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RISS 인기검색어
- 검색키워드
- 저자 : 황인철(In Churl Hwang) (검색결과 3 건)
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이광석,한승범,황인철,송형석,Lee, Kwang-Suk,Han, Seung-Bum,Hwang, In-Churl,Song, Hyung-Suk 대한미세수술학회 2001 Archives of reconstructive microsurgery Vol.10 No.2
Purpose : We have evaluated the morbidity of donor site after transfer of free fibular osseous and osteocutaneous flap to defect site of bone and soft tissue due to chronic osteomyelitis of long tubular bone, open fracture with bony defect, bone or soft tissue tumor and congenital anomaly. Materials and methods : The 54 cases of 79 cases to be carried out from May, 1982 to May, 2001 which could be followed up were reviewed. There were forty nine in male and five in female. The mean age was 35(4 to 66)years old and mean follow up period is 21.3 month(12 to 72). We have retrospectively analyzed the various postoperative complications such as compartment syndrome, donor site infection, skin defect, hypesthesia, hammer toes, ankle instability and activity of daily living by help of questionnaire, telephone, physical examination, follow up x-ray study and chart. Results : In the total 54 cases the medication period for pain control after operation were classified into three groups under 2 weeks(49 cases), from 2 weeks to 6 weeks(3 cases) and over 6 weeks(2 cases). The postoperative morbidity were occurred in total 12 cases(compartment syndrome: 0, infection : 2, skin defect: 1, hypesthesia: 5, hammer toe: 2 ankle pain: 2 discomfort in activity of daily living: 0), and also the morbidity rates of donor site were 23.5% in osseous flap and 21.6% in osteocutaneous flap were occurred. There was no statistical significonce in morbidity between osseous and osteocutaneous free fibular flap transfer(P>0.05). Discussion : In general the morbidity of free fibular flap transfer was relatively high but it did not have any effect on daily activity of living. We think that the meticulous operation technique, detailed wound care and early range of motion exercise will reduce the morbidity of donor site of flap.
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소아 상완골 외과 골절 치료 후 운반각 변화 및 골극 형성
박상원,이순혁,한승범,황인철 대한골절학회 2000 대한골절학회지 Vol.13 No.3
Purpose; The purpose of this study is to evaluate the bony union, change of carrying angle and spur formation after treatment of lateral condyle fractures in children. Materials and methods: From march 1990 to september 1998, 30 cases of lateral condylar fractures treated with percutaneous pinning or open reduction and internal fixation and followed up more than 1 years were classified by the fracture type(Milch) and degrees of displacement(Jakob). We analysed the bony union, change of carrying angle and spur formation according to the classifications. Results: The mean union time was 7weeks. Average change of carrying angle was 2.1 degree(varus: 17, valgus: 9, no change: 4). Change of carrying angle was not related to the type of fracture and degree of displacement(p$gt;0.05). Lateral spur formation was observed in 16 cases(Jakob I: 0, II: 6, III: 10 and Milch I: 2, II: 14). There was statistical significancy between the Jakob stage and lateral spur formation (p$lt;0.05) but not between Milch type(p$gt;0.05). Conclusion: The change of carrying angle was not affected by the fracture type and degree of displacement. Lateral spur formation was not affected by fracture type but related to the extent of displacement.
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