초기에 진단된 제1구역 내 심수지 굴곡건의 견열성

심재천,홍기도,하성식,김태호,성민철 대한수부외과학회 2015 대한수부외과학회지 Vol.20 No.2

Avulsion injury of the flexor digitorum profundus (FDP) tendon from the distal phalanx is considered as a rare injury. We report a patient who sustained a FDP tendon rupture insertion on her fifth finger as a result of a closed, hyperextension with no accompanying laceration or predisposing pathologic condition. Preoperative ultrasonography showed complete rupture of FDP and the gap between the tendon ends. According to the classification by Leddy and Pacter, this case is type II. The reconstruction of flexor tendon using pull-out suture and tie-over button. We are reporting a case with brief review of literatures. 원위지에서의 심수지 굴곡건 견열 손상은 드문 것으로 알려져 있다. 저자들은 열상 및 기저병변이 동반되지 않은 상태에서 폐쇄성 과신전으로 인해 제5수지 심수지 골곡건이 파열된 환자를 보고하고자 한다. 수술 전 초음파 검사에서 심수지굴곡건의 완전 파열 및 건 말단 사이의 간격이 확인되었다. Leddy와 Packer의 분류의 의하면, 이 증례는 제2형에 속한다. 굴곡건의 재건은 pull-out 봉합 및 tie-over 버튼을 사용하여 시행되었다. 이에 저자들은 문헌 고찰과 함께 증례를보고하고자 한다.

조명 시뮬레이션으로 터널조명설계 검토

심재천(沈載天),허정국(許正國) 한국조명·전기설비학회 2007 조명.전기설비 Vol.21 No.4

T-세포 항원수용체의 분자의전학

심재천,심봉섭 주식회사 녹십자 1989 녹십자의보 Vol.17 No.4

환상강선 고정술과 장력대강선 고정술을 병합한 방법에 의한 슬개골 골절의 치료

심재천 ( Jae Chun Sim ),하성식 ( Sung Sik Ha ),홍기도 ( Ki Do Hong ),김태호 ( Tae Ho Kim ),성민철 ( Min Chul Sung ) 대한골절학회 2014 대한골절학회지 Vol.27 No.1

목적: 환상강선 고정술과 장력대강선 고정술을 병합한 술식을 이용하여 슬개골 골절을 치료하였을 때의 임상적 유용성에 대해 알아보고자 한다. 대상 및 방법: 2005년 1월부터 2012년 6월까지 슬개골 골절에 대해 환상강선 고정술과 장력대강선 고정술을 병합한 술식을 시행하고 수술 후 1년까지 추시가능하였던 22예를 대상으로 하였으며, 남자가 14예, 여자가 8예였고 평균연령은 51세였다. 수술 방법은 전위된 관절면을 정확하게 정복한 후 한 개의 강선을 이용하여 장력대강선 고정을 시행하였고, 한 개의 강선을 더 이용하여 환상강선 고정을 시행하였으며 보조기 착용하에 3주 후부터 관절운동을 허용하였다. 술 후 골절의 임상적, 방사선적 골유합 시기 및 Levack에 의한 임상적 평가를 시행하였다. 결과: 골유합은 평균 11.5주에 이루어졌으며, 전 예에서 유의한 골편 전위 없는 골유합과 완전 운동 범위를 얻었다. Levack에 의한 임상적 평가에서 우수 20예, 양호 2예였으며 특이할 만한 합병증은 강선파열로 1예에서 관찰되었으며 재수술 후 임상평가에서 양호한 결과를 얻었다. 결론: 환상강선 고정술과 장력대강선 고정술을 병합한 술식은 슬개골 골절의 치료 시 좋은 치료법 중 하나라고 생각한다. Purpose: The purpose of this study is to evaluate the radiographic and clinical results of patella fractures using a circumferential wiring combined with tension band wiring. Materials and Methods: Between January 2005 and June 2012, 22 (male 14, female 8) patients with patella fracture treated with circumferential wiring combined with tension band wiring were analyzed retrospectively. The mean age of patients was 51 years (range, 28 to 72 years). Controlled passive range of motion exercise was started at three weeks from the postoperative day. The patients were evaluated using radiographs, clinical examination, and Levack`s scoring system. Results: All fractures healed and mean time elapsed for union was 11.5 weeks (range, 10 to 14 weeks). Complete union without displacement and full range of motion was achieved in all cases. Clinical results according to Levack`s scoring system were excellent in 20 cases and good in two cases. We found broken wire in one case. In this case, results of clinical evaluation after reoperation were good. Conclusion: Circumferential wiring combined with tension band wiring is appropriate for patella fractures.

