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Modified chevron 절골술을 이용한 무지외반증의 치험
이범구,박홍기,위성,Lee, Bum-Gu,Park, Hong-Gi,We, Sung 대한족부족관절학회 1997 대한족부족관절학회지 Vol.1 No.2
Hallux valgus has been characterized by a valgus deformity of the great toe at the metatarsophalangeal joint, along with medial deviation of the first metatarsal, and by three components. First, there is a valgus angle more than $20^{\circ}$ at the first, metatarsophalangeal joint. Second, there is a greater angle than $9^{\circ}$ between the first. and second metatarsals. Third, there is bursal hypertrophy at the medial eminence of the first metatarsals head. The etiology is multifactorial and many procedures have been reported in the treatment of hallux valgus. Most of the procedures are directed towards pain relief, correction of deformity, and preservation of dorsiflexion in the first metatarsophalangeal joint. One such treatment is the Modified chevron osteotomy. It is technically simple, and provides greater stability than a standard osteotomy, and allows early ambulation after surgery. We a reviewed 19 cases with 13 patients of hallux valgus deformity. They were all treated with the Modified chevron osteotomy at the Department of Orthopedic Surgery, Choong ang Gil Hospital, between June 1988 and May 1994. The results of the study were as follows; 1. The mean age was 36 years. Three patients(5 case) were male and ten patients(14 cases) were female. 2. The mean value of the hallux valgus angle was $34.1^{\circ}$, and the first to second intermetatarsal angle was $12.1^{\circ}$, preoperatively. These angles were corrected to $15.8^{\circ}$ and $8.5^{\circ}$, respectively. 3. The metatarsalgia subsided in 17 cases (89.5%). avascular necrosis, non union, and dorsal angulation complicatious were nonexistant. Early bone healing occurred in all cases. 4. The Modified chevron osteotomy is technically simple. It provides excellent pain relief, early ambulation, increased mechanical stability, and many avoids many complications such as AVN, non-union, and dorsal angulation.
Muliple-stage & Multiple-operation을 요한 대퇴골 경부골절의 치험보고
이범구,박주완,김병직,서광윤 인제대학교 1982 仁濟醫學 Vol.3 No.3
대퇴골 경부골절은 불유합 및 대퇴골두의 무혈성괴사가 속발되는 예가 많아 아직도 해결 되지 않은 골절로 인정되고 있다. 저자들은 대퇴골 경부골절 치료중 속발된 고정기구의 붕괴, 불유합, 대퇴골두의 무혈성괴사등 대표적인 속발증을 차례로 일으켜 여러차례의 수술가료를 요하였던 교훈적인 예를 경험하였기에 여기 보고하는 바이다. Fracture of the femoral neck still presents many problems to orthopedic surgeons due to many complications, such as, nonunion and avascular necrosis of the femoral head. Authors report a case of femoral neck fracture for which multiple operative procedures, e.g. 1. closed reduction and internal fixation with sliding compression hip screw 2. musle pedicle bone graft using quadratus femoris 3. total hip joint replacement arthroplasty was necessary as he developed failure of the internal fixation apparatus, nonunion & finally aseptic necrosis.