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감염성 경골 불유합에 시행한 혈관 부착 유리 피부편 및 생비골 이식 수술의 임상적 고찰
송준민,김진일,권희,유재응,박종석,나수균,최창욱,Song, Joon-Min,Kim, Jin-Ill,Kwon, Hee,Yoo, Jae-Eung,Park, Jong-Suk,Rah, Soo-Kyoon,Choi, Chang-Uk 대한미세수술학회 2000 Archives of reconstructive microsurgery Vol.9 No.1
February 1995 to September 1999, authors have experienced seven cases of infected nonunion of tibial fractures with associated soft tissue injury and skin defect, and have accomplished union in all cases by free vascularized fibular graft. All grafts healed with no radiographic evidence of bone necrosis or resorption and have been able to treat large bony defect and skin defect simultaneously. In this study, five cases of vascularized free fibular osteocutaneous flap transfer and two cases of free fibular graft are reported. All of seven cases were infected nonunion of tibia. The results were obtained as follows 1) The mean duration of the radiologic bone union was average 5.3months. 2) Grafted fibular has been hypertrophied, average 10.6 months. 3) In five cases of preservation of posterior cortex of tibia, bony union and hypertrophy of grafted bone were earlier than that two cases of complete segmental resection of tibia. 4) In two cases which only free vascularized fibular graft were performed because achievement of cutaneous flap was failed, authors found that soft tissue defect was filled with granulation tissue and split-thickness skin graft was possible over the granulation tissue after 3 weeks postoperatively.
여성 및 치매노인 보호와 미아 방지를 위한 SOS 브로치
송준민(Joon-Min Song),김순석(Soon-Seok Kim) 한국컴퓨터정보학회 2011 한국컴퓨터정보학회 학술발표논문집 Vol.19 No.1
본 논문에서는 귀가길 여성 및 치매노인 보호와 미아장비를 위한 정책을 제안한다. 이 정책은 GPS기능을 가진 작은 칩을 사용자가 원하는 어느 물체에든 부착하여 사용자가 원하는 시간대에 작동하며, 자신의 위치를 집이나 핸드폰에서 확인이 가능하고 유사시 정보를 보내어 가까운 공공기관(경찰서 및 소방서)에서 집으로 귀가하는 그 시간까지 체크가 가능한 시스템이다. SOS브로치는 늘어나는 아동 범죄와 귀가길 여성을 대상으로 하는 범죄 예방 및 치매노인을 대상으로 한 실종 사건 등 각종 사건 사고발생시 빠른 대처와 예방을 위하여 고안되었다.
Harris-Galante 무시멘트 비구 부품과 동반 사용된 무시멘트 대퇴 사입물 주위의 골내막 골용해
김영호 ( Young Ho Kim ),최필근 ( Pil Geun Choi ),송준민 ( Joon Min Song ),나수균 ( Soo Kyoon Rah ),최창욱 ( Chang Uk Choi ),김창진 ( Chang Jin Kim ) 대한고관절학회 1994 Hip and Pelvis Vol.6 No.2
Authors reviewed 159 cases of total hip arthroplasty which had used uncemented femoral components associated with Harris-Galante uncemented metal backed acetabular component and followed more than 1 year at least to identify overall incidence of osteolysis, incidence of osteolysis according to type of implant, time of first noted, radiographic distribution of osteolysis with its shape and size and correlation between osteolysis and relevant factors. The results were followings: 1) Overall incidence of femoral endosteal osteolysis in the use of three kind of uncemented femoral components associated with Harris Galente, uncemedted metal backed acetabular component was 6.3% 2) Osteolysis was first noted radiographically at 12 to 55 months(mean, 27months) postoperatively. 3) In most patients, osteolysis occurred at Zone 2, 3,5, 6 on AP radiograph and Zone 3,5,6 on lateral radiograph, where was distal to porous pad. 4) Mean liner wear rate in patient with osteolysis was 0.46 mm/year, which was higher than that reported previously and mean wear rate in cases with progression of osteolysis was higher than that without progression of osteolysis. 5) No correlation could be found between thickeness of polyethylene liner and osteolysis.
송준민,이병일,나수균,신영수,최창욱,박종석,권희 순천향의학연구소 1996 Journal of Soonchunhyang Medical Science Vol.2 No.1
본 순천향대학교 의과대학 정형외과학 교실에서는 2명의 환자에서 발견된 대퇴골두 골괴사와 함께 발생한 양측 슬관절 골괴사를 경험하였기에 보고하는 바이다. 대퇴골두 골괴사가 있는 환자에서 슬관절 동통을 호소하는 경우 연관통 등으로 여겨 간과하기 쉬우며, 대개 고관절의 통증으로 체중부하 보행이 어려운 경우가 많아 통증이 약하게 나타나기도 하기 때문에 관심을 가지고 슬관절 골괴사를 동반하는지 여부를 판단하여야 할 것이다. Osteonecrosis of the knee associated with osteonecrosis of the femoral head was very rare and reported cases were quite rare. We have experienced two cases of osteonecrosis of both knees associated with osteonecrosis of the femoral head. One is a 44-year-old man who had avascular necrosis of the righ femoral head and osteonecrosis of both knees, femoral condyle and metaphysis of proximal tibia. Another case is a 39-year-old man who had osteonecrosis of both femoral head and osteonecrosis of the both knees, medial condyles of both tibias. They were treated with total hip replacement arthroplasty for avascular necrosis of the femoral head and conservatively for osteonecrosis of the knee. If a person complains of pain in hip and knee simultaneously, we should pay attention and rule out osteonecrosis of the knee.