부동산개발 관련 세제의 특징과 의미

심재천 명지대학교 증권보험대학원 2000 논문집 Vol.- No.4

가변각 수장측 잠김 금속판을 이용한 원위 요골 골절 치료

심재천 ( Jae Cheon Sim ),하성식 ( Sung Sik Ha ),홍기도 ( Ki Do Hong ),김태호 ( Tae Ho Kim ),성민철 ( Min Chul Sung ) 대한골절학회 2015 대한골절학회지 Vol.28 No.1

Purpose: The purpose of this study is to evaluate outcome of variable-angle volar locking plate for treatment of distal radius fractures. Materials and Methods: We retrospectively analyzed the results in 45 cases treated by variable-angle volar locking plate. We evaluated the clinical results according to the Mayo wrist performance scoring system and radiographic results. Results: All cases had bony union. The mean Mayo wrist performance scoring system was 84.8. Between preoperative and immediate postoperative radiographic measurement, the mean radial length improved from 8.4 to 11.8 mm, radial inclination from 14.2o to 22.4o, volar tilt from ?4.5o to 9.6o, and intraarticular step-off from 1.8 to 0.3 mm (p<0.05). Between immediate postoperative and latest follow-up radiographic measurements, the mean loss of radial length measured 0.8 mm, radial inclination 0.4o, and volar tilt 0.9o (p>0.05). All cases showed bone union with no evidence of malunion, nonunion, or metal failure. Conclusion: Treatment of distal radius fractures using variable angle volar locking plate showed satisfactory outcomes. It is a good option to obtain stable fixation without significant loss of reduction.

기관 평활근종의 수술적 절제;1례 보고

심재천 대한흉부심장혈관외과학회 1993 Journal of Chest Surgery (J Chest Surg) Vol.26 No.12

Primary benign tracheal tumors are exceedingly rare and leiomyoma has the least frequency among them. It is important to recognize early without misdiagnosis such as asthma because it is curable. A 41 year-old female was admitted for dyspnea and choking since November 1991. Under the impression of asthma, she received medication. Symptom was not improved and thus chest CT scan was performed. There was endotracheal tumor mass which was located just above the carina and arose from the right lateral tracheal wall with broad base. We successfully resected the tumor mass including trachea and the defected area of trachea was reconstructed with autologous graft using pericrdium & rib cartilage. During the follow up period, no complication was developed.

옥천층군 흑색셰일내에 분포하는 흑연질단괴에 대한 광물학적 연구

심재천,문희수,오재호 ( Jae Cheon Shim,Hi Soo Moon,Jae Ho Oh ) 한국광물학회 1995 광물과 암석 (J.Miner.Soc.Korea) Vol.8 No.2

대퇴골 간부 골절의 수술적 차이에 의한 치료결과

심재천,홍기도,하성식 대한골절학회 2000 대한골절학회지 Vol.13 No.4

Purpose: To evaluate and compare the bone union period, complications and functional assessments between compression plate and intramedullary nailing which are operative methods of the femoral shaft fracture. Material and Method: We evaluate the bone union period, complications and functional assessments of the 65 cases(63 patients). 30 cases were treated with compression plate and another 35 cases were treated with intramedullary nailing, who were diagnosed to have femoral shaft fracture. And they were treated in our hospital from January 1995 to August 1999, whose follow up was available more than 1 year. Result: Mean bone union period of compression plate fixations was 14.6 weeks and intramedullary nailing was 16.2 weeks. Complications in compression plate fixations group was deep infection in one case, metal failure in one case, refracture in one case, nonunion in one case, and there were 5 complications in intramedullary nailing fixations group which were nonunion in 2 cases, limb shortening in 2 cases and angular deformity of nail in one case. By using functional assessment according to Magerl et al(16) among 30 cases of compression plate fixations, 25 were excellent, 3 were good, 2 were fair, and among 35 cases of intramedullary nailing, 29 were excellent, 4 were good, 2 were fair, so we achieved excellent results in both techniques as 83.3% and 82.9% cases each. Conclusion: In operative management of femoral shaft fracture, compression plate fixations and intramedullary nailing shows average difference of 1.6weeks of bone union period, but both method didn't show significant difference in bone union period. Both methods achieved excellent results in functional assessments, so if we manage by knowing thoroughly the advantage and disadvantage of both technique, we can get a excellent results with reduced complications.

Concurrent Posterolateral Corner Injury Associated with a Schatzker Type 2 Tibial Plateau Fracture - A Case Report -

심재천,정충원,남태석 대한골절학회 2020 대한골절학회지 Vol.33 No.1

Isolated posterolateral corner (PLC) injury associated with a Schatzker type 2 fracture is a very rare combination of injuries. A male who was driving a motor vehicle was injured after a collision accident. The plain radiographs and computed tomography scans of the knee showed a Schatzker type 2 fracture of the tibial plateau, mostly in the anterolateral portion of tibial plateau, and an avulsion fragment on the fibular tip. Magnetic resonance imaging showed no injury to cruciate ligaments, medial collateral ligament, or any meniscal injury. We performed an open reduction operation and internal fixation for treating the fracture. Six months later, he complained of instability. At 11 months later after initial operation, we performed the second operation for stabilizing the PLC. We present here a rare case of an isolated PLC injury associated with a Schatzker type 2 fracture. We discuss the mechanism of injury and review similar cases.