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군병원에서 재발성 견관절 탈구와 전방 십자인대 손상으로 수술을 시행한 환자에서의 수술 직후와 재활후의 MRI를 이용한 비교를 통한 임상적 유용성 검증
이용석 ( Yong Seuk Lee ),형남경 ( Nam Kyung Hyung ),이수경 ( Soo Kyung Lee ),심재덕 ( Jae Deok Sim ),하해찬 ( Hae Chan Ha ) 국군의무사령부 2009 대한군진의학학술지 Vol.40 No.1
Background: There is still some controversy regarding the method for fixing a soft tissue graft in the femoral tunnel of the ACL (Anterior Cruciate Ligament) reconstruction and the early rehabilitation is limited during the early postoperative period. Method: This study evaluated the coronal and sagittal T2-weighted MR(recovery>120° range of motion) after surgery. The distance was measured from the most upper point of the graft to the upper border of the superior cross-pin. To reduce the intra- and inter-observer bias, the measurements were taken twice by two orthopedic surgeons for all patients. Results: The inter-rater and intra-rater reliability ranged from 0.79 to 0.93. One of the 18 patients showed complete breakage of the 2 cross pins 8 weeks after surgery, even though it was intact 4 days postoperatively. From an analysis of the remaining 17 patients, there was no significant difference in the coronal and sagittal measurements taken at postoperative 4 days and 8 weeks (p=0.170~0.737). Conclusion: The expansion mechanism of cross-pin works well during the early healing period. However, further study on the strength of this fixation technique will be needed because 1 of the 18 patients showed broken pins.
형남경,배경태,국광식,허준평,이석기 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.1
Nail injuries are one of the most common injuries of the hand and the complete loss or deformity of the nail causes cosmetic as well as functional problems. Many reconstructive procedures have been introduced for reconstruction of the nail but the results have been variable. One hundred seventy-four nail & nail bed injuries were evaluated during the last 5 years. Methods of repair were described. Follow-up study was performed for 120 cases. The injuries were defined, categorized, and analyzed was done the chart review & the question papers. The authors was analyzed between patient's satisfaction & injuries level & injuries type.
형남경,배경태,윤경태,국광식 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.3
High-voltage electrical injuries of the scalp frequently have difficult problems in wound management. The incidence of electrical injury has recently increased and a full understanding of the injury mechanism is basis to the intelligible care of patient's wound. Authors experienced 8 cases of electrical injuries of the scalp from March 1993 to september 1995. 3 of 8 cases were treated with free flaps : Free latissimus dorsi myocutaneous flap, free latissimus dorsi muscle and serratus anterior osteomyocutaneous flap and free latissimus dorsi muscle flap. Another 3 cases were treated with direct tissue expansion and the remaining 2 cases used secondary tissue expansion after skin graft of the burn wound. The results were as follows 1) The advantages of free flap include one stage operation, short wound healing period and early operation after injury but the disadvantages of free flap include donor site scar deformity, long operative time and technical difficulty. 2) The advantages of tissue expansion method include good cosmetic result, no donor site scar and easy operative procedure but the disadvantages of the procedure include long period of tissue expansion, more expensiveness and infection of the exposed calvarium during scalp expansion.