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김부환,이상훈,허무중,유성호,Kim, Bu-Hwan,Yi, Sang-Hun,Heo, Mu-Jung,Yoo, Soung-Ho 대한족부족관절학회 2002 대한족부족관절학회지 Vol.6 No.1
Purpose: This study was designed to evaluate whether the method "Distal pulling with wire" after primary repair of Achilles tendon, can result in early restoration of ankle motion. Materials and Methods: In 14 cases of tendocalcaneus repair, the proximal stump was pulled down distally by wire and fixed the ends of wire to the transcalcaneal K - wire. We evaluated the range of motion of ankle joint at 4th, 6th, 12th week in 10 patients whom we followed up for more than 1 year. We evaluated the results of Achilles tendon repair by Hooker's criteria. Results: Range of motion of ankle joint revealed as follows. Degree of mean dorsiflexion improved - $5.1^{\circ},\;15.0^{\circ},\;22.4^{\circ}$ at 4th, 6th and 12th week respectively, while plantarflexion improved $21.5^{\circ},\;32.7^{\circ}$ and $42.3^{\circ}$ respectively. At one year follow up, seven of them had no problems in active daily life and sports activities. According to Hooker's criteria, the result rated excellent in nine, satisfactory in one. Conclusion: Early gain of ankle joint motion was possible by "Distal pulling with wire" after primary repair of Achilles tendon.
종골관절내 골절에서 Sanders 분류에 따른 수술적 치료결과
김부환,임종인,정희영,최우성 대한골절학회 1995 대한골절학회지 Vol.8 No.3
The os calcis is the most frequently fractured than any other tarsal bone and the displaced intraarticular fracture account for 60-75% of them. Because of complex contour of calcaneus, it is difficult to evaluate the pattern of fracture exactuly by conventional roentgenograms. But recently, computed tomography clearly defines fracture pattems of subtalar joint and calcaneocuboid joint. From Feb. 1992 to Jan. 1994, we analyzed 18 feet in 16 patients of intraarticular calcaneal fractures after routine preoperative CT scan and Sanders' classification. All cases were operated through extensile lateral approach and internally tixed with plate and screws. The clinical and radiographic analysis were as follows: 1. Sander's classification of 18 cases were type I in 3, type II in 8, type III in 4 and type N in 3. 2. As the fracture line moves medially, intraoperative visualization of joint, reduction becomes more difficult and the prognosis worsens in type II and IIIBC. 3. By Sanders' CT classification of calcaneal fracture, it help us in understanding fracture pattern more detail and in deciding of the method of treatment and in the predicting of the prognosis.
Gamma Nail을 이용한 대퇴골 전자부 골절의 치료 : 수술 수기를 중심으로
김부환,임종인,이기득 대한골절학회 1994 대한골절학회지 Vol.7 No.2
Early operative treatment of peritrochanteric fracture in geriatric patients is now accepted practice and numerous versions of a sliding nail-plate system are the most widely used implants. The Gamma nail was introduced for the treatment of peritrochanteric component and minimizing the surgical trauma. We have operated 46 cases and studied 30 cases were followed up over 1 year. At follow-up, all patients continued to ambulate and all fractures healed. and clinical results was satisfactory. But we experienced some technical problems and complications. Intraoperative complications included difficulty in securely placing the distal screws(1 patient) and small fracture of the base of the greater trochanter(2 patients). Postoperative complications included gluteal bursitis(3 patients), progressive varus deformity(3 patients), progressive varus deformity(3 patients), thigh & knee pain(2 patients), cutting out of the femoral head (1 patient), and a femoral shaft fracture through the distal locking screws following a fall. We had no cases of infection or nonunion. To minimize technical problems and complications, the following considerations are impor-tRflt. l. Accurate preoperative templating is necessary. 2. Exact placement of the guide wire. It must enter the greater trochanter at the junction of its anterior third and posterior two-thirds, just laterul to its tip. 3. Selection of a nail 2mm narrower than the reamer was recommended. 4. Nail must be inserted by hand, not by hammering, along the medulla canal. 5. Lag screw must be inserted into femoral head deeply and avokd into superior part of head especially in severe porotic bone. 6. Subtrochanteric fractures extending to distal locking site are inapproprocate indication for standard Gamma-nailing. a spiral subtrochanteric fracture which cannot be reduced by a closed technique is managed with circumferential wiring with nimimal incision before nail is inserted. 7. Repeated check of device loosening is important, especially before distal locking screw insertion. Initial insertion of proximal part of distal screw is preferred and routine use of distal locking screws is prohibited. 8. Weighted bearing must be delayed when abnormal sliding of lag screw is noted before weight bearing and in severe osteoporosis with comminution.
의사협회발행 "진단서 작성지침"의 분석 : "진단서 작성지침"의 보완 필요성 검토
김부환,임종인,임용균,남욱 대한골절학회 1999 대한골절학회지 Vol.12 No.1
Doctors have some difficulties in deciding the duration of expected treatment for certain trauma patient in issuing medical certificate because of rarity of references about the medical certificate. In 1996, Korean Medical Association published $quot;Guide to Medical Certificate which helped many doctors in their practice of certificate issuing. But in reviewing the contents of the book, we d like to point out a few problems for amendment in next issue.
폐쇄성 골수강내 교합정을 이용한 상완골 간부골절의 치료
김부환,임종인,정희영,박준영 대한골절학회 1996 대한골절학회지 Vol.9 No.1
The interlocked intramedullary nailing of humerus shaft fracture has been used as a available method because of the advantages, including relatively simple procedure, stable fixation method, and allowing early ROM and low complication. The authors have reviewed 24 cases of humerus shaft fractures, which were treated with closed interlocked intramedullary nailing from Mar. 1992 to Feb. l994 at Dae-Dong General Hospital. The results were as follows; 1. Twenty four patients treated with intramedullary nailing revealed primary bone union and the average time for bone union was about 8.5 weeks. 2. There was no serious post operative complication such as nonunion, infection, rotatory deformity, metal failure of nail or interlocking screw. 3. According to the Stewart & Hundley classification of result, excellent, good and fair were observed in 2l cases(87%) 4. To prevent the impingement syndrome and rotator cuff injury, the proximal end of the nail was countersunk but the deeper the insertion, the more difficult the removal.
역도경기중 발생한 양측 상완골 내상과 골절 치험 1례 : A Case Report
김부환,임종인,강덕정 대한스포츠의학회 1997 대한스포츠의학회지 Vol.15 No.1
Fracture of medial epicondyle of humerus constitutes approximately 10% of all elbow injuries in children. The mechanism of injury is usually a valgus stress of the joint, which produces traction on the medical epicondyle flexor muscles. We experienced fixation yielded excellent result.