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        한국인 사체에서의 정상 종골의 실측: 예비보고

        김정한,곽희철,김전교,정양환,Kim, Jung-Han,Gwak, Heui-Chul,Kim, Jeon-Gyo,Jung, Yang Hwan 대한족부족관절학회 2014 대한족부족관절학회지 Vol.18 No.1

        Purpose: The purpose of this report is to evaluate the measured values of normal Korean calcaneus by conduct of a cadaveric study. Materials and Methods: A total of 42 calcanei were obtained from Korean cadavers. A digital goniometer was used for measurement of B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle of calcaneus. A vernier caliper was used for measurement of the maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus. Results: The average B$\ddot{o}$hler's angle, Gissane angle, posterior facet articular inclination angle, and Fowler-Philip angle was $32.3^{\circ}{\pm}5.0^{\circ}$, $114.4^{\circ}{\pm}8.2^{\circ}$, $61.2^{\circ}{\pm}4.4^{\circ}$, and $60.3^{\circ}{\pm}7.6^{\circ}$. The average maximal antero-posterior length, maximal transverse width, and maximal height of calcaneus was $74.2{\pm}3.0mm$, $43.0{\pm}4.0mm$, and $42.5{\pm}3.0mm$. Conclusion: The measured values of normal Korean calcaneus were lower than the values reported in the international literature. Therefore, development of appropriate instruments reflecting the anatomical characteristics of Koreans will be needed.

      • KCI등재

        원위 경골 골절에서 금속정 및 금속판 고정술의 결과 비교

        김정한,곽희철,이창락,정양환,Kim, Jung-Han,Gwak, Heui-Chul,Lee, Chang-Rack,Jung, Yang-Hwan 대한족부족관절학회 2015 대한족부족관절학회지 Vol.1 No.2

        Purpose: We analyzed and compared the clinical and radiologic results between minimally invasive plate osteosynthesis and internal fixation using intramedullary (IM) nail in the treatment of distal tibia fractures. Materials and Methods: From March 2005 to June 2013, 65 cases of distal tibia fractures treated with either plate fixation or IM nail fixation were analyzed retrospectively by clinical and radiologic evaluations. The clinical results were compared using the American Orthopaedic Foot and Ankle Society (AOFAS) score, Olerud-Molander ankle score (OMAS), and visual analogue scale (VAS) score at the last follow-up. The radiologic results were compared by time to bone union, complications such as nonunion, delayed union, and malunion. Results: The clinical results (according to OMAS, AOFAS score, and VAS score) were 77.47, 84.76, and 1.75, respectively, in the plating group, and 90.21, 91.00, and 1.25, respectively, in the nailing group, and there was no statistically significant difference. Plating group showed earlier union than the nailing group and the nailing group showed higher frequency of non-union and delayed union than plating group. Conclusion: In treatment of distal tibia fractures, two methods showed appropriate results. Therefore, thorough investigation of the types of fracture, state of soft tissues, and advantages and disadvantages of the two methods should be conducted in the treatment of distal tibia fractures.

      • KCI등재

        역도선수에서 발생한 소능형골 피로 골절

        공규민(Gyu-Min Kong),김주용(Joo-Yong Kim),박대현(Dae-Hyun Park),권용욱(Yong-Uk Kwon),정양환(Yang-Hwan Jung) 대한정형외과학회 2015 대한정형외과학회지 Vol.50 No.4

        소능형골 골절은 매우 드물게 발생하며 특히 소능형골 골절 단독으로 일어나는 경우는 수근골 골절에서 가장 드문 것으로 알려져 있다. 치료의 원칙 또한 아직 명확히 확립되어 있지 못하다. 대부분의 소능형골 골절은 석고고정을 이용한 보존적인 방법으로 치료할 수 있으며, 전위가 심하거나 다른 수근골 골절과 동반된 경우에는 수술적인 치료가 필요할 수도 있다. 하지만 소능형골의 피로 골절에 대하여 보존적인 방법을 통하여 치료한 경우는 보고된 바 있으나 수술적 치료로 골유합을 얻은 증례는 현재까지 보고된 바 없는 것으로 알려져 있다. 이에 저자들은 역도선수에게 발생한 소능형골의 피로 골절에 대하여 수술적인 치료를 시행하고 결과를 경험하였기에 문헌 고찰과 함께 증례를 보고하고자 한다. Trapezoid fracture is a rare condition and especially, isolated trapezoid fracture is most rare condition of carpal bone fracture. And principle of treatment has not yet been established. Most of trapezoid fractures can be treated using cast but displaced fracture or fracture combined with other carpal bone fractures may require operative treatment. There have been reports about case of conservative treatment in trapezoid stress fracture but no report about case of operative management. We treated a trapezoid stress fracture in a weight lifting athlete by operative treatment and report the results with literature review.

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