http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
고지혈증이 동반되지 않은 양측성 종골건 황색종 - 1례 보고 -
정병현,정형진,김동수,성열보,안종국,권칠수,심성실,김진호,Jung, Byung-Hyon,Chung, Hyung-Jin,Kim, Dong-Soo,Sung, Yeol-Bo,Ahn, Jong-Guk,Kwon, Chil-Soo,Sim, Sung-Sil,Kim, Jin-Ho 대한근골격종양학회 1999 대한골관절종양학회지 Vol.5 No.3
Xanthoma is a localized collection of tissue histocytes containing lipid. The majority of tendinous xanthomas probably occurs in the setting of hypercholesterolemia especially in bilateral Achilles tendon xanthomas. Xanthoma of the Achilles tendon is a rather rare, interesting orthopaedic condition that has important ramifications in internal medicine and dermatology because the lesion is associated with a specific disturbance of lipid metabolism. We experienced one case of normolipidemic and symptomatic Achilles tendon xanthoma. Surgical intervention was carried out for cosmetic and symptomatic reasons, the patient undergoing total resection and a reconstruction of the Achilles tendon by the combinedV-Y muscle flap and modified Lindholm technique.
권칠수,안종국,김용욱,김진혁,정병현,성열보,강재철 인제대학교 1995 仁濟醫學 Vol.16 No.4
대퇴골 간부 골절시 교합성 골수강내 금속정을 이용한 견고한 고정은 조기 관절 운동과 조기 체중부하가 가능한 보편적인 수술적 치료방법으로 그 사용이 증가하고 있다. 그리고 최근에는 골수강내 금속정이 대퇴골 간부 골절 뿐만 아니라 대퇴골의 근위부나 원위부에 치우친 골절이나 청소년기의 대퇴골 간부 골절의 치료에도 확대되고 있다. 본 논문은 대퇴골 골절 환자 54례를 대상으로 금속정 삽입술의 적응증의 확대와 그에 수반되는 문제점에 관하여 증례 분석 및 결과를 문헌 고찰과 함께 보고하고자 한다. The rigid internal fixation of femur shaft fracture with intramedullary nailing enables early joint motion and weight bearing. This procedure has been used with wide popularity because it is possible simultaneously to preserve the range of motion and to obtain the bone union. But in the proximal and distal femur fracture, the interlocking screws are too close to the fracture site, the rigid fixation cannot be achieved and when early weight bearing is permitted, failure of the metal is possible. Also, when femur fractures in the adolescence be treated with traction followed by casting, sometimes angular deformity and shortening may develope. These problems have solved to the use by intramedullary nailing. The authors reviewed and analyzed 54 cases of the fractures of femur treated by interlocking nails at Sang-Gye Paik Hospital from August 1989 to July 1992. The results were as follows ; 1.Among the 54 patients, male were 42 and female were 12. 2.The mean time of bone union was 19.3 weeks. 3.The authors usually used the closed locked nailing technique to fix the mid-shaft fracture of femur. In cases such as mid-shaft fracture combined wish proximal or distal femoral fracture, for the stability of fracture and the early mobilization, a reconstruction nail or modified nailing technique was used and an excellent bone union was obtained without any complication. 4.In a mid-shaft fractures of the femur in adolescents or young adult, the authors used interlocking nails of proper length or diameter by cutting-off the distal portion of the nail or by over-reaming of the too narrow medullary canal, and the outcome was favorable.
