http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
전외측 대퇴부 천공지 피판을 이용한 하지 연부조직 결손의 재건
김경철,정재익,김성언,김학수,류인혁,Kim, Kyung-Chul,Chung, Chae-Ik,Kim, Seong-Eoun,Kim, Hak-Soo,Rhyou, In-Hyeok 대한미세수술학회 2006 Archives of reconstructive microsurgery Vol.15 No.2
This study investigated the clinical application of anterolateral thigh (ALT) perforator flap in reconstruction of soft tissue defect of lower extremity. There were twenty-one patients who had been taken soft tissue reconstruction with anterolateral thigh perforator flap. There were 19 males and 2 females between 3 and 65 years (mean, 36 years). This study included 4 cases of pedatric case of under 10-year-old. All cases were a cutaneous flap. Flap size averaged $160\;cm^2\;(20{\sim}450\;cm^2)$. 19 cases were musculocutaneous perforator flaps and 2 were septocutaneous perforator. T-shaped pedicle were used to reconstruct and to preserve major artery of lower extremity in 2 cases. 19 cases flaps survived completely and 2 cases flap were marginal necrosis partially. There was venous congestion in one case of type of reverse island flap but that was improved after salvage procedure with leech. While the donor sites were closed directly in 5cases, 16 cases underwent skin graft. ALT flap is suitable for coverage of defects in lower extremity where have various condition and reliable in children as in adult.
이상국,김종관,김영환,안병우,정재익,황식 대한골절학회 1999 대한골절학회지 Vol.12 No.4
In the treatment of ankle fracture, anatomical reduction and restoration of ankle mortise is very important. But trans-syndesmotic screw fixation for syndesmosis seperation is dependent on the condition in operation field. The purpose of this study is to analyse the radiographic and clinical results, to evaluate the need for trans-syndesmotic screw fixaition, and to know the effectiveness of radiogrphic landmarks for diagnosis of the syndesmosis separation, retrospectively. The patients were divided into two groups. The Group I (25cases) were treated with trans-syndesmotic screw and group II (42 cases) were treated without trans-syndesmotic screw fixation. The clinical results were excellent in 13, good 9 in group I and excellent in 19, good in 17 in group II. The radiographic results were excellent in 16, good in 8 in group I and excellent in 23, good 14 in group II. In the radiographic findings, the false negative result of tibiofibular overlap was 15.6 %(M: 20.8 %, F: 10.4 %), tibiofibular clear space was 16.8 %(M: 21.6 %, F: 11.9%) and ratio of tibiofibular overlap to fibular width was 14,2 % (M: 14.9 %, F: 13.6 %). There was no siginificant statistical difference in the ratio of tibiofibular overlap to fibular width between male and female. We consider that the ratio of tibiofibular overlap to tibiofibular width are more reliable diagnostic criteria for syndemosis separation than the tibiofibular overlap and tibiofibular clear space. Trans-syndesmotic screw fixation is not alsways required to maintain the integrity of the tibiofibular syndesmosis if the diastasis was satisfactorily reduced with rigid fixation.
소아 상완골 과상부 골절의 치료 - 조기 도수 정복 및 외측 경피적 K - 강선 고정 -
박재규,김정환,김종관,윤종호,안병우,김영오,정재익 대한골절학회 2001 대한골절학회지 Vol.14 No.4
Purpose: To analyze children with displaced supracondylar fractures of the humerus that were treated by immediate closed reduction and then maintained by lateral percutaneous K-wire fixation. Materials and Method: 70 cases of supracondylar fractures of the humerus (5 type 1, 19 type 2, 46 type 3) were treated, 14 fractures (5 type 1, 7 type 2, 2 type 3) with cast, 49 fractures (12 type 2, 37 type 3) with lateral percutaneous pinning, 7 fractures (7 type 3) with open reduction and internal fixation. The K-wire were removed after averaging 6.2 weeks of operation in out patient clinic. The follow-up period ranged from 6 months to 28 months, averaging 13 months. Result: By Flynn`s functional and cosmetic criteria, 47 fractures (95.9%) among 49 fractures, treated with immediate closed reduction and lateral percutaneous pinning, resulted in satisfactory criteria. Only one fracture was reoperated due to reduction loss. Conclusion: Immediate closed reduction and lateral percutaneous K-wire fixation appears to be safe and reliable option for the treatment of supracondylar fractures of the humerus in children.