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      • 軟骨의 開放性 骨折에 對한 治療 考察

        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.

      • KCI등재

        주관절에 발생한 박리성 골연골염의 치료

        나수균,정호원,최창욱 대한스포츠의학회 1996 대한스포츠의학회지 Vol.14 No.1

        Osteochondritis dissecans of the capitellum is a condition in which segment of articular cartilage with its underlying subechondral bone gradually separates from the surrounding osteocartilaginous tissue. If there is no loose body, conservative management can be done but operative treatment is indicated when consevative treatment is failed or loose bodies causes symptoms. We operated 12 cases of ostechondritis dissecans of the elbow who were followed for the average of 2 years 3 months postoperatively, at the Department of Orthopedic Surgery, College of Medicine, Soonchyang University, Hosptial from January, 1989 to September 1994. The Results were follow as. 1. Twelve cases between the age of 13 and 22 years(mean 17.3) were seen with chronic stress injuries of the elbow resulting from sports activity. 2. Clinical pictures were pain(100%), reduced range of motion(83%), locking(50%), and click sound(17%). 3. Treatment was performed by mutiple drilling in 5 cases, removal of loose body in 4 cases, removal of loose body and curettage in 2 cases and removal of loose body and multiple drilling in 1 case. 4. According to Smillie evaluation, Results were excellent in 5 cases(42%), good in 5 cases(42%), and moderate in 2 cases(16%). 5. All of excellent results returned to the pre-injury level of sports activity at the time of follow up.

      • KCI등재

        투구 동작에서 발생한 상완골 골정에 대한 치험 : 3 례 보고 Report of 3 Cases

        나수균,정상훈,최중근,김연일,최창욱 대한스포츠의학회 1998 대한스포츠의학회지 Vol.16 No.2

        Spiral fracture of humerus in healthy yound amateur baseball player during the throwing is considered as a rare injury. This was occurred in young amateur baseball player and unconditioned athelete, cortical hypertrophy is absent. We have exerienced three cases and study the meachanism of injury which was treated aurgically. We have good clinical results in all cases.

      • 50세 이상 한국 여성의 연령, 체중, 신장에 따른 골밀도의 비교 연구

        나수균,윤승렬,추성옥 순천향의학연구소 2000 Journal of Soonchunhyang Medical Science Vol.6 No.2

        We evaluate the bone mineral density of lumbar spine, femur neck, femur trochanter, Ward's triangle, and distal radius of orthopaedic women patient over 50 years old who wanted to evaluate BMD, or who had soft tissue disease and trauma history such as tendon, ligament and skin injury(583 cases) to compair with normal korean women BMD, by using dual energy X-ray absorptiometry(DEXA) Results obtained were as follows : 1) The average incidence of the osteopenia is 22%, and of the osteoporosis is 71%. 2) The changes of the bone mineral density according to age demonstrate linear decrease in spine and hip, but shows cubic form in distal radius. 2) The changes of the bone mineral density according to height demonstrate linear increase in spine, hip, and distal radius regardless of age, but according to height of same age group, the correlation of bone mineral density of spine and height is only statistically significant. 3) The changes of the bone mineral density according to body weight demonstrate linear increase irrespective of the difference between sponge bone and compact bone. 4) There is statistically significant correlation of menopausal age and bone mineral density irrespective of the difference sponge bone and compact bone. 5) There is no statistically significant correlation of menarche and bone mineral density. In conclusion, we should have more considerations of the bone mineral densities whose statures are short, and of the bone mineral densities of the patients of the department of orthcpaedics

      • 뇌조직의 K 효과에 미치는 GABA와 Picrotoxin의 영향

        나수균 고려대학교 의과대학 1979 고려대 의대 잡지 Vol.16 No.1

        The mechanical response and increase of oxygen uptake of tissue occurred by increasing of K^(+) concentration in Ringer's solution has been known as K effects. It is generally agreed that the gamma-aminobutyric acid might bean inhibitory transmitter substance in both crustacea and vertebrale and the inhibitory mechanism are blocked by picrotoxin. This study was carried out to define the metabolic role of gamma-aminobutyric acid and picrotoxin in central nervous system. The oxygen consumption rate of the slices of cerebral cortex, cerebellar cortex ventral spinal cord, and dorsal spinal cord in albino rat was determined using the Warburg's manometric apparatus supplying 100% oxygen, with in the Krebs-Ringer Tris buffer medium (pH 7.4). Substrates were used 10mM GABA, 1mM picrotoxin, and 1mM ouabain. The results are summarized as follows: 1. The oxygen consumption rate in medium with 150mM KCl, was increased remarkably in cerebral cortex, ventral spinal cord, and dorsal spinal cord. 2. The oxygen consumption rate in the media of 150mM KCl and 10mM GABA was decreased in cerebial cortex, cereballar cortex and ventral spinal cord to compare with the media of KCl, in which the oxygen comsumption rate was increased. In dorsal spinal cord, it showed increasing tendency. 3. The oxygen consumption rate in the media of 150mM KCl and 1mM picrotoxin was decreased in cerebral cortex, cerebellar cortex, and ventral spinal cord to compare with the media of KCl, in which the oxygen consumption rate was increased. In dorsal spinal cord, it showed increasing tendency. 4. The oxygen consumption rate in the media of 150mM KCl and 1mM ouabain was decreased in cortex, cerebellar cortex, ventral spinal cord, and dorsal spinal cord to compare with the media of KCl, in which the oxygen consumption rate was increased.

      • KCI등재

        요골 원위부 골절후에 발생한 장무지 신건의 지연성 파열 - 1례 보고 -

        나수균,서유성,임수재,윤승렬,최중근,정연철 대한골절학회 1999 대한골절학회지 Vol.12 No.1

        After distal radius fracture, delayed rupture of extensor pollicis longus is rare. It is known that delayed rupture of extensor pollicis longus tendon result from undisplaced distal radius fracture. We have experienced a case of rupture of the extensor pollicis longus tendon after undisplaced distal radius fracture, and treated with palmaris longus tendon graft. the result were satisfactory without complications.

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