이대희 교수
Dae Hee Lee
성균관대학교 의학과 · 의학
연구실 소개
이대희 교수의 연구실은 주로 정형외과 및 관절역학 분야에서 활동하며, 특히 무릎 연골 및 문근의 병변, 특히 퇄형손상과 퇴행성 변화에 따른 기능적 영향을 중심으로 연구를 진행하고 있습니다. Meniscus (문근)의 탈구, 이완, 이식 후 이식편의 탈출 등 문근의 해부학적 기능과 영상적 변화를 다각도로 분석하며, 수술적 치료의 장기적 결과와 임상적 예후를 평가하고 있습니다. 특히 MRI를 활용한 정밀 영상 분석과 함께, 수술 전후의 하중 분포, 관절 축의 변화, 연골 손상의 진행 등을 종합적으로 연구하고 있습니다.
연구 현황
연구 성과 추이
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주요 논문
15PURPOSE: the purpose of this study was to determine the effect of a radial tear on degenerative medial meniscus posterior horn tear extrusion and to identify predictors of medial meniscus extrusion. METHODS: we reviewed the records of 102 knees with medial meniscus posterior horn tears and degeneration that underwent a partial meniscectomy. Tears were classified as root (n = 17) and non-root (n = 85) tears, or as radial (n = 46) and non-radial (n = 56) tears. Groups were compared in terms of abs
PURPOSE: Open-wedge high tibial osteotomy (HTO) cannot always accurately correct limb alignment, resulting in under- or over-correction. This study assessed the relationship between soft tissue laxity of the knee joint and alignment correction in open-wedge HTO. METHODS: This prospective study involved 85 patients (86 knees) undergoing open-wedge HTO for primary medial osteoarthritis. The mechanical axis (MA), weight-bearing line (WBL) ratio, and joint line convergence angle (JLCA) were measured
PURPOSE: The purpose of this study was to evaluate change in meniscal allograft extrusion during the first year after meniscus allograft transplantation (MAT) by use of serial magnetic resonance imaging (MRI). METHODS: Twenty-three consecutive patients who underwent MAT between June 2002 and March 2006 with total or subtotal meniscectomy of the knee were enrolled in the study. The medial meniscus was affected in 3 cases (15%) and the lateral meniscus in 18 cases (85%). Conventional MRI of the af
BACKGROUND: Although graft extrusion is of concern after meniscal allograft transplantation (MAT), the correlation between extrusion and clinicoradiological outcomes remains unclear. Hypothesis Patients with graft extrusion after MAT have worse clinical outcomes and greater arthritic change than those without graft extrusion. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: Forty-three patients underwent MAT between 1999 and 2004. Grafts were classified as either nonextruded (<3 mm) or
PURPOSE: The purpose of this study was to compare the midterm outcomes of subtotal/total meniscectomy with those of partial meniscectomy for symptomatic torn discoid lateral meniscus (DLM) in children and evaluate the correlation of chondral wear in the lateral compartment at index surgery with arthritic changes at final follow-up. METHODS: We reviewed 43 knees in 36 patients aged less than 15 years who underwent arthroscopic procedures for torn DLMs between 1999 and 2004. The mean patient age a
BACKGROUND: Because of a reduction in the number of mechanoreceptors or alterations of their characteristics, anterior cruciate ligament (ACL) tears lead not only to mechanical instability but also to impaired proprioception. Purpose/Hypothesis: This study analyzed whether ACL tears cause a greater decrease in proprioception in injured than in uninjured knees. The hypothesis was that knee proprioception after ACL tears would decrease more in injured than in contralateral uninjured knees, regardl
BACKGROUND: Given the superiority of meniscal repair over partial meniscectomy according to biomechanical data, the clinical outcomes of meniscal repair are likely to be better than those of partial meniscectomy for a medial meniscus root tear (MMRT). PURPOSE/HYPOTHESIS: This review was designed to compare the clinical and radiological results between meniscal repair and partial meniscectomy for MMRTs. It was hypothesized that meniscal repair would result in better clinical and radiological resu
PURPOSE: To compare the accuracy of plain radiography and computed tomography (CT) in detecting lateral hinge fractures and to identify predictive factors of the lateral hinge fractures after open wedge high tibial osteotomy (HTO). METHODS: This study included patients who underwent isolated primary open wedge HTO for medial compartment degenerative arthritis from 2015 to 2016 and were evaluated by postoperative CT scans and followed for a minimum of 1 year. This study involved 48 patients (48 k
BACKGROUND: In lateral meniscus allograft transplantation (MAT) using the keyhole method, precise trough drilling is critical for ensuring the graft is placed at the correct anatomic position to minimize the risk of extrusion. However, no study has focused on the effect of bony trough axial obliquity on graft extrusion. Our purpose was to investigate whether bony trough axial obliquity and bony trough position correlate with graft extrusion in lateral MAT using the keyhole method. HYPOTHESIS: We
II.
Theoretical compensation after anterior cruciate ligament (ACL) tear could cause quadriceps weakness and hamstring activation, preventing anterior tibial subluxation and affecting the expected hamstring-to-quadriceps ratio. Although quadriceps weakness often occurs after ACL tears, it remains unclear whether hamstring strength and hamstring-to-quadriceps ratio increase in ACL deficient knees. This meta-analysis compared the isokinetic muscle strength of quadriceps and hamstring muscles, and the
PURPOSE: This meta-analysis was designed to compare the effectiveness and safety of intravenous (IV) versus topical administration of tranexamic acid (TXA) in patients undergoing primary total knee arthroplasty (TKA) by evaluating the need for allogenic blood transfusion, incidence of postoperative complications, volume of postoperative blood loss, and change in haemoglobin levels. METHODS: Studies were included in this meta-analysis to check whether they assessed the allogenic blood transfusion
BACKGROUND: Previous 3-dimensional computed tomography (3D CT) studies of knees after anterior cruciate ligament (ACL) reconstruction have compared femoral tunnel positions obtained using the transtibial and anteromedial drilling techniques. This study used postoperative in vivo 3D CT analysis to compare the locations of the femoral tunnel aperture among 3 drilling techniques used in ACL reconstruction: transtibial, anteromedial portal, and outside-in. HYPOTHESIS: The use of the transtibial dril
This study was designed to compare proprioception and postural stability in patients with acute (time from injury ≤ 3 months) and chronic (time from injury > 3 months) ACL tears, and to evaluate the correlation between time interval after ACL injury and proprioception. Thigh muscle strength, postural stability, and joint position sense were compared in 48 patients with acute ACL tears and in 28 with chronic ACL tears. Maximal torque (60°/sec) of the quadriceps and hamstring was evaluated using a
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