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Ender nail을 이용한 고령의 대퇴골 전자간 골절의 치료
양승욱,정학영,신승준,승형준 대한골절학회 1998 대한골절학회지 Vol.11 No.4
The principle of treatment of intertrochanteric fracture is early operation and early rehabilitation. The morbidity and mortality associated with intertrochanteric fracture are remained high because the elderly patient generally have a reduced tolerance for prolonged bed rest, lengthy operation and blood loss. Since Ender introduced the concepts of multiple flexible intramedullary nailing in 1970, Ender nailing has been mostly used in intertrochanteric fracture of the elderly patient, but it has been rarely used for unstable fracture. The authors analysed 87 cases of intertrochanteric fractures of femur over 60 years old, treated with Ender nailing during period from July, 1988 to October, 1996. The results were as follows: l. Among 87 cases, 70 cases were female and average age was 75.3 years old. 2. The common complications were knee pain and LOM(10%) and distal migration of nails(3%). 3. These complications were reduced by careful bending of nails, fanning of nails in femoral head, stacking of medullary canal and accurate placement of portal hole. 4. 10 patients died within I year(Mortality rate; I 1%). 5. Thirty-six(47%) patients maintained their prefracture ambulatory ability at a postoperative 1 year; Fourty-one(53%) patients lost some degree of ambulatory ability. 6. In unstable intertrochanteric fracture, we can achieved good results hy Ender nailing in valgus reduction.
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비골이식술로 치료한 요골 원위부의 거대세포종 - 증례 보고 -
정학영,양승욱,신승준,송무호,승형준,Jeong, Hak-Yeong,Yang, Seung-Wook,Shin, Seung-Joon,Song, Moo-Ho,Seung, Hyeong-Joon 대한근골격종양학회 1998 대한골관절종양학회지 Vol.4 No.2
Giant cell tumor was described by Sir Astley Cooper in 1818. This tumor is considered to be a benign tumor but has problems of recurrence and metastatic change after treatment. Methods of operative treatment of this tumor have included currettage, currettage and bone graft, excision, resection, excision and graft and amputation. We experienced a case of giant cell tumor which involved the distal part of right radius and treated by wide excision and fibular graft. The postoperative courses have been satisfactory because of no recurrence or malignant change. After 6 years and 1 month follow up, the patient was able to return to daily life without any problem.
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