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대퇴골 경부의 전염각 계측방법에 대한 실험적 비교 연구
金沃年,李光鎭 충남대학교 의과대학 지역사회의학연구소 1985 충남의대잡지 Vol.12 No.1
The significance of the angle of anteversion of the femoral neck is widely recognised, especially in congenital dislocation of the hip, cerebral palsy, Legg-Calve´-Perthes' disease, and in-toeing gait. And many methods of measuring the anteversion have been described since the early work by Drehmann (1909) who determined anteversion by fluoroscopy. But there has been no reliable methods of measuring the angle until recently. The authors studies the comparative accuracy and reproducibility by the use of experimental model of femur on computerized tomography, axial technique (Dunn), biplanar method (RyderCrane) and fluoroscopic method (Rogers) and reported the results with consideration in clinical utility. 1. The most accurate and reproducible method is computerized tomography, but it has much clinical disadvantages such as uneconomy, limitid supply, more time requiring in measuring, and also limited information until the ossification of the femoral head was not occur (below the 18 months of age) 2. The next accurate and reproducible method is fluoroscopic method and this is widely useful except. the case of limited motion of hip joint. 3. The Ryder-Crane's biplanar method is very difficult measuring technique, limited in the situation of contracture, deformity around the hip. 4. The axial technique of Dunn are also useful in any state of hip joint and simple in its procedure. 5. The more applicable clinical selection of measuring the femoral anteversion are the combination of the above two or three methods and comparing it with the opposite hip.
악성 골종양 및 병적골절에서 보조적 Bone Cement를 이용한 치험례
윤승호,김옥년 충남대학교 의과대학 지역사회의학연구소 1984 충남의대잡지 Vol.11 No.2
Methylmethacrylate has been used in the treatment of bone tumor and pathologic fracture Which was difficult or impossible by conventional methods such as currettage, en bloc resection, bone graft, and prosthetic replacement or amputation of extremity. We had been treated the 11 cases of bone tumor and pathologic fraeture by the use of ploymethacrylate bone cement and review the results during a period of 3 years from January, 1979 to Jaunary, 1982 and reported it with the review the literature. The results were as follow: 1. Among the 11 cases, giant cell tumor was 5 cases, metastatic tumor was 3 cases, osteogenic sarcoma was 2 cases, and fibrous dysplasia was one cases. 2. The complication and undesirable effect were fracture, deep infection and tissue necrosis in early and joint stiffness near the lesion and death which was disease associated. 3. This procedure were adjunctivel performed upon the metalic internal or intramedullary fixation and compositively by filling on the dead space after currettage with or without bone graft, and this procedure was not difficult and obtained an effective fixation and stabillity. 4. The use of methylmethaerylate bone cement has long been accepted by many orthopedic surgeons and the benefits afforded to the patient are good in our clinical study.
이광진,김옥년 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.2
Acetabular fractures are relatively uncommon, but they are frequently associated with severe injuries on the other part of the body. Anatomical reduction is often difficult to achieve because of inadequate surgical approach and comminuted nature of fracture. Treatment of acetabular fracture is still equivocal because there are many complications and variable results according to various methods of treatment. Clinical study was done on 32 cases of acetabular fracture who were admitted and treated at C.N.U.H. from January 1978 to March 1983. Following results were obtained. 1. Prevalent age distribution was between 20 and 50 years of age (94%) and sex ratio between male and female was 2.2 : 1. The most common cause of injury was traffic accidents (23 cases ; 72%). 2. The most common associated injury was pelvic bone fracture (12 cases), following by abdominal visceral injury (6 cases). 3. Simple fracture by Letournel's classification was more common (66%) than the associated fracture (34%) and posterior disloction was more common (8 cases) than central (5 cases). 4. 20 cases (62.5%) were treated by conservative method and 12 cases (37.5%) by surgical. 5. The satisfactory result was 35%by conservative treatment and 50% by surgical. 6. traumatic arthritis was the most common complications (9 case ; 28%), following by myositis ossificans, avascular necrosis and peroneal nerve injury. 7. It essential to achieve an anatomical reduction and rigid internal fixation by understanding accurate type of fracture and to mobilize the joint early.