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Wolter 금속판을 이용한 견봉 쇄골 관절 탈구 및 원위 쇄골 골절의 수술적 치료
김상림 ( Sang Rim Kim ),서규범 ( Kyu Bum Seo ),윤진호 ( Jin Ho Yoon ),박용근 ( Yong Keun Park ),남욱 ( Uk Nam ) 대한스포츠의학회 2009 대한스포츠의학회지 Vol.27 No.1
To evaluate the clinical and radiological results of acromioclavicular dislocation and distal clavicular fracture after a Wolter plate fixation. Surgical reduction and fixation using Wolter plate was done in 18 patients with acromioclavicular dislocation and the distal clavicular fracture from February 2004 to February 2007. Clinical results of all patients were assessed using UCLA score. Radiologic outcomes were evaluated by measuring the coracoclavicular distance between the normal and injured side, vertical displacement of clavicle and bony union of distal clavicle. The mean duration of follow up was 17.7 (12-39) months. Postoperative radiographs showed that vertical displacement of the clavicle was restored in all cases. The mean UCLA score at the final follow up was 31.7 (30-35) and a good bony union was obtained in all cases with distal clavicle fracture. Complications such as reduction loss after plate removal, osteolysis and the skin necrosis around the long hook were seen. We believe Wolter plate is useful for treating patients with acromioclavicular dislocation and the distal clavicle fracture because it provides enough stability for active postoperative rehabilitation. However, careful operative planning and familiarity with the technique are necessary to prevent complications including reduction loss, osteolysis and skin necrosis around the long hook.
골다공증 환자에서 경구 비스포스포네이트 치료 중 발생한 악골 괴사
최성욱(Sung Wook Choi),김상림(Sang Rim Kim),이광복(Kwang Bok Lee),남광우(Kwang Wao Nam),서규범(Kyu Bum Seo),남욱(Uk Nam),김희중(Hee Joong Kim) 대한정형외과학회 2010 대한정형외과학회지 Vol.45 No.2
비스포스포네이트 제제는 골전이가 진행된 암이나 골다공증 및 골형성 부전증 등에 널리 사용되는 약물이다. 특히 경구 비스포스포네이드 제제는 골다공증의 예방 및 치료에 흔히 사용되고 있다. 경정맥 비스포스포네이트 투여 환자에서 악골괴사에 대한 부작용은 잘 알려져 있으나 경구 비스포스포네이트 복용 환자에서는 보고가 많지 않다. 특히 국내에서 리세드로네이트와 관련한 악골괴사에 대한 보고는 없다. 이에 저자들은 91세 여성에서 골다공증치료를 위해 리세드로네이트 제제를 투약 하던 중 발생한 악골괴사 증례를 경험하여 문헌고찰과 함께 보고하는 바이다. Bisphosphonates are widely used in the management of metastatic bone disease and in the prevention of osteomalacia and osteoporosis. In particular, oral preparations are more commonly used for the prevension and treatment of osteoporosis. Bisphosphonate-related osteonecrosis of the jaws (BRONJ) has been well documented recently in relation to intravenous preparations of the drug. But a few cases have been reported of oral bisphosphonate-associated osteonecrosis. We could not find any risedronate cases in the Korean medical literature. Here we report a case of BRONJ in a 91-year-old woman patient receiving an oral bisphosphonate (risedronate) for the treatment of osteoporosis.
제한된 관혈적 정복 및 Ilizarov 체외고정기기를 이용한 경골 천정골절의 치료
김부환,임종인,강덕정,임용균,남욱 대한골절학회 1998 대한골절학회지 Vol.11 No.4
The authors retrospectively reviewed 22 pilon fractures in 22 patients treated with limited ORIF with external fixation by Ilizarov method. Clinical follow up averaged 28 months (range, 16-45 months). Interfragmental screw fixation of key fragments were done in fifteen cases and bone-grafting was done in thirteen cases. The average duration of external fixation was fourteen weeks. All of the fractures healed (one after delayed bone-grafting). The subjective and objective results were classified according to Ovadia and Beals. Sixteen patients (72%) had good and excellent results at final follow up. On the basis of these early results, the prevalence of complications associated with pilon fractures and their treatments can be decreased by external fixation of Ilizarov method and limited internal fixation. We conclude that this method is good treatment modality on tibial pilon frature.
의사협회발행 "진단서 작성지침"의 분석 : "진단서 작성지침"의 보완 필요성 검토
김부환,임종인,임용균,남욱 대한골절학회 1999 대한골절학회지 Vol.12 No.1
Doctors have some difficulties in deciding the duration of expected treatment for certain trauma patient in issuing medical certificate because of rarity of references about the medical certificate. In 1996, Korean Medical Association published $quot;Guide to Medical Certificate which helped many doctors in their practice of certificate issuing. But in reviewing the contents of the book, we d like to point out a few problems for amendment in next issue.