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경골 및 비골 간부 동반 골절에서 비골 고정이 미치는 영향
이영규,안장엽,조병국,신동배,허대욱 대한골절학회 1994 대한골절학회지 Vol.7 No.2
Many authors have been discussed effects of fibular stabilization in the healing of the tibiofibular shaft fracture. A-O group recommand fixation of the fibular shaft fracture in treatment of tibio-fibula shaft fracture with rationale of more stability of tibial fracture site and anatomical restoration of tibio-fibula relationship and so better effect on ankle motion. The purpose of this study is to indentify the effect of fibula stabilazation on reduction state of tibial fracture site, change in ankle mortise and healing period of tibial fracture site. Authors performed fibula stabilization with 1/3 plate and screws in 8 cases of tibio-fibula shaft fracture and compare with 40 cases of tibio-fibula fracture without fibula stabilization in point of above mentioned three effects. The results were as follows. l. 0/R & I/F of the fibular fracture, had no effect on the reduction state of the tibial shaft fracture site but it was somewhat helpful to restoration of the ankle mortise owing to the restoration of the fibular length. 2. There were no significant differences in the weight bearing time and the union time of the tibial fracture between two groups. 3. We experienced 2 cases of implant failure on the fibular fixation site, due to shortening of the tibial fracture site and overloading of the fibular fixation site. In these 2 cases, ankle pain was debeloped before the implant-failure. From the above result, we suggest that fibula stabilization have no benefit in treatment of tibio-fibular shaft fracture.
이영규,진경호,안장엽,신동배,주영길 대한골절학회 1994 대한골절학회지 Vol.7 No.2
After classification of posterior hip dislocation by Thompson and Epstein, some treatment guide lines became proposed upon each types. However the most importance in treatment of posterior hip dislocation is prevention of 2 major complications, avascular necrosis of femoral head and post-traumatic arthritis. Authors experienced 16 cases of posterjor hip dislocation from Jan, 1988 to Dec. 1992. We analysed results of 16 cases which were available for minimum 1 year follow-up(Type 1; 4 cases, Type II: 5 cases, Type 1Y: 4 cases, Type V: 3 cases). The summary of our clinical experience were as follows; 1. Reverse Stimson method was very useful method in reduction of posterior dislocated hip. 2. Reasons for surgery were unconcentric reduction with intraarticular fragment, large acetabular fragment with instability and joint incongruity. 3. The incidence of osteoarthritis was high(56%) and there was no differences in its prevalance and severity according to each type of Epstein classification.
관절경을 이용한 반월상 연골판 수복술의 한 방법 : 수술 술기
강병선,신동배,진경호,안장엽,조병국,소창성 대한슬관절학회 1995 대한슬관절학회지 Vol.7 No.1
Through technical development of arthroscopic surgery, there is a trend to repair and keep the torn meniscus with rationale of anatomical restoration and functional recovcry of meniscus. Various method of repair have been introduced and it need specially designad expensive instruments. We designed and parformcd a simple method vehich is the Ougide-to-Inside tecbniqoe and subued in a vertical nuener and take several advantages of (1) No need for unnecessary skin incision (2) No need for specially designed instruments, that can be performed with only spinal needle (3) Getting more tensile force and good approximation compared to horizontal method.