비골화성 섬유종 : Two cases

강충남 梨花女子大學校 醫科大學 醫科學硏究所 1984 EMJ (Ewha medical journal) Vol.7 No.3

I have experienced two cases of non-ossifying fibroma in the metaphysis of the proximal tibia and metaphysis of the distal femur. Roentgenologic studies showed loculated cyst-like bony defect and they were treated with complete curettage. The historical studies revealed them to typical non-ossifying fibroma, and the patients have been showing good conditions po-stoperatively.

족관절 손상에 관한 연구

강충남 梨花女子大學校 醫科大學 醫科學硏究所 1983 EMJ (Ewha medical journal) Vol.6 No.2

The ankle, which at times bears up to five times the body weights, is the most congruous joint of lower extremity, but its complex articulations are as not yet understood completely. The injuries to the ankle joint include not only injuries that cause distruption of the bony architecture of ankle but often injuries of significant syndesmotic ligamentous. One hundred and sixty two cases of ankle fractures in adult which were treated at the Department of Orthopedic Surgery, College of Medicine, Ewha Womans University, during the period from March, 1982, were analysed clinically and the following results were obtained ; 1) In 162 cases of ankle fractures, 122 cases(77.2%) were male, and the most common cause was traffic accident. The most common type, according to the Lauge-Hansen's classification, was pronation-external rotation with 58 cases(35.8%). 2) According to the Colton's criteria, the result of treatment with open reduction and internal fixation was not comparable to that with closed reduction. 3) Good functional result in ankle fracture and associated ligamentous injuries were depend on three factors such as, anatomic restoration of articular surface, early range of motion, and early weight bearing. 4) For the satisfactory function of the mortise, the fibular must be restored to normal length, correctly positioned in the groove of the tibia, and effectivey anchored to the tibia through the syndesmosis.

섬유성 골이형성증

강충남 梨花女子大學校 醫科大學 醫科學硏究所 1984 EMJ (Ewha medical journal) Vol.7 No.2

Fibrous dysplasia of the bone is a relatively rare condition characterized by fibrous tissue replacement of skeleton, it may be monostotic with confined to one bone, or polyostotic with situated in many bones. Favored locations are long bones of the lower extremities and fibrous dys-plasis may produce defective growth and deformity, pathologic fracture, and pain in any bone, basically the bone structure is replaced to variable degree by avascular fibrous tissue, and formed thin trabeculae of bone. The author experienced 3 cases of fibrous dysplasia that are 2 cases tomon-ostotic and 1 case of polyostotic lesions and a brief review was done with literatures.

微細血管吻合術에 關한 實驗的 硏究

姜忠男 梨花女子大學校 醫科大學 醫科學硏究所 1981 EMJ (Ewha medical journal) Vol.4 No.1

Recent progress in microvascular surgery has opened new clinical possibilities in tissue transplantation, replantation by the direct anastomosis of vessels about onemm in external diameter. However in spite of continous training, the use of improved microscopes, instrument and suture material, it is still dificult to obtain high patency rate. Increasing facility obtained only by repeated operation upon the experimental animal reduce the false rate of arterial anastomosis and should make availability on additional and mastery technic in repeated experimental exercise for operation preocedure requiring the anastomosis of small artery. The purpose of this paper is to describe the instrument being used and to point out their use in end to end end anastomosis of femoral artery of rat, and to emphasize the role and important factors in the surgical repair of small artery with suture techniquq. Preliminary experimental study for microvascular anastomosis was projected to three step. The femoral artery of living rat was used in last step about 30 case, and then obtained patency rate 19 case and false 11 case. The result to the analysis for false 11 case are as follows. 1. Two case by insufficient dissection of femoral artery of rat. satisfactory dissection is from its emergence at the inguinal ligament to its bifurcation, and the greater mobilization, the easier femoral artery of rat is to approximate, turnover, and revise, if necessary. Dissection of tissue must be slow to avoid vessel damage. 2. One case by extreme vascular spasm. Due to manipulation, especially cold, dry, contact with fresh blood, vessel is usually spasm. Vascular spasm can be reversed by topical applcation of 1% lidocain and by keeping constant moisture with warm 37℃ Ringer solution. Vessel trauma by rough handling is not responded by lidocain or irrigation. 3. Three case by unskilled handling of clamp-approximation. Questionable problem is on which side the clamp should be placed? Which clamp should be placed on proximal or distal? How far apart the clamp should be placed and where they should be applied? Which should be closed first, the proximal clamp or the distal one? Above description was solved. 4. Threee case by unskilled microvascular suturing. Questionable problem is where the guide suture should be placed? How large a bite should be taken? How many suture will be required? Above description was solved. 5. Two case by thrombosis after vascular anastomosis. Thrombosis has been a major problem. Surgical trauma of vessel and unskilled technique of anastomosis were lead to thrombosis formation in microvascular surgery. Patency rate after microvascular surgery depends mainly upon good visualization of vascular anatomy and good technique including tissue dissection and microvascular suturing, gentle manipulation of vessel, fine and appropriate instrument.

