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성인의 동측에 발생한 대퇴골 및 경골 골절의 수술적 치료
정의섭,홍기식,황승수 대한골절학회 1998 대한골절학회지 Vol.11 No.4
Ipsilateral fractures of the femur and tibia is also called $quot;Floating knee$quot;. It is the term applied to the flail knee joint segment resulting from a fracture of the shaft or adjacent metaphysis of the ipsilateral femur and tibia. The principles of the treatment is focussed to the rigid fixation and early restoration of the knee function. Authors reviewed 24 patient in which were treated surgical management from January 1.991 to June 1998. The results were as following: l. The patient who had both diaphyseal fractures had better clinical result than metaphyseal fractures. And the metaphyseal fractures associated with intraarticular fractures were worse than other metaphyseal fractures. 2. At the last follow up, the excellent and good results were achieved in 7I% of the patients treated with internal fixation of both fractures and 60% of the patient with external fixation of the tibia, but all of the patient with external fixation of the femur were poor result by Karlstrom and Olerud criteria.
종골 관절내 골절의 전산화 단층촬영에 따른 분류 및 수술적 치료
정의섭,홍기식,지성구 대한골절학회 1997 대한골절학회지 Vol.10 No.1
Computed tomography was used in the evaluation of intra-articular fractures of the calcaneus. a develop and reasonable treatment program and predict prognosis. Seventeen fractures of the calcaneus in the sixteen patients were shown to involve the opstenr facet and classified by the images of coronal CT scan; Type 1(non-displaced), Type II(displaced) an. Type III(comminuted). There were one Type I, ten Type II, and six type III fractures. All of thin were treated with open reduction and internal fixation. with or without bone graft. The length c follow-up period ranged from thirteen to fourty-five months(mean: 24 months). The results were graded by a predetermined point system. The one type I had an excellent rear Of the ten type 2 fractures; three had excellent result, four good result, two fair result, and one por result. Of the six type 3 fracture; one had good result, three fair result, two poor result. On the basis a our study, we believed that open reduction and internal fixation was a good method of treatment for the displaced or mildly comminuted intraarticular fracture of the calcaneus.
정의섭,김민기,홍기식 대한골절학회 1997 대한골절학회지 Vol.10 No.2
In the treatment of an unstable distal radius fracture, the anatomical reduction of articular surface and the sustenance of radial length are essential. And, because of re-displacement of fracture fragments and destruction of articular surface, more active treatment methods are required. Applying longitudinal tensile distraction by longitudinal principles to the distal radius provides the optimum environment for fracture healing which decreases displacement & keeps the radial length. We experienced 12 cases of unstable fracture of distal radius treated by external fixation. 1. The more serious the displacement of intra-articular fracture fragment, the more flexion R extension motion limitation were seen, especially limitation of flexion. 2. The more radial shortening aggrevated the limitation of motion of ulnar deviation & supination. 3. In the decrease of radial & volar angle, there is no significant decrease in each motion plane. 4. According to Frykman classification, the anatomical & functional result was correlated the severity of injury. 5. In the distal radioulnar joint injury, intraarticular K-wire fixation decreased radial shortening after the removal of external fixator. 6. The correlation of anatomical result & functional result showed statistically significant. (P$lt; 0.05) 7. When compared to static external fixator, functional and anatomical result of dynamic external fixator was better, but there was no statistically significance. (.05)
후방으로 전위된 요추간판 탈출등에 동반된 마미증후군 : 2례 보고 Two Cases Report
송경진,강현귀,홍기식 대한척추외과학회 2000 대한척추외과학회지 Vol.7 No.3
후방 전위된 요추부 추간판 탈출증에 동반된 마미증후군 2례를 수술적으로 치료하여 완전한 신경기능 회복을 얻을 수 있었다. 본 증례 보고의 목적은 유리되어 후방 전위된 요추간판 탈출증에 동반된 마미증후군 2례에 대한 보고와 함께 이에 대한 치료로서 조기 진단과 조기 암압술의 중요성을 강조하고자 하였다. We have experienced 2 patients with dorsally migrated sequestrated lumbar disc herniation with cauda equina syndrome and obtained a complete motor and sensory recovery after early decompressive laminectorny and discectomy with or without fusion in all cases. The purpose of this paper is to report two unusual cases of lumbar disc herniation that we experienced, and to emphasize the importance of early decompressive surgery for the treatment of cauda equina syndrome accompanied with dorsally migrated sequestrated lumbar disc herniation.