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골반골 치골지 골절의 동반손상에 관해서 : 컴퓨터 단층촬영의 필요성 The Role of Computerized Tomography
이충길,권진우,손경태,신승호,박준욱 대한골절학회 1999 대한골절학회지 Vol.12 No.1
Pelvic fractures in general can be divided into two major types, based on the amount of energy involved: low-energy mechanisms are usually fractures of individual bones of the pelvic ring and high-energy mechanisms results in more severe injury to the pelvic ring, generally producing pelvic ring disruption. Pelvic fractures resulting from low-energy mechanism are usually fractures of individual bones of the pelvic ring that do not damage the true integrity of the ring structure. These include avulsion fractures, isolated fractures of the sacrum, and iliac wing fracture. Computerized tomography permits confirmation of findings noted on plain film and delineates injury to the posterior ring. It facilitates subclassifying the fracture according to degree of severity, as in the Young classification. The purpose of this study is to evaluate the role of CT, which is to identify the combined injuries of pubic ramus fractures. The sacrum impacted fracture and sacroiliac joint injury are often unidentified and diagnosed as an isolated fracture to the pubic ramus. The 42 cases of pubic ramus fractures on conventional radiography were simultaneously performed CT from June 1996 to February 1998. The results of associated injuries were as follows. 1. In 34 cases (81%) posterior pelvic ring injuries (sacral fractures 28 cases, anterior sacroiliac joint widening 6 cases) were observed. 2. CT was very useful to diagnose the posterior pelvic injury and to determine the mechanisms of injury.
Bent Semitubular Plate 를 이용한 상완골 근위부 골절의 치료
이충길,권진우,손경태,신승호,김완업 대한골절학회 1997 대한골절학회지 Vol.10 No.3
There is no consensus on the best way to treat complicated fractures of the proximal humerus. Open reduction and internal fixation with plate is one of the most popular method, but it has several disadvantages. Thus we used bent semitubular plates to fix the proximal humeral fractures, which were reported by Szabo and Sehr, Moda etc.. This method provided relatively firm fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted fractures. We treated 9 cases of proximal humerus fractures which were with bent semitubular plates from January 1992 to June 1996 and followed up more than 6 months. The following results were obtained.: 1. The bent semitubular plate fixation was useful method even in treatment of comminuted or osteoporotic proximal humerus fractures. 2. The mean duration of radiologic bone union was postoperative 10 weeks. 3. Complications developed in 2 cases; one case was plate failure and the other was humeral head penetration by blade portion. 4. According to Neer criteria 5 cases were excellent, 2 cases satisfactory, l case unsatisfactory and 1 case failure.