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- 저자 : 오진홍(Jin-Hong Oh) (검색결과 27 건)
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중수골 기저부 및 경부 골절에서 K-강선을 이용하여 만든 Staple 고정술의 치료 결과
진홍기 ( Hong-ki Jin ),김형민 ( Hyoung Min Kim ),오용승 ( Yong Seung Oh ),김지훈 ( Jihoon Kim ) 대한골절학회 2021 대한골절학회지 Vol.34 No.1
Purpose: This study was designed to evaluate the radiological and clinical outcomes of a new surgical technique―customized staple fixation using K-wire―in displaced metacarpal neck or base fractures. Materials and Methods: From November 2016 to May 2017, 13 unstable metacarpal neck and base fractures (10 patients) were treated with II-shaped customized K-wire staples fixation, after performing open reductions through minimal dorsal incisions. The radiological and clinical outcomes were retrospectively evaluated. Results: A mean of 2.6 staples were used for each fracture fixation. Preoperative angulation of 36.3° was reduced to 3.1° postoperatively. A week after surgery, the volar short arm splint was replaced with a dorsal splint to initiate active range of motion exercise, and the splint was subsequently removed after 3 weeks. The radiologic union was achieved at a mean of 5.1 weeks, and total active motion was recovered at a mean of 7.4 weeks. On a mean, K-wire staples were removed at 16.5 weeks after the surgery, and the mean treatment took 18.6 weeks. At the final follow-up (at mean 27.3 weeks), no significant difference was observed for total active motion of the digits and grip strength, when compared to the contralateral hand. Complete union was achieved in all fractures without deformity, or complications such as infection or nerve injury. All patients were satisfied with the cosmetic and functional outcomes. Conclusion: K-wire stapling is an effective alternative modality in treating unstable displaced metacarpal neck or base fractures. It requires minimal incision to enable open reduction. In addition, early mobilization is ensured through the rigid fixations. Moreover, it prevents postoperative joint stiffness and reduces the time needed for treatment.
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수술 증 절개창 보호 방법이 수술 후 절개창 합병증에 미치는 영향
임진홍,김성수,최원혁,오성진,형우진,최승호,노성훈,Lim, Jin-Hong,Kim, Sung-Soo,Choi, Won-Hyuk,Oh, Sung-Jin,Hyung, Woo-Jin,Choi, Seung-Ho,Noh, Sung-Hoon 대한위암학회 2007 대한위암학회지 Vol.7 No.4
Purpose: Surgical wound complications remain a cause of morbidity and mortality among postoperative patients, and the cost of caring for patients with a surgical wound complication is substantial. The purpose of this study was to evaluate the ability of a vinyl wound protector to reduce the rate of wound complications when used in clean-contaminated surgery. Materials and Methods: Between May 2006 and September 2006, 295 patients with a gastric cancer that underwent gastric surgery were studied prospectively, and the patients were randomized into one of two groups: the no wound protector group (n=137) or the polyethylene protector group (n=132). Results: The demographics and operation type and operation time were similar for patients in both groups. The rate of wound complication was different between patients in the no protector group (n=42) and the polyethylene protector group (n=12) (P=0.001) and the rates of seroma (P=0.001), infection (P=0.030) and dehiscence (P=0.282) were different for the two groups. The postoperative hospital stay was significantly shorter in the polyethylene protector group of patients (P=0.040). Conclusion: The use of a polyethylene protector resulted in a reduction of the surgical wound complication rate, and the cost of caring for patients, and morbidity and mortality among postoperative patients could be reduced.
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대퇴골 간부 골절에서 골수강내 고정술 후 발생한 문제점 및 합병증에 대한 보고
오인석(In Suk Oh),고진홍(Jin Hong Ko),강기동(Ki Dong Kang),김시환(Si Hwan Kim),문도헌(Do Hyun Moon) 대한골절학회 1996 대한골절학회지 Vol.9 No.3
Fracture of the femoral shaft, is among most common fractures in orthopaedics, with its aspect becomming more complex. Since the introduction of KQncher Nail, closed rodding techinque and locking nail system were followed with additional feature of preventing shortening and rotation as well as allowing early weight bearing and joint motion. With their wide application, we met many problems during the operative procedure due to deficient concept and technique. We have checked the possible problems during and after the procedure of interlocking nailing for the femoral fractures in 65 cases. 1. With poor selection of implant, long, short and small nail were used in 5, 3 & 2 cases, respectively. 2. In the process of operation, inlet error, angular & rotational deformity, femoral neck fracture, failure (or loossening) of distal screws were 2, 10, I, and 4 cases, respectively. 3. A New fragment was made in 7 cases(l1%) durinbg surgery, especially medial side and distal to the fracture line. 4. Post-operative deep infection were developed in 2 cases. 5. Post-operative metal failure and delayed (or non) union was 1 and 7(11%) cases, delayed union(or nonunion) occured in 3 cases(20%) after open reduction while following closed reduction in 4 cases(8%).
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