증상을 유발시키는 슬개골상 활액추벽

강충남,이석범,신민수 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.1

The plica synovialis is a rnernbranous fold or ridge found in the synovial lining of a joint. Four such plicae are seen with regularity within the human knee joint. These folds are normal structures that represent remnants of embryonic development of the knee joint. However,when there is inflammation with associated fibrosis, hyalinization and/or calcification of the plica can produce howstring action causing loss of elastisity resulting in symptomatoJogy vaguely resemhling those of other internal derangements of the knee. Controversy exists within the orthopedic community as to whether a suprapatellar plica can develop pathologic changes sufficient to cause disabling knee symptoms. A 38 years old male patient conplained of pain and limitation of motion in the right knee. Arthroscopy revealed complete type suprapatellar plica without any evidence of abnormality in the other internal structurcs. His symptome was completely relieved after arthroscopic excision of the suprapatcllar plica durine the follow-up period of 12 months. We believe this can be regarded as a rare case of suprapatellar plica syndrome and rcport it as such.

스키사고 예방을 위한 고찰

강충남 대한스포츠의학회 1983 대한스포츠의학회지 Vol.1 No.2

脛骨幹部 骨折의 臨床的 考察

姜忠男 梨花女子大學校 韓國生活科學硏究院 1979 韓國生活科學硏究院 論叢 Vol.23 No.-

고도의 산업 발달과 현재 문제점으로 부각된 교통사고에서 경골간부 골절의 빈도는 증가일로에 있다. 현재까지 경골간부 골절의 치료에서 일률적으로 어떤 규칙이나 원칙을 적용하기 어렵고, 그 치료방법의 선택도 다양하다. 실제적으로 경골간부 골절의 예후를 판단하듣데 연령, 외상성 원인, 최초의 골절에서의 골편의 전위 정도, 개방성 여부, 타부위 손상 유무, 골절 형태, 골절 장소, 감염 등을 치료자가 생각하여야 할 문제점이며, 처음 치료 방법의 선택과 판단이 잘못되었을 경우 환자를 불구로 인도하는 결과를 초해라고 잘못된 치료 진단기일을 설정하게 될 수 있음은 주지의 사실이다. 1970년 3월부터 1977년 12월까지 이화여자 대학교부속병원에서 치료한 161레에 관한 임상적 분석은 향후 경골간부 골절 환자 치료와 진단기일의 설정 예후에 참고가 될 것으로 사료된다. 1. 골절의 치료기간을 설정할 때 비골골절이 경골간부와 같이 있어도 단독경골간부골절 치료기간과 비교할 때 특별히 연장되는 않는다. 2. 경골간부 골절 치료방법은 장하지 석고고저으 슬개건 지지석고, 핀과 석고고정, 나사못 및 금속판 고정이 있다. 어떠한 치료방법을 선택하여도 합병증으로 발생하는 지연 또는 부전유합의 발생빈도에는 차이가 없었다. 3. 합병증으로 지연 또는 부전유합의 발생장소는 경골간부 중 1/3부위에 많았고 또 분절골절에서 발생빈도가 높았다. 4. 지연 또는 부전유합은 비개방성 골절보다 개방성 골절에서 2.5배의 발생률이 관찰되어 결롸로서 개방성 골절의 치료기간이 많음을 예상할 수 있다. 5. 연령이 골절 치유에 미치는 영향으로 20~60세의 환자에서는 치료기간의 차이는 없었다. 즉 노인층의 경골골절이라 해서 그 치료기간이 많을 것이라는 예후는 타당치 못하다. Fractures of the shaft of the tibia present more difficulties inprognosis, treatment and design of initial management than long bone fractures. 161 cases of fractures of the tibial shaft were treated in the department of orthopaedic surgery at Ehwa Womans University Hospital during the seven year period frpm March 1970 to Demcember 1977. The analysis of those 161 cases of shaft fractures of the tibia and their conservative or operative treatment yielded the following results : (1) The Most common injuries were those resulting from traffic accident (41%), followed by the next most common injuries, fractures resulting from fall. (2) The most common fractures site tibial shaft were on the middle section, accounting for 46% of tibial