual Analog Scale (VAS), European Quality of Life - 5 Dimensions (EQ-5D), and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results : After Miniscalpel acupuncture therapy, the VAS score of the left knee changed from 7 to 3, while the VAS score of the right knee changed from 7 to 2~3. WOMAC of both knees changed from 70 to 8. Night pain and day-to-day pain have disappeared, with only a slightly heavy feeling remaining. Conclusion : These results suggest that Miniscalpel acupuncture therapy may be effective for treating traumatic meniscus tear.

• Hip & pelvis
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• 제35권2호
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• pp.122-132
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• 2023

Purpose: The dome technique is a technique used in performance of revision total hip arthroplasty (THA) involving intraoperative joining of two porous metal acetabular augments to fill a massive anterosuperior medial acetabular bone defect. While excellent outcomes were achieved using this surgical technique in a series of three cases, short-term results have not been reported. We hypothesized that excellent short-term clinical and patient reported outcomes could be achieved with use of the dome technique. Materials and Methods: A multicenter case series was conducted for evaluation of patients who underwent revision THA using the dome technique for management of Paprosky 3B anterosuperior medial acetabular bone loss from 2013-2019 with a minimum clinical follow-up period of two years. Twelve cases in 12 patients were identified. Baseline demographics, intraoperative variables, surgical outcomes, and patient reported outcomes were acquired. Results: The implant survivorship was 91% with component failure requiring re-revision in only one patient at a mean follow-up period of 36.2 months (range, 24-72 months). Three patients (25.0%) experienced complications, including re-revision for component failure, inter-prosthetic dual-mobility dissociation, and periprosthetic joint infection. Of seven patients who completed the HOOS, JR (hip disability and osteoarthritis outcome score, joint replacement) survey, five patients showed improvement. Conclusion: Excellent outcomes can be achieved using the dome technique for management of massive anterosuperior medial acetabular defects in revision THA with survivorship of 91% at a mean follow-up period of three years. Conduct of future studies will be required in order to evaluate mid- to long-term outcomes for this technique.

• 대한의용생체공학회:의공학회지
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• 제30권1호
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• pp.23-33
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• 2009

It can be used easily to reduce rehabilitation and treatment time if diagnostic and therapeutic devices are attached to cloth or body. Therefore we developed neuromuscular wearable ultra-miniature lighting modules which can improve the neuromuscular function and verified its clinical effectiveness. The system is based on the ultra-miniature lighting treatment module and there are two types of systems. One of them is designed as an attached type and the other type is combined with clothing. The wearable ultra-miniature lighting module is composed of controller (battery, MCU, bidirectional transmitter and receiver), cable, treatment medium generating device and other peripheral devices. To verify the clinical effectiveness of this device, we observed the difference of the strength of a muscle before and after 650nm and 25mW laser irradiation on the reflex point for 1 to 4 seconds. Among 48 patients having the degenerative osteoarthritis, the muscle strength before and after irradiation of laser was $21.8{\pm}7.99$ and $27.3{\pm}8.43$. According to the result, the muscle strength after treatment was significantly increased (p<0.01). To whom having difficulty in visiting to OPD(Out-Patient Department), doctors medically examine the patients and find the therapeutic point, attachment of this wearable ultra-miniature lighting module can function as self treatment (treating instrument) and treatment assist at home. If doctor can remotely control the patient and take part in treatment, the therapeutic device could contribute to prevention and care device.

• 대한족부족관절학회지
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• 제1권1호
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• pp.51-58
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• 1997

The purpose of this study is to evalute the efficacy af the Ilizarov external fixation for the surgical treatment. of the tibial plafond fractures. We reviewed retrospectively fourteen cases of tibial plafond fractures with moderate to severe soft. tissue damage, which were fixed with Ilizarov external fixator. Using the AO Muler classification, there were four Type C1 fractures, six Type C2 and four Type C3. In most, of the cases, the ankles were operated on with other associated fractures within a few days after injury. We reduced the fracture indirectly by soft issue taxis and fixed externally across the ankle joint. using the circular external fixator with tensioned wires and ankle hinge. In cases of inadequate closed reduction, we applied limited open reduction and internal fixation. Range of motion exercise began immediately. Postoperative follow-up averaged fourteen months (ranges, 8-30 months). Overall clinical results rated good or excellent in 7 cases, fair in 4 and poor in 3. There were three cases of pin tract infection which were resolved with short-term antibiotics and local care; one delayed wound closure in a patient. whose fracture was associated with Type III open wound; one wound slough in a patient associated with Type II open wound, which was closed later by skin graft; and one osteoarthritis. From this review, we concluded that cross-ankle circular external fixation with tensioned wires with or without. limited open reduction is a reasonable alternative for the treatment of the tibial plafond fractures with severe soft tissue damage.

• The Korean Journal of Pain
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• 제14권2호
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• pp.266-270
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• 2001

An 85-year old female patient visited our pain clinic because of pin pricking pain and allodynia on the left forehead area for 2 days. Vesicular eruptions were seen along the left supraorbital nerve distribution. She experienced similar pain and eruptions on the contralateral forehead, the supraorbital counter area, 8 years previous. She had been taking antihypertensive medications for 15 years. She also had suffered from diabetes mellitus. She received a total hysterectomy and anterior posterior colporrhapy due to procidentia uteri and severe cystocele and rectocele. She had been treated intermittently for back pain due to advanced osteoarthritis and spondylosis. She was treated with famciclovir and triamcinolone acetonide with daily stellate ganglion block and supraorbital nerve block. Nortriptyline (a tricyclic antidepressant) and midazolam was prescribed to relieve pain and difficulty in sleeping. After 3 days, all treatment was ended because it was impossible to assess the severity of pain due to the senile psychosis of the patient. She eventually expired after 2 months. We report this case because it is rare for herpes zoster to recur, and particularly on the contralateral counter area.