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원위 대퇴골 및 과상부 대퇴골 골절 치료를 위한 관절경 관찰하 과상부 골수강내 금속정 삽입술 : 수술방법 및 증례
김성재,최진태,조신강 대한골절학회 1996 대한골절학회지 Vol.9 No.4
The retrograde supracondylar-interlocking nail has been selectively used for the treatment of the supracondylar fracture of the femur. The open method using open medial arthrotomy increases the morbidity of the knee joint while the blind technique using minimal incision can cause the intraaticular complications owing to its blindness of procedure. In this article, we sought the safe method of insertion to reduce the complications of knee joint by minimal incision and also, using the arthroscopic guide. According to our method using arthroposcopic technique we concluded it has the potential benifits over the open or blind methods as early knee exercise. early soft tissue healing, decreased risk of damage to the intra-articular structures, earlier convalescence with reduced hospitalization time. and better cosmesis.
경골 고평부 골절의 수술적 치료 : 관절경의 유용성 Validity of Arthroscopy
이영식,최진태,조신강,오정대,임경린 대한골절학회 1997 대한골절학회지 Vol.10 No.4
Twenty tibial plateau fractures were surgically treated by means of the double images of the arthroscopy and the image intensifier. The purpose of this attempt was (1) obtaining more anatomical reduction of articular margin, (2) preventing knee joint from the surgical dissection and (3) simultaneous diagnosis & management of the combined meniscus and ligament injuries. Three aims of this study are searching for (1) the indications of the arthroscopic surgery for the tibial plateau fractures, (2) the techniques of the arthroscopic surgery for reduction and fixation and (3) the techniques for reducing the risk of the arthroscopic surgery. As a result, we can obtain more anatomical reduction and excellent or good functional knee score after follow-up study of a mean of 1 year and 9 months. There is no complication with regard to arthroscopic surgery. But anatomical reduction of the bicondyle fractures with severe articular and metaphyseal comminution was technically difficult. So, the other technique as if open reduction will be needed.
대퇴골 전자간부 골절시 감마 금속정을 이용한 골절의 치료
이영식,최진태,조신강,오정대 대한골절학회 1996 대한골절학회지 Vol.9 No.3
There are many problems in the treatment of the intertrochanteric fracture due to osteoporosis and unstable pattem of fracture in elderly patients, which are also determined by quality of the bone, geometry and reduction of the fragments, and type and placements of the implant. The Gamma nail has recently become available for the treatment of intertrochanteric femur fracture. The authors analysed the intertrochanteric fracture of the 33 patients who were operatively treated with Gamma nail and followed up more than 3 years from May, 1991 to June, 1994 to evaluate the results and prognostic factors. The results obtained were as follows; 1. Type III in Tronzo classification was the most common(58%). 2. Among the 33 cases, the patients with osteoporosis below grade g of Singh index were 26 cases(78.8%). In osteopomtic group(Singh index I - E ), unstable type fracture was more common(85%). 3. The complication was developed in 8 cases(24.2%), of which cutting out from the femoral head was found in 4 cases. 4. The complication rate statistically had significant correlation with severity of osteoporosis.