shaft fractures. The lower part had the next highest frequency of fractures, followed by the upper part. (3) Among 73 patients over age 21, the most common type of fractures was the transvers type, follwed by th oblique type. (4) As for method of treatment, 105 cases were treated with the long leg cast, 33 cases with plate and screw fixation, 13 cases with patellar tendon bearing cast, and 10 cases with pin or acrew fixation. (5) The delayed or non-union 16 cases were not relates to the method of treatment. (6) The most common site of delayed or non-union was on the middle part of the tibia, followed by the lower part. (7) Segmental fractures resulting in delayed or non-union were higher incidence than other fracture types. (8) the period of union was noted to be relatively short for patient under 21 years fo age, while no specific relation could be found between period of union and other age groups. (9) Possibilities of delayed or non-union were 2.5 times greater for open fractures than for closed fractures.

비구 손상에 관한 연구

강충남 梨花女子大學校 醫科大學 醫科學硏究所 1985 EMJ (Ewha medical journal) Vol.8 No.3

Acetabulum is very important in weight bearing and maintaining the normal contour for the function of hip joint. Acetabular fractures are uncommon, because of incongruity, displaced acetabular fractures result in early post-traumatic osteoarthritis. Anatomical reduction and stable internal fixation of acetabular fracture improves the prognosis of the displaced fracture, but the internal fixation of acetabular fracture still represents one of the most difficult tasts in hip surgery. During the period of June 1975 to June 1984, 52 cases were treated in the Department of Orthopaedic Surgery, Ewha University College of Medicine, and results were summarized as follows,1) In the treatment methods of the acetabular fracture, I couldn't assert firmly that a surgical treatment was more desirable than a conservative one when I valued their results. And so, I have chosen the formation for a severe degree of fractures or in accordance with fracture-sites, and adapted the latter for a severe comminuted or non-displaced fracture. 2) The posterior wall acetabulum or the displaced fracture of a dome could be accurately reduced by a possible operation which was considered as a helpful treatment method in preventing the traumatic arthritis for the prognosis. 3) There was no avascular necrosis of femoral head among 52 cases. 4) In case which was difficult to be reduced on author's operation procedure, the fracture could be easily reduced with a born-hook in drill hole, and also the new fixation was effective by inserting screws into the main fragment and wiring them together not to move in case difficult to be fixed. 5) The Marvin Tilie's classification was of use in selecting the conservative treatment or the surgical one.

다발성 건에 발생한 황색종 : 1례 보고

강충남,왕진만,노권재,김석우 최신의학사 1994 最新醫學 Vol.37 No.11

골다공증 - 원인, 진단, 예방

강충남 한국만성질환관리협회 1993 월간성인병 Vol.144 No.-