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RISS 인기검색어
- 검색키워드
- 저자 : 朱鑑鎬(Kam Ho Choo) (검색결과 8 건)
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朱鑑鎬 우석대학교 의과대학 1969 우석의대잡지 Vol.6 No.2
In June 1962, the Orthopedic Department of National Medical Center started to treat hand deformities resulted from leprosy. A total of 91 leprosy patients underwent a different series of reconstructive hand surgery up to July 1966. The total number of operation during the period was 185. This paper describes of the method and result of each operation and the following summary is made. 1. The case history of patients revealed that 64 patients or 70.3% of the total fell in the age group, 20∼30 years. The sex ratio(M/F) was 2.4. The average duration of leprosy was 12.2 years and that with hand deformities 7.9 years at the time of operation. It took 4.3 years in an average from the onset of tile disease to the appearance of hand deformity. 2. Hand deformity came to both hands in 39 patients or 42.9% and the another 27 patients or 29.6% had hand deformity together with other nerve paralysis of namely facial or peroneal nerves. The combined paralysis of the low median and ulnar nerves was encountered in 93 hands or 86.2%. Secondary deformity was noticed in 63 hands or 58.3% and contracture of the finger was the most common type. 3. Lumbrical replacement operation was performed in 65 hands with excellent results in 32.3%, good in 38.5%, fair in 13.9% and poor in 15.3%. The end result of Brand's technique proved to be better than Bunnell's flexor many tails because of the tendency of over extension of the proximal interphalangeal joint after Bunnell's technique. 4. Opponens plasty was performed in 77 hands with excellent results in 61%, good in 15.6% and failure in 23.4%. In comparison of the total results of the three methods applied, both Brand, and Phalen and Miller methods yielded better results than Thompson's, which are liable to rupture by exercise due to the weakness of pulley. Tendon transference for radial nerve palsy was performed in 5 hands with excellent results in 40% and good in 60%. 5. Post-operative physical therapy is the most important factor which contribute to the success of reconstructive hand surgery. It is of importance particularly in opponens plasty to avoid rupture of the motor tendon.
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羅秀均,朱鑑鎬,安秉勳 최신의학사 1973 最新醫學 Vol.16 No.1
The results of the treatment upon total of 79 cases of closed and open fracture of the tibia treated in the year 1966 through 1971 at the Department of Orthopedic Surgery, National Medical Center has been analyzed comparatively in this report. 1. Primary bony union occurred in all the cases of closed fractures of 30 cases, whereas 38 cases had primary bony union among 49 cases of open fractures. Further, 16 cases out of 25 cases of open fracture, of which wound was treated by primary closure, had primary bony union, whereas, 22 cases out of 24 cases of open fracture, of which wound was treated by delayed primary closure, had primary bony union. The incidence of bony union was considerably higher in the group of open fracture of which wound was treated by delayed primary closure than that of the group of primary closure. 2. The incidence of primary healing of the wound in the group of delayed primary closure was remarkably higher than that of the group of primary closure of the wound. As 11 cases out of 25 cases had primary healing of the wound in the group of primary closure, whereas 21 cases out of 24 cases had primary healing of the wound in the group of delayed primary closure. 3. The mean duration of bony union in closed fracture was 19 weeks, and that of open fracture treated with primary closure of the wound was 25 weeks, whereas that in the group of delayed primary closure of the wound was 20 weeks. Bony union occurred earlier in the group of delayed primary closure than in the group of primary closure of the wound. 4. The incidence of the complications, such as infection, osteomyelitis, non union, occurred higher in the group of primary closure than that of delayed primary closure of the wound. The complications occurred remarkably higher in the group of primary osteosynthesis in open fracture of the tibia.
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Coxa Plana의 外科的 治療 : 第1報 Preliminary Report
李東瑄,朱鑑鎬,金基容 최신의학사 1972 最新醫學 Vol.15 No.2
Coxa Plana (Legg-Calve'-Perthes Disease) is a primary infantile necrosis of the femoral head, of reversible type, which disappears for long latent periods, frequently leaving as a sequela of deformities mities causing secondary arthrosis of the hip joint. The aim of treatment in coxa plana is the reduction of deformity during healing of the necrosis of 1 the capital femoral epiphysis. Frequently too little is achieved for too great an expanditure of the childs and parent's time in most conservative therapy. Surgery has beenin dicated in order to avoid the inconveniences of conventional conservative treatment. 6 cases of coxa plana treated at the Department of Orthopedic Surgery, National Medical Center l through the year of 1967 to 1971 were analized and reported in this paper. 1. In 6 patients with coxa plana re-examined 3 to 73 months after treatment, the results were classed as excellenti n 2, good in 2, and poor in 2 patients, Improvement of necrotic process after operation was not still verified. 2. Prognosis was most unfavorable in advanced case. The patient with irregular head of femur in reparative stage had poor end result. 3. Deambulation should be permitted when total reparation of the necrotic lesion was radiographically observable. Most patients except one of reparative stage revealed more flattened femoral epiphysis at the time of analysis, which might be come from rather early weight-bearing.
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