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윤여헌 ( Yeo Hon Yun ),박병문 ( Byeong Mun Park ),한대용 ( Dae Yong Han ),한수봉 ( Soo Bong Hahn ),신규호 ( Kyoo Ho Shin ),문석주 ( Seok Joo Moon ) 대한고관절학회 1991 Hip and Pelvis Vol.3 No.1
We reviewed fifteen cases of primary bone tumor which involved the periacetabular region. Histologically confirmed diagnosis of the tumors included four osteosarcomas. four chondroblastomas. three eosinophilic granulomas, two aneurysmal bone cysts and two osteochondromas. The tumors could be characterized by their sites of involvement: the majority of benign lesions occurred at the superior or superomedial aspect of the acetabulum and grow out mainly toward the body of ilium, while the malignant tumors generally involved the ischiopubic region and extended to the anteromedial or inferior acetabulum. The results of treatment for the benign lesions were satisfactory after intralesional curettage or marginal resection. but for the malignant tumors the diagnosis were frequently delayed and their prognosis were poor.
박희완,장준섭,강군순,문석주,양규현 대한골절학회 1990 대한골절학회지 Vol.3 No.2
The fractures of the supracondylar and intercondylar region of the femur are difficult to manage because of the wide range of potential complications. Most studies over the past twenty years have attempted to compare the results of nonsurgical with those of surgical methods. The new fixation devices and techniques were developed. The accurate anatomical reduction, rigid internal fixation, and early motion of joint have more improved results of the treatments than past. The following clinical results were shown by analysis of 18 cases of supracondylar and intercondylar fractures of the femur treated in the Department of Orthopedic Surgery, Yonsei University, College of Medicine during the past 6 years from Jan, 1983 to Dec. 1988. 1. The prevalent age distribution was between 41 and 50 years of age(33.3%), and the ratio between male and female was 1.3: 1. The most common cause of injury was traffic accidents(66.7%). 2. A classification of supracondylar and intercondylar fractures was divided according to ASIF classification, and the most common type was C2(55.5%). 3. Thirteen patients(72.2%) were associated with injuries of other parts and the most frequent associated fracture was tibial fracture and the most common associated other in- jury was cerebral concussion or contusion. 4. The satisfactory(excellent or good) result of surgical treatment(14 cases) and con- servative treatment(4 cases) was equal(50.0%). But severity of injury of conservative treatment group was milder than surgical treatment group. 5. Complications were deep infection of 2 cases(11%), delayed and nonunion of 4 cases (22%), knee joint stiffness below 90 range of motion of 8 cases(44.4%). 6. Finally, good results of treatment depend largely on early accurate anatomical reduction, rigid internal fixation, early joint motion