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골수강내 금속정술과 금속판 내고정술을 이용한 상완골 간부 골절의 치료 결과 비교
정의섭,전일엽 대한골절학회 1999 대한골절학회지 Vol.12 No.3
The ideal treatment of acute fractures of the humeral shaft remains controversial. Recently, tendency of surgical treatment has been increased. Authors reviewed and analyzed plate fixation in 40 patients and intramedullary nailing in 26 patients having humeral shaft fractures. These patients were treated at the department of orthopaedic surgery, Chonju Presbyterian Medical Center from June 1994 to November 1997. There is no significant difference in union time, operation time, functional result. But, non-union rate of intramedullary nailing is superior to that of plate fixation. So, We concluded that plate fixation in humerus shaft fracture is more acceptable than intramedullary nailing, except severe osteoporosis, severe communited fracture, segmental fracture, pathologic fracture.
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골-슬개건-골과 박건-반건양건을 이용한 관절경하 전방십자인대 재건술의 비교
김민기,전일엽 대한슬관절학회 1998 대한슬관절학회지 Vol.10 No.2
Arthroscopic ACL reconstruction using patellar BTB grafts were performed 11 consecutive patients (Group I) and double stranded gracilis-semitendinosus grafts were performed 7 cases (Group II) from April, 1995 to February, 1997. We analysed two groups that were reviewed and evaluated with subjective and functional rating scales according to Lysholm knee scales, physical examination, KT-2000 and manual anterior laxity test. On Group I, the average follow up was 17 months(14-30mo), and on Group II, 14 months (12-18mo). The average age at operation was 32.2 year old of the Group I & 28.1 year old of the Group II. The average Lysholm score of Group I was improved from 45.3 to 89.2 and Group II was improved from 43.1 to 87.3 at the last follow-up. According to KT-2000 at the follow up, the average side to side difference in Group I at 20lb was 1.7±1.8 mm and in Group II was 2.2±2.0mm. In this study, there were no significant differences in overall outcome between the Group I & Group II (P$gt;0.1) but, the follow-up was too short to define the result.
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