제 14 차 대한골절학회 학술대회 (주연제) : 6. 견봉쇄골관절 분리의 치료

표영배,유재원,하상호 대한골절학회 1991 대한골절학회 학술대회 및 초록집 Vol.- No.-

Phemister 수술법을 이용한 급성 견봉 쇄골 관절탈구의 치료

표영배,임만택 朝鮮大學校 附設 醫學硏究所 1992 The Medical Journal of Chosun University Vol.17 No.1

The authors have experienced 26 Patients of complete dislocation of acromioclavicular joint from March 1985 to February 1990, who were treated at Chosun University Hospital with at least 12 months follow up, and we obtained following results. There were twenty-one males and five females. The age ranged from eighteen to fourty-six, the average was 34.5 years. We treated the patients with the Phemister technique in the all patients. The coracoclavicular ligament was repaired in 16 patients and not repaired in 10 Patients, and the general outcome did not differ between these two groups. Slight loss of reduction was developed in 9 patients after implant removal, but the functional results was not influenced at all. Clinical results were excellent and good in 21 cases (80%) according to Weitzman classification, Complications developed in the 8 cases: 3 arthritis, 2 K-wire migration, 1 K-wire breakage and 2 superficial wound infection. We concluded that the Phemister method is relatively simple and a good procedure for the treatment of acute complete dislocation of acromioclavicular joint, especially in young adult.

대퇴골 간부 골절의 교합성 골수강내 금속정 고정술후 발생한 2회의 금속정 파손 : 증례보고

표영배,하상호,유재원,이상홍,신동민,이병호 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

Intramedullary nailing is one of the most available method in the treatment of femoral shaft fractures. Indications for intramedullary fixation of fractures of the femoral shaft have been expanded with the introduction of interlocking intramedullary nails to include virtually all fractures in the femoral shaft. These intramedullary nails are biomechanically stable because of the large diameter and thick wall and can be inserted as load-sharing device compared with load absorbing implants such as compression plates, so nail breakage was relatively rare. We experienced a twice broken intramedullary nail in a same patient of femoral shaft fracture. We report a case of twice broken intramedullary nail with literatural reviews.

경골 골절후 발생된 급성 구획증후군의 치료

신동민,표영배,김판옥 대한골절학회 1996 대한골절학회지 Vol.9 No.3

It has been known that early recognition and prompt decompression is critical in acute compartment syndrome with tibial fracture because inappropriate treatment lead to significant functional disabilities. We treated 567 cases of tibial fracture and experienced 21 cases of acute compartment syndrome between September 1988 and June 1994. The purpose of this study is to analysis the initial degree of intracompartmental pressure and duration between the diagnosis and decompression, to evaluate the functional results and to discuss the complications. The result obtained were as follows 1. Anterior intracompartmental pressure was ranged from 25mmHg to 81mmHg (sverage 43.4mmHg), and deep posterior intracompartmental pressum ranged from 19mmHg to 6lmmHg(average 32.7mnHg). 2. Among the 21 cases, common peroneal neuropathy were developed in l9 cases. We experienced complete recovery in 5 cases, incomplete recovery in 13 cases and l case of no change. We found posterior tibial neuropathy in 8 cases, and experienced complete recovery in 2 cases, incomplete recovery in 5 cases and I case of no change. 3. As an complications, clawing of toe developed in 3 cases, equinovarus deformity of ankle in 2 cases, superficial wound infection, osteomyelitis and nonunion in I case. 4. We obtained good or excellent results in 16 cases(76.1%). 5. We thought that the most important factor to decide the prognosis seems to be duration of high level of tissue pressure and also it is neccessary early diagnosis and early treatments to obtain good results.

