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권칠수,안종국,김진혁,정병현,성열보,김동수 인제대학교 1996 仁濟醫學 Vol.17 No.1
본 후향적 연구는 1989년 8월부터 1992년 12월까지 상계백병원 및 서울백병원에서 치험한 75세 이상의 대퇴 경부골절 환자 172명중 일차적 인공골두 치환술로 치료하여 6개월 이상 추시 가능한 환자 33례를 임상 분석하여 일차적 인공골두 치환술의 효용성 및 문제점을 파악하고자 하였다. The fracture of femoral neck is common injury in elderly patients. Recently, the incidence of this injury is increasing due to prolongation of average life span. The method of treatment of this injury to reduce the mortality and complications is variable, and the controversy of the choice of the treatment modality still exists. The authors clinically analysed 15 cases of the patients with femoral neck fracture over the age of 75years. These patients were treated with primary bipolar endoprosthesis replacement from August 1989 to December 1992 and all these cases were followed for more than 6 months. The results were as follows;1.The average age of the patients were 79.5 years. (M:F=1:14) 2.The most common cause of the fracture was slip down. 3.The most common fracture type was subcapital and Garden stage IV. Especially, the neglected cases were relatively large amount of the all cases (27%). 4.The duration from injury to operation was 17.2 days. 5.The associated disease on admission was existed in 12 cases. The most common disease was hypertension in 4 cases. 6.The mortality rate within 6months after operation was 27% (4 cases) , 7.The satisfactory results were obtained in 6 cases.
제한된 횡절개(Aldam 술식)로 치료한 아킬레스건 파일
권칠수,안종국,김진혁,정병현,성열보,조진호 인제대학교 1996 仁濟醫學 Vol.17 No.3
아킬레스 건에는 혈액 공급이 적어 파열시 감염, 피부괴사 등의 합병증이 많아 치료에 어려움이 있다. 저자들은 기존의 종절개 방식의 수술적 치료 대신 Aldam씨 술식에 의한 횡절개를 이용한 수술적 방법을 시행하고 그 결과를 기존의 방법과 비교 분석하여 보았다. Classic longitudinal incision for Achilles tendon repair is through poorly-perfused skin, so classic surgical repair of rupture of Achilles tendon may be followed by some problems of wound healing, skin necrosis, infection, adhesion of the tendon to skin, scar irritation and pain. Aldam(1989) proposed the new technique of repair of the Achilles tendon, in which using a small transverse skin incision, cosmetically acceptable and minimal adhesion between the skin and paratenon. We experienced Aldam's technique for the decrease of operation complication from september 1991 to May 1994. Eighteen cases of acute Achilles tendon ruptures within 2 weeks were repaired by Aldam's method. All of them were healed primarily without any problems.