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RISS 인기검색어
- 검색키워드
- 저자 : 손용락(Yong-Lak Son) (검색결과 6 건)
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정덕환,한정수,유명철,김병순,전철우,손용락,Chung, Duke-Whan,Han, Chung-Soo,Yoo, Myung-Chul,Kim, Byung-Soon,Jeun, Chul-Woo,Son, Yong-Lak 대한미세수술학회 1992 Archives of reconstructive microsurgery Vol.1 No.1
The authors analyzed the clinical results of the reconstructive surgery for injuried hand with microsurgery in 33 patients, 35 cases at the department of orthopaedic surgery, school of medicine, Kyung Hee university from 1985 to 1992 and the results were as followings. 1. There were 31 men and 4 women who had a mean age of 23 years(range, 3 to 44 years) and the follow up evaluations averaged 19 months. 2. The causes of the injury were machinery injury in 25 cases, traffic accident in 2, frostbite in 4, burn in 3 and fall down in 1. 3. For the reconstructive procedure, scapular free flap was applied in 6 cases, radial forearm flap in 7, dorsalis pedis free flap in 4, neurovascular island flap in 6, gracilis free flap in 1, wrap around flap in 6, toe to thumb in 5. 4. 32 cases(91.4%)were successful in reconstructive surgery with microsurgery exept the failure of scapular free flap in 2 cases and dorsalis pedis free flap in 1. 5. The causes of failure in scapular free flap were infection in 1 case and thrombosis in 1. In dorsalis pedis free flap, the cause of failure was infection. In the analysis of above results, the reconstruction with microsurgery was effective procedure for reconstruction of injuried hand.
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김기택,손용락,유명철,한현수,전철우,안옥균 대한골절학회 1993 대한골절학회지 Vol.6 No.2
Fractures of t4e distal femur are difficult to treat. because of its proximity to the knee joint, poor bony matrix, and anatomic configuration and there is a wide range of potential complications such as ankylosis, infection, post-traumatic arthritis, malunion, and nonunion in the treatment of these fractures. Until a few years ago, conservative management was considered superior to internal fixation of supracondylar fracture of the femur. With the development of new fixatian divices and advancement of techniques, the results of treatment of these fractures have improved. The following clinical results were shown by analyzing 51 cases of distal femur fracture treated with open reduction and internal fixation., in the department of Orthopedic surgery, College of Medicine, Kyung Hee university from Jan. 1986 to Oct. 1991. 1. The follow-up period was average 24.5 Mo. ranging from 18 Mo. to 50Mo. 2. Age distributian at the time of operation was average 42.7 Yrs. ranging form 17 Yrs. to 78 Yrs. and the ratio between male and female was 2:l. 3. The most common cause of injury was traffic accident and twenty seven patients (5Z.9%) had associated injuries in the other parts, and the most frequently associated fractures were tibiofibular and patellar fractures. 4. According to the Miillers classification, there were Z8 patients of type A, 9 patients of type B, 14 patients of type C. 5. 8 cases were fixed with intramedullary nailings, 10 with angfe blade plate, 10 with Judetplates, 14 with Maybone paltes and 9 were fixed with screws. Bone graft was performed in the 9 cases (17.6%) for bony defect and severely comminuted fractures. 6. Excellent or good results were achieved in 23 (82.1%) out of 28 patients of type A, 7 (77.8%) out of 9 patients of type B and 8 (57.1%) out of 14 patients of type C. 7. 10 patients (19.296) had complications, 4 knee ankyloses, 2 fixative loosenings, Z infections, 1 nonnunion and 1 post-traumatic arthritis occurred.
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조윤제,김기택,손용락,이용걸,한현수,이건희 대한골절학회 1993 대한골절학회지 Vol.6 No.2
The treatment of patellar fracture is considered very important because the fracture involvement of articular surface occurs in most of the cases. In this series, we experienced 67 cases of patella fractures from Jan.1986 to Jun.1992 at the department of orthopedic surgery, Kyung Hee University. The results were as follows; 1. The most fractures occurred in man of 4th decade. 2. The most common cause of fracture was traffic accident, followed by slip down or fall down. 3. Femoral fractures and tibiofibular fractures, spine and humerus fractures were associated in this series. 4. The most of the fracture belongs to either comminuted or transverse fracture and 11 out 67 cases were open fractures. 5. The most fractures were treated by modified tension band wiring, followed by tension band wiring, circumferential wiring, partial or total patellectomy. 6. The average duration of immobilization were 6.8 weeks and range of motion of the knee joint at last follow up were from 0.9 to 117 degrees. 7. The end results of fracture treatment were classified excellent, good, failure by Bostman grading scale. There were 35 cases in excellent, 29 in good, and 3 in failure.
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정덕환,김기택,이상순,손용락 대한스포츠의학회 1993 대한스포츠의학회지 Vol.11 No.1
The skiing is growing to be one of the most popular winter sport. As the increasing number of skiers, there has been a concomitant increase in the number of the ski injuries. The location of ski injury was reported as about 70% in lower extermity but injuries of upper extremity tends to be emphasized its importance. The ski injuries of upper extremity were reported as 23.1% and thumb sprain is the most common type of ski injuries which is followed by dislocation of the shoulder joint, contusion of hand and forearm, and fracture of carpal and phalangeal bones, etc. So the authors reviewed the types, injury mechanism, clinical features, and management of the ski injury of upper extremities. Several reports revealed that 7-8% of all ski injuries were shoulder injuries, and 44-50% of these were anterior dislocation. And nearly two thirds of dislocations were caused directly by a fall on the shoulder. Skier's thumb(acute rupture of thumb ulnar collateral ligament) is one of most common upper extermity ski injuries and results if the skier falls onto an outstreched arm and pole forces the thumb abduction and extension putting stress to the MP joint. The skier's thumb is devided into 3 types as its severity and the most severe type, grade Ⅲ, is total disruption of ulnar collateral ligament. In about 64% of the grade Ⅲ skier's thumb. Stener's lesion is present. In the skier's thumb associated with avulsion fracture or Stener's lesion, operative management is preferred.
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