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한국인에 대한 새로운 관절주위 잠김금속판의 해부학적 적합성: 사체를 이용한 연구
윤용철 ( Yong Cheol Yoon ),오종건 ( Jong Keon Oh ),김영우 ( Young Woo Kim ),김학준 ( Hak Jun Kim ),문홍주 ( Hong Joo Moon ),김남렬 ( Nam Ryeol Kim ) 대한외상학회 2013 大韓外傷學會誌 Vol.26 No.3
Purpose: This study was conducted to confirm the anatomic conformity of the new periarticular locking plates designed by Zimmer on Korean adult bones and to identify the structures at risk during the application of these implants. Methods: The study was performed on the humerus, radius, and tibia of 10 adult cadavers(6 males and 4 females) procured from the cadaveric lab of our hospital. Anteroposterior (AP) and lateral X-rays were taken to confirm that the cadavers were free of any unusual lesions or anatomic variations. We used the 3.5-mm proximal humerus plate, 2.7-mm distal radius plate, 3.5- and 5.0-mm proximal tibia plates, and 3.5-mm distal tibia plate developed by Zimmer, Inc. (Zimmer periarticular locking plate). The longest plate from each group was used to confirm anatomical conformity. Standard approaches were used for each area, and soft tissue was retracted in order to pass the plate beneath the muscle. The position of the plate was confirmed using standard AP and lateral view X-rays. After this procedure had been completed, the region was dissected along the length of the implant to determine the conformity of the implant to bone and the penetrations of screws into the articular surface or violations of any vital structures, such as nerves, blood vessels, or tendons. Results: Excellent anatomical conformity was observed with Zimmer periarticular locking plates for Korean adults. The tibial nerve and the posterior tibial artery were found to be structures at risk when applying a distal tibial plate. Conclusion: Additional posterolateral fixation is recommended when dealing with cases of tibial plateau fracture when the fracture line extends to the posterolateral cortex. We recommend taking proper views using 10~15 degrees of internal rotation to ensure correct screw length and, thus, avoid penetration of vital structures and tendons.
한국 유방암 환자의 체질량지수(BMI) 분포 및 부가 치료로서의 호르몬 치료에 미치는 영향
민연기(Youn Ki Min),박중민(Choong Min Park),김완배(Wan Bae Kim),조성진(Sung Jin Cho),김애리(Aeree Kim),김남렬(Nam Ryeol Kim),조민영(Min Young Cho),정석인(Suk In Jung),배정원(Jeoung Won Bae),구범환(Bum Hwan Koo) 대한외과학회 2002 Annals of Surgical Treatment and Research(ASRT) Vol.62 No.4