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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.
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.
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.
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.
심재천 한국유기농업학회 2005 韓國有機農業學會誌 Vol.13 No.4
Nutrient balance is important to develop environmentally friendly agriculture. Phosphorus surplus in nutrient balance was more serious than that of nitrogen. Nitrogen and phosphorus exceeded twice the requirement at 30 cities/counties and 32 among 165, respectively. Given livestock waste and optimal nutrient balance, the proper number of animal feeding was 1.68LU/ha. Considering livestock waste only, the optimal number of livestock feeding was 3,918,000LU (heads) and, including fertilizer that would be 2,288,000LU. It is recommended to introduce the regional control system to regulate nutrient input and output, and the trading system of livestock feeding rights to control that.