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조용만,이영기,강흥식,리건영,이천동,오상수 대한골절학회 1997 대한골절학회지 Vol.10 No.1
The authors surveyed the clinical study of 17cases of scaphoid fractures from March 1989 to September 1994 with minimal I year follow up at Department of Orthopedic Surgery, Lee-Rha general Hospital. The following conclusions were obtained through clinical survey. l. Of all l 7 cases, they were l3 males and 4 females; Among the 13 males, 10 cases were aged between 20 and 39 years. forming 56.8% of all. 2. All 17 cases were treated by open reduction. Unions were obtained at average l l.5 weeks in 7 cases treated with Herbert screw fixation and l 2 weeks in l 0 cases treated with K-wire fixation. 3. Two of ten K-wire treated cases resulted in delayed union, one of seven Herbert screw treated cases resulted in delayed union. 4. Unions were obtained at average 20 weeks in 3 cases of delayed union. We concluded that open reduction and K-wire fixation were recomanded for the compatible treatment method of displaced waist fracture of scaphoid.
조용만,박명식,강흥식,이건영,이천동,조규철 대한골절학회 1997 대한골절학회지 Vol.10 No.1
The tibial condylar fracture which involves articular surface of the proximal tibia is common in pedestrian injury of the traffic accident and often produces some disability of the knee joint because of the frequent association with ligamentous and meniscal injuries. Methods of treatment in fracture of the tibial condylas has long been a controversial problems. Recently most authors agree that the method of treatment has to be selected in each individual case and anatomical reduction of fracture and early knee motion are recommended but unsatisfactory results has been reported as between 20% and 40%. The authors analyzed 38 cases of the tibial condylar fractures, which were treated at the orthopedic department of the Lee-Rha general Hospital from 1990 to l994, regarding its type. treatment and results. The results of this study were as follows. l. According to Schatzker classification: the most common fracture was type II. 2. According to Blokker's criteria, 28 cases showed satisfactory results( 74% ). 3. Postoperatively, early knee joint exercise like alternatively applling 90( knee flexion and extension splint were very important factors for good results.
조용만,이영기,리건영,이천동 대한골절학회 1996 대한골절학회지 Vol.9 No.4
The talus has some important anatomic features. Approximately 60% of its surface is cartilage and The talus often has problems with circulation. Talar neck fracture have a high association with ostonecosis and osteoarthritis. Authors have analysed l6 cases of the talar neck fractures treated at Lee-Rha General Hospital from January l990 to December l995 with minimal I year follow up. The results were as follows; 1. In thr l6 cases, there were l4 males and 2 females. the age between 20 and 40 years old was 10 cases(63%). 2. The most common cause of injury was traffic accident(63%), with sudden hyperextension as its mechanism. 3. associated injuries were 4 malleolar fracutres, 3 calcaneous fractures, 3 spine fractures, 3 tiviofibular fractures and 2 femur fractures. 4. According to the Hawkins classification: 3 cases in type I, 4 cases in type I, 5 cases in type l. 4 case in type N fractures were observed. 5. The method of treatment, all 3cases of Hawkins type I fractures were treated by closed reduction and cast immobilization, 3 cases of Hawkins type l and I case of Hawtins type III fracture were treated by closed reduction and internal fixation, other 9 cases were treated by open reduction and internal fixation. 6. Excellent results were observed in 8 cases good in 5 cases, fair in 2 cases . poor in l case with the Hawkins' therapeutic criteria. 7. Complications was observed 3 avascular necrosis, 2 post-traumatic arthritis, 2 ankle stiffness and l skin necrosis. From the above results, authors believe that early anatomical reduction k internal fixation is impotent to get a satisfactory result in de treatment of talar neck fracture.