성인 대퇴골 골절의 교합성 골수강내 금속정 고정술시 문제점 및 합병증

이상홍,표영배,전용현 대한골절학회 1995 대한골절학회지 Vol.8 No.3

Interlocking nailing is the best method available in treatment of femoral shaft fracture due to its many advantages compared with other method. However, we have encountered many problems during the operative procedure and postoperative periods due to technical complexities. After we have evaluated problems during and after the procedure of interlocking nailing for the femoral fractures in 56 cases, we suggest the means toavoid these errors and complications. 1. Among the 54 patients, 39 complications and technical errors have been reported in 19 patients. 2. Intraoperative complications and technical errors were encountered in; 9 cases of improper portal of entry, 3 cases of new fragmentation, 3 cases of angulation, 2 cases of new fracture line, 2 cases of failure of distal locking screw insertion, 2 cases of distraction of fracture site, 1 ease of proximal protrusion of nail and 1 case of rotation of nail. 3. Postoperative complications were encountered; 6 cases of delayed union, 2 cases of nonunion, 2 cases of limb shortening, 2 cases of deep infection, 2 cases of loosening of distal locking screw, 1 case of breakage of distal locking screw and 1 case of failure of nail.

나비형 골절이 동반된 쇄골 골절 치료에 대한 임상적 고찰

이상홍,표영배,임근식 대한골절학회 1992 대한골절학회지 Vol.5 No.1

In case of clavicular fractures in adult, the goal of treatment is to achieve bone healing with minimum morbidity, minimal loss of function and minimal residual definity. Fractures of clavicle with butterfly fragment have been treated by various methods. such as modified shoulder spica cast, figure-of-eight bandages and surgical operation. It is very difficult to decide the method of treatment conservatively or operatively. The authors treated 20 cases of clavicular fractures with butterfly fragment from January 1987 to August 1990. Among these, 12 cases were treated by operative methods and 8 cases by modified shoulder spica cast or figure of 8 bandages. By comparison of clinical results on both treatment group, many complications were noticed in operative group. It is difficult to arrive at any definite conclusions, because we experienced in few cases. But, closed treatment constitute the preferred procedure in majarity of patients except few specific patients.

Ender정을 이용한 경골간부 골절의 치료

하상호,표영배,김창수 최신의학사 1988 最新醫學 Vol.31 No.7

대퇴간부 골절의 교합성 골수강내 고정술후 발생한 금속정의 슬부내 돌출

이상흥,표영배,이병호 조선의대 1995 The Medical Journal of Chosun University Vol.20 No.2

Unreamed Intramedullary Interlocking Nailing으로 치료한 경골 간부 골절

신동민,유재원,표영배 대한골절학회 1992 대한골절학회지 Vol.5 No.2

The intramedullary interlocking nailing for the fractured tibia has been used in selected cases of fresh diaphyseal fracture, but the indication has been expended considerably with modern technical improvement. The authors analyzed 28 cases of fresh fractures of the tibia, who were treated with unreamed intramedullary interlocking nailing in out hospital between May. 1990 to Oct. 1991, average follow-up was 12 months ranged from 8 to 22 months and we obtained the following results. 1. The most common causes of the injury were traffic accident(19 cases). 2. Mostly associated injury was ipsilateral fibular fracture(24 cases). 3. We used unreamed intramedullary interlocking nail in all cases and dynamic and static interlocking were done in 12 cases and 16 cases respectively. 4. The average bony union was demonstrated radiographically at 16 weeks. 5. The complications were deep infection (1 case), delayed union( 2 cases), angular deformity (4 cases), superficial infection (3 cases), limitation of knee joint ROM (3 cases) and shortening of leg length (2 cases). 6. In case of the treated for method of unreamed nailing, it is not difficut to insert the nail, and we obtained good bony union, decresed operation time and bleeding. The authors concluded that unreamed intramedullary interlocking nailing is useful method to treat the tibia fracture.

Seidel 정을 이용한 상완골 간부골절 치료후 발생한 불유합

신동민,주평,표영배 대한골절학회 1998 대한골절학회지 Vol.11 No.3

The authors analyzed 34 cases of humeral shaft fractures in patients who were treated by the Seidel intramedullary nailing from March 1994 to August 1996. Average follow-up period was l8 months(12 months - 26 months). We experienced nonunions of 5 cases(14.7%). The nonunions were found mostly at the comminuted midshaft fractures. The probable cause of nonunion was distraction of fracture ends due to intramedullary endosteal lysis and failure of fanning within postoperative 3 months. These 4 cases of nonunion were treated with rigin internal fixation and additional bone graft, and l case with refanning only. So we concluded that the Seidel system was insufficient fixation technique because of the distal spreading-fin loosening. Distal screw-locked nailing seemed to be an more useful technique unless there are major modifications to the Seidel nail itself.