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김연일,임수재,이영구,김명회 순천향대학교 순천향의학연구소 2010 Journal of Soonchunhyang Medical Science Vol.16 No.2
Among ankle fractures, lateral malleolar fractures are being treated in various ways. In this study, fracture fixation was conducted using lag screws and neutral plates in lateral malleolar fractures, and its clinical and radiological satisfaction was evaluated. The subjects of this study were 296 cases, who could be followed up for one year at least, among 1,297 patients who had received surgical treatment for ankle fracture from 2000 to 2008. Among total 296 cases, the results were shown to be satisfactory through Meyer’s method, such that their clinical satisfaction was observed in 262 cases and radiological satisfaction in 257 cases. Although there are diversified fracture surgeries, lag screws and neutral plates were used in this study, and it is deemed that rather operational skill than operational method most significantly influences the operational result.
김연일,서유성,임수재,윤승렬,최중근,정연철 대한골절학회 1999 대한골절학회지 Vol.12 No.2
Traumatic hip dislocation in childhood is rare. Factors predisposing to abnormal results are delayed reduction and severe trauma. We experienced 8 year-old girl with traumatic posterior hip dislocation and treated with immediate closed reduction. At 30 months follow-up, our patient had good functional and good roentgenographic result with no posttraumatic arthritis or posttraumatic avascular necrosis. So we report this case with review of literature.
김연일,한성우,정호원,서유성 순천향의학연구소 2002 Journal of Soonchunhyang Medical Science Vol.8 No.1
The ankle joint is a modified complex hinge joint which plats an important vital role in normal gait, walking and weight bearing. The goal in the treatment of ankle fracture is the restoration of full function to the injured extremity such restoration can be accomplished only with full appreciation of the fracture, the concomitant soft tissue injuries and mechanical demands of the joint involved. The authors have reviewed a series of 131 cases of ankle fractures which were admitted and treated in orthopaedic department of Sunchunghyang university from Feb. 1994 to Oct. 2000. Among the 131 cases ,69 patients (52.7%) were male, and 62 patients (47.4%) were female. Peak incidence of age was 20-30 years old (55 cases, 42.5%). The main causes of injuries were slip down (84 cases, 64.1%) and the other causes were traffic accident (24 cases, 18.3%), rolling down (7 cases, 6.3), fall down (6 cases, 4.6%), direct blow (5 cases, 3.8%), sports injury (4 cases, 3.1%), human trouble (1 cases, 0.7%) in order. Accompanying injuries were noted on 32 case (23.4%) and fractures in lower extremities were most common (15 cases, 46.9%). Supination-external rotation injuries were most common by the Lauge-Hansen classification (53 cases, 40.5%) and type B ankle injuries were most common by the Danis-Weber classification (67 cases, 51.2%) type B2 ankle injuries were most common by the AO classification (44 cases, 33.6%). Open reduction was performed in 95 cases (72.5%) and closed reduction was performed in 36 cases (27.5%). The result was better in those cases which were treated by open reduction and internal fixation than those by closed reduction. SO anatomical reduction and firm internal fixation of the fibula and repair of the distal tibiofibular ligament or transfixation of the distal tibiofibular joint with screw were thought to be very important in the management of the ankle injuries.
김연일,박진하,문명상 최신의학사 1972 最新醫學 Vol.15 No.2
Osteoid osteoma, since the orginal description by Jaffe in 1935, has reported as an well known entity clinically and roentgenologically. The diagnosis must be based upon careful evaluation of the clinical and roentgenological findings. Complete removal of the nidus is one of the most important treatment that confront an orthopedic surgeon. The following case is reported as an example of tae recurrent osteold osteoma that may cccur w'hen the incomplete removal of the nidus is performed.