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대퇴골 과상부 골절에 대한 연구 : 과간 골절을 중심으로 Focus on Intercondylar Fractures
이준규,임상덕 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2
Supracondylar and intercondylar fractures of the femur remain difficult fracture to treat successfully, because of specific anatomical structure and location. There was a controversial in method of treatment, classification, and clinical result. Any mode of classification in intercondylar fracture, which reflects profound relationship of clinical aspects, has not been presented yet. So, a new classification system for fracture of the intetcondylar fracture of the distal femur are presented and clinical results are analyzed, according to type of fracture. The result are as follows: 1. The prevalent age was 3rd and 4th decade, and the sex ratio between males and females was 3.5:1. The mean age was 37.3 years old. 2. The satisfactory result of surgical treatment was 56.3% and conservative treatment was 33.3% respectively. 3. The intercondylar fracture of the distal femur were classified into 4 types, based on state of cortical comminution and involvement of joint surface. Type A (simple intercondylar fracture): there was no or slight comminution. Type B(lateral comminuted intercondylar fracture): there was comminution on lateral side of supracondylar or condylar cortex. Type C (medial comminuted intercondylar fracture) :
정형외과 영역에 있어서 Diclofenac sodium의 임상적 연구
이광진,이준규,안상로,정태성,임상덕 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.1
This study was designed to research the clinical efficacy and tolerance of Diclofenac sodium, a potent inhibitor of prosta-glandin synthetase. Total 53 cases of painful condition in orthopaedic field were treated with Diclofenac sodium, available for intramuscular injection, in department of orthopaedic surgery of Chungnam National University Hospital from Nov. , 1986 to Jan. , 1987. Among 53 cases of painful condition, The most common condition was rheumatoid arthritis and osteoarthritis (33cases; 60. 3%), followed by sprain and strain(llcases; 20. 8%), postoperative state(7cases; 13.2%), and others(3cases 5.7%). There was no predilection in age and sex distribution. At thirty minutes after the injection, 46/53patients treated with Diclofenac sodium had complete 31(58.5%) or partial 15(28..3%) relief of pain. Side effects were mild and transient. It is concluded that intramuscular injection of Diclofenac sodium is effective in treatment of pain due to operative intervention & various disease in orthopaedic field.