정형진,김동수,안종국,정병현,성열보,김동수,권칠수 인제대학교 1999 仁濟醫學 Vol.20 No.1
견봉쇄골 관절탈구의 치료방법으로 여러 가지 수술적 방법과 보전적 방법이 소개되어 왔으나 아직도 논란의 대상이 되고 있다. 이에 저자들은 1993년 3월부터 1997년 5월까지 인제대학 부속 상계백병원 정형외과에서 견봉쇄골 관절탈구에 주로 사용된 수술적 방법인 modified Phemister 방법과 Wever and Dunn 방법 사이의 임상적 결과를 비교분석하여 보고 하고자 한다. There has been considerable controversy as to the treatment of dislocation of the acromiocavicular joint. Also various operative treatment have been suggested. The purpose of this study is to compare the clinical result between modified Phemister method and Weaver and Dunn method in treatment of acromioclavicular dislocation. The authors analysed the radiological & clinical results of 27 patients with acromioclavicular dislocation, in whom 15 patients were treated by modified Phemister method and 12 patients were treated by Weaver and Dunn method. The patient were treated from February 1993 to May 1997 at Sanggye Paik Hospital, Inje University, They were followed up more than 12 months. The results were at follows : 1.The differance of coracoclavicular distance compared with normal side after operation was 1.30±0.24 in modified Phemister method and 1.31±0.27 in weaver and Dunn method. And these difference were not changed at follow up significantly. 2.The complications were one pin migration, one posttraumatic arthritis and two upward displacement of clavicle in modified Phemister method and one upward displacement of clavicle and one heterotropic ossification in Weaver and Dunn method. 3.Clinical results shows that good or fair in 13 cases(87%) after modified Phemister method and good and fair in all cases after Weaver and Dunn method. In conclusions, there were no significant difference of results regarding the difference two methods.
중등도 이상의 경골 개방성 골절의 치료에서 외고정과 골수강내 금속정 고정술의 비교
김덕규,성열보,안종국,정형진 대한골절학회 2001 대한골절학회지 Vol.14 No.4
Purpose: To compare and analyze the results of the treatment based on the method of treatment between interlocking IM nail and external fixation of type 2, 3 A, and 3 B open fractures of the tibial shaft. Materials and Methods: A clinical analysis was performed on 57 cases of type 2, 3 A, and 3 B open fractruers of tibial shaft from January 1994 to October 1999 those studies are followed at least 1 year or more. The results were analyzed according to complications and functional results based on operative methods of types of open fractures. Results: In aspect of delayed union and nonunion, interlocking IM nail indicate a great results (p=0.036) in type 2. In angulation, interlocking IM nail marks an outstanding results in case of type 2. There is no differences between interlocking IM nail and external fixation in infection. But, the delay of operation after injury increase the possibilities of infection. Conclusion: At present, especially in type 3, external fixation was preferred. But, interlocking IM nail has a good results in aspect of complications. Therefore unreamed intramedullary nailing for open tibia shaft fractures is a good treatment method to be recommanded.
김동수,권칠수,정병현,정국진,안종국,성열보,정형진 대한골절학회 1999 대한골절학회지 Vol.12 No.4
Fracture of the lateral condyle of humerus in children are common injury next to supracondylar fracture in children, account for 10 to 15% about the elbow and 18 to 20% about distal humerus fractures. This is the one fracture that can be overlooked clinically and that has a high potential for nonunion and cubitus valgus deformity. Sixty children treated by closed or open reduction with internal fixation on the lateral condyle fracture of humerus from January 1994 to August 1997, were reviewed. Almost fractures were treated within 12 hours after injury for the purpose of prevention of further displacement and occurrence of complication. According to Hardacre et al's criteria, most patients showed excellent and good results. We report the result after surgical treatment on the lateral condyle fracture of humerus in children.
김동수,염재광,권칠수,정병현,안종국,성열보,정형진,황순호 대한골절학회 2000 대한골절학회지 Vol.13 No.1
Purpose: This study analyzed clinical and biomechanical data from patients with elbow fracture dislocation to correlate long-term objective result with the specific injury type and treatment rendered. This can provide a basis for the management of this difficult injuries. Materials and Methods: Fifteen patients with elbow dislocation were studied from October, 1992 to October, 1997 in Sang-Gye Paik Hospital. The average duration of follow up was 4.2 years. Results: On the basis of an objective functional grading score that included elements of pain, motion, strength, and stability, the results were excellent in five(33%), good in five(33%), fair in one(7%), poor in four(27%). Prolonged immobilization greater than four weeks was associated with poor results. The results were closely related to the combined injuries and duration of immobilization. In case of radial head fractures, the best result was obtained in patients with Mason type II fractures treated by open reduction and internal fixation using Herbert screw and early complete radial head excision. Summary and Conclusion: The most common combined injury is radial head fracture. Early complete radial head excision and encouraging early ROM had more satisfactory result than delayed radial head excision or internal fixation for Mason type III fracture.