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임영,신성태,권칠수,서광윤 인제대학교 1986 仁濟醫學 Vol.7 No.3
체중 부하 및 보행에 중요한 역할을 하는 족관절은 골적의 발생 빈도가 높으나 이 족관절 골절의 분류 및 치료에는 여러 이견이 있다. 저자들은 과거 12년간 인제대학 부속 서울 백병원에서 치험한 족관절 골절 166례를 Lauge Hansen방법으로 분류하였으며 치료 및 결과를 분석하여 관혈적 정복술이 더 좋은 결과를 얻었고 관혈적 정복술에 있어서는 비골 골절의 해부학적 정복이 중요함을 알 수 있었다. The authors have reviewed 166 cases (163 patients) of the ankle fractures that were treated through the admission in thr Orthopaedic department, paik hospital, Seoul from June 1972 to June 1984. The average duration of the follow-up was 17 months. The summary of the results ware as follow; 1.Of the 166 cases, male was 133 cases and female 33 cases. The average age of the patients was 35. 2.The most common cause of the injuries was traffic accident. 3.144cases were closed fracture and 22 cases were open fracture and 11 cases (50%) out of the 22 cases of the open fractures were in the pronation-external rotation type. 4.By the classification of Lauge-Hansen, the pronation-external rotation type (30.7%) and supination-external rotation type(26.5%) were common than the other types. 5.Open reduction was performed in 129 cases, and closed reduction in 37 cases. The average duration of the cast immobilization after the closed reduction was 8 weeks, and that of the open reduction was 6 weeks. 6.According to clinical and reaiological assessment of the result of the treatment, the open reduction was better than closed reduction. 7.In the method of internal fixation of the medial malleolus, the better result was obtained by tension band wiring than other methods. 8.In the bimalleolar fractures, we agree that the lateral malleolus is the key to the anatomical reduction of bimalleolar fractures.
골에 전이된 활액막에 생긴 악성 섬유성 조직구종 - 1례 보고 -
유현덕,신성태,권칠수,서광윤,고일향 인제대학교 1986 仁濟醫學 Vol.7 No.3
The malignant fibrous histiocytoma is a predominantly pleomorphic sarcoma containing fibromatous, xanthomatous or histiocytic elements. A case of inflammatory malignant fibrous histiocytoma is reported with recent reports on the nature of the tumor. This case has originated in the subsynovial tissue of right knee joint, and it infiltrated the ipsilateral side of the metaphysis of proximal tibia and of the intercondylar area of the femur in 11 years after the onset. Electron microscopic study has confirmed the presence of histiocyte-like cells in this tumor.