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강충남,김종오,강오용,전석 대한척추외과학회 1995 대한척추외과학회지 Vol.2 No.2
Spinal stenosis is defined as a condition involving any type of narrowing of the spinal canal. The goals of surgical treatment in lumbar spinal stenosis is the relief of pain and restoration of neurological function. Complete decompression is very important for the surgical treatment of the spinal stenosis. But it may produce the segmental instability or spondylolisthesis as postoperative complication. Authors have experienced 45 cases of spinal stenosis by surgical treatment. Reoperations were done in 5 cases between 1991 to 1993 at the department of orthopaedic surgery, Ewha womans university hospital. The purpose of our study was to analyze the problem in the first operation of 5 cases, to be a standard for the adequate surgical treatment.
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이광석,박상원,강오용,최용경,Lee, Kwang-Suk,Park, Sang-Won,Kang, Oh-Yong,Choi, Yong-Kyung 대한미세수술학회 1993 Archives of reconstructive microsurgery Vol.2 No.1
Traumatic loss of the fingers present significant functional disability and the index finger is an important component of hand function. Since 1900, many attempts and efforts have been done in reconstruction of amputated fingers with toes. Authors clinically analyzed 8 cases of toe-to-finger transfer in traumatic amputation of the index finger to be followed for more than one year at Korea University Hospital from August 1982 to December 1991. The results were as follows: 1. The most common cause of injury was mechanical accident in 7 of 8 cases. 2. Average interval between injury and operation was 8 year 3 months. 3. Average operation time was 5 hours 58 minutes and average ischemic time of transferred toe was 1 hour 52 minutes. 4. Skin flaps have survived in 7 of 8 cases, and the functional results in 6 of 8 cases were over than fair.
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이광석,박상원,변영수,강기훈,강오용,Lee, Kwang-Suk,Park, Sang-Won,Byun, Young-Soo,Kang, Ki-Hoon,Kang, Oh-Yong 대한미세수술학회 1992 Archives of reconstructive microsurgery Vol.1 No.1
Tendocutaneous free flap transfer has been usually used to treat troublesome wounds, which had extensive defect of skin and tendons, since Daniel and Taylor had reported successful free flap transfer in 1973. Among the numerous types of free flap, the dorsalis pedis flap, which could include superficial peroneal nerve, extensor tendon and second metatarsus, was widely used as composite free flap. The authors analysed 13 cases of tendocutaneous free flap transfer from dorsum of the foot which were operated at Korea University Hospital from March 1981 to August 1991. The results were as follows: 1. The average size of these flaps was $53.7cm^2$(mazimum $82cm^2$, minimum $30cm^2)$, the average number and length of tendons were 2.9(maximum, 5, minimum 1), and 9.2cm (maximum 17cm, minimum 5cm). 2. The survival rate of flaps was 100%, and functional results by Dargan's criteria were 4 in excellent, 4 good, 3 fair and 2 poor. 3. The delayed healing on donor site could prevented by the meticulous skin graft and repair of extensor retinaculum. 4. The cases of electrical burn were more worse than the traumatic cases in functional results.
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강충남(Chung Nam Kang),김종오(Jong Oh Kim),이석범(Seok Beom Lee),강오용(Oh Yong Kang),신민수(Min Soo Shin) 대한골절학회 1995 대한골절학회지 Vol.8 No.3
The primary goal of treatment of the posterior lip fracture is to effect the returning of normal function that is accomplished by the early institution of motion. A variety of both open and closed treatment have been recommended, but many authors have advocated internal fixation of large fragments that compromise 25 per cent or more of the articular surface on the lateral radiography. Open reduction with internal fixation of the posterior lip fragment has been associated with technical problems. Visualization of the articular surface is obscure by overhanging of the posterior tibial margin and talus. And than efforts at open reduction of posterior lip fragments are frequently unsuccessful. We used the posteromedial approach to this lesion. The results obtained from this study were as follows; l. Of the l7 cases, male was 9 cases(53%), female was 8 cases(47%) the most common victim was twentieth and thirtieth decades. 2. The mean afticular surface involvement of the posterior lip fragments in the sagittal plane were 28 percent. 3. The location of posterior lip fragment was central(2 cases), posteromedial(6 cases), posterolateral(9 cases). 4. The posteromedial approach affords the most predictable way to carry out an absolutely anatomic reduction of posterior lip fractures and a low complication rate.
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강충남(Chung Nam Kang),김종오(Jong Oh Kim),강오용(Oh Yong Kang),안승연(Seung Yeon Ahn) 대한골절학회 1995 대한골절학회지 Vol.8 No.4
The treatment of stable bursting fracture of thoracolumbar spine has long been controversal and middle column theory has been known important factor to detennine fracture stability, following to Three column theroy by Denis & McAfee in 1983. We have analyzed kyphotic angle and compression degree, each 7 cases of thoracolumbar stable bursting fracture, treated consertive or operative, from Oct. 1993 to Dec. 1994. We obtained following results; 1. The correction of kyphotic angle was more increased in the average 12 in conservative treatment and decreased in the average 8.3 in operative treatment than admission date. 2. The correction of compression degree was more increased in the average 30% in conservative treatment and decreased in the average 18% in operative treatment. 3. More severe deformity was noted in the active young adult rather than old age. 4. MRI study and bending stress view are needed in the detect of the posterior column injury. In summary, more severe deformity was noted not only in the adult, but in the conservative treatment. Thus, we must consider the operative treatment in active young adult in cases of stable bursting fracture.
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