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RISS 인기검색어
- 검색키워드
- 저자 : 정성원(Sung-Weon Jung) (검색결과 10 건)
- 무료
- 기관 내 무료
- 유료
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정성원,김종관,Jung, Sung-Weon,Kim, Chong-Kwan 대한미세수술학회 2006 Archives of reconstructive microsurgery Vol.15 No.2
Purpose: We performed vastus lateralis (VL) muslce or myocutaneous flap for close of the trochanteric skin defect usually happened in paraplegia and report our 6 cases. Materials and Methods: Between March 2004 and August 2005 we performed 4 cases of VL muscule flap with skin graft and 2 cases of VL myocutaneous flap for close of the trochanteric skin defect in 6 paraplegia patients. There were 5 men and 1 woman and mean age was 52.2 years and mean diameters of skin defect was $8.3{\times}8.3\;cm$. The mean follow up period was 18 months. The survival of flap, complications, healing time and patient's satisfaction were evaluated. Results: All flaps were survived except 1 case of margin necrosis. In 2 cases, blood-serous discharges were continued after operation which might be due to dead space and treated with $2{\sim}3$ times debridement and delayed close. Mean time to heal the skin defect was 7.6 weeks. No infection and recurrence in follow up periods. Cosmetic results judged by patients are that 3 cases are good and 3 cases are fair. Conclusion: VL muscle and myocutaneous flap is good treatment method among the numerous methods in treatment-failed cases of trochanteric skin defects of paraplegia patients. This surgical procedure is simple, constant blood supply, good pliability, cosmetic results and also appliable to other skin defect of pelvis girdle like sacrum and ischium.
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골두-골간 금속판 고정술을 이용한 근위 상완골 골간단 분쇄골절의 치료
정성원 ( Sung Weon Jung ) 대한골절학회 2013 대한골절학회지 Vol.26 No.1
목적: 근위 상완골 골간단 분쇄골절에서 최소 침습 접근법을 변형하여 이중 접근법, 즉 삼각 흉간 접근법을 이용하여 골절편을 정복하고, 삼각근 절개 접근법을 이용하여 상완골의 골두와 골간 부위에 금속판 고정술 후 임상적 및 방사선학적 치료 결과를 분석하였다. 대상 및 방법: 삼각 흉간 접근법으로 절개를 시행하여 골절편의 정복술을 시행한 후 추가로 삼각근 절개 접근법으로 절개를 시행하여 골두를 노출시킨 후 금속판을 이용하여 골두와 골간 부위를 고정하였다. 결과: 전 예에서 골유합을 얻었다. 임상적인 결과는 Visual Analog Scale 점수는 평균 3.5점이었고, Constant 점수는 평균 66.5점으로 우수 4예, 양호 6예, 보통 6예, 불량 2예였다. 방사선학적인 결과는 경간각은 127.5°로 양호 14예, 보통 4예였다. 결론: 최소 침습 접근법을 변형하여 이중 접근법 및 상완골의 골두와 골간 부위에 금속판 고정술은 정확한 정복과 적은 합병증, 연부조직의 박리가 적어 비교적 만족할 만한 결과를 얻을 수 있는 술기라 판단된다. Purpose: To evaluate clinical and radiological outcomes for the comminuted metadiaphyseal fractures of the proximal humerus treated with a separate minimally invasive approach deltopectoral approach for fracture fragment reduction and deltoid splitting approach for cephalo-diaphyseal plate fixation. Materials and Methods: Eighteen patients (6 men and 12 women), who underwent surgery between March 2007 and February 2011, were included. A deltopectoral approach was used to expose and reduce the fracture fragments and an additional deltoid splitting approach was used to expose the humeral head. A locking plate was inserted under the muscle window and a cephalo- diaphyseal fixation was performed. All patients were examined and interviewed using the Visual Analog Scale (VAS) score, Constant score and standardized X-rays to check the time to fracture healing, neck-shaft angle (NSA). Results: All fractures were united, and mean healing time was 20 weeks. The average VAS score was 3.5 points (range, 0-5) and the average Constant score was 66.5 points (range, 30-90). Final functional outcomes were four cases of excellent, six cases of good, six cases of fair and two cases of poor. The average NSA was 127.5° (range, 100-140). Conclusion: A separate approach and cephalo-diaphyseal plate fixation in operative treatment of the metadiaphyseal fractures of the proximal humerus is an effective, reliable treatment option that could reduce the fracture fragments accurately, with less dissection of the soft tissue and lower the complications. A further study including many cases and longer follow-up will be needed to improve the quality of the study.
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안병우,윤종호,정성원,김기환,Ahn, Byung-Woo,Yoon, Jong-Ho,Jung, Sung-Weon,Kim, Ki-Hwan 대한미세수술학회 2008 Archives of reconstructive microsurgery Vol.17 No.2
Purpose: We reconstructed the skin defect of hands exposing tendons and/or bone with distally based ulnar artery flap and report our cases. Materials and Methods: Between March 2005 and September 2007, 6 cases of skin defect were reconstructed with distally based ulnar artery flap. Defect site were 5 cases of hand dorsal side and 1 case of hand volar side. The average defect size was $3{\times}3\;cm^2$. There were 4 men and 2 women and mean age was 55.5 years. We evaluated the viability of flap, postoperaive complication, healing time, patient's satisfaction. Results: There was no flap failure in 6 cases. But 1 case with recurrent discharge was healed with several times adequate debridement and delayed suture. 1 case with flap edema which might be due to venous congestion was healed with hand elevation and use of low molecular weight heparin. Mean time to heal the skin defect was 4 weeks. No infection and recurrence was found in follow up period. Cosmetic results as judged by patients were that 3 cases are good and 3 cases are fair. Conclusion: Distally based ulnar artery flap is good treatment method among the numerous methods in the cases of skin defect, with soft tissue exposed, which is not covered with debridment and skin graft. Distally based ulnar artery flap is useful method for the skin defect of hands because it is simple procedure, has constant blood supply and relatively good cosmetic effect.
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진진우,윤종호,정성원,팽정욱,Jin, Jin-Woo,Yoon, Jong-Ho,Jung, Sung-Weon,Paeng, Jung-Wook 대한미세수술학회 2007 Archives of reconstructive microsurgery Vol.16 No.2
Purpose: We reconstructed the skin defect of lower legs exposing muscles, tendons and bone with fasciocutaneous sural artery flap and report our cases. Materials and Methods: Between March 2005 and September 2006, 8 cases of skin defect were reconstructed with fasciocutaneous sural artery flap. Defect site were 4 case of ankle and foot and 4 cases of lower leg. The average defect size was $4{\times}4\;cm^2$. There were 5 men and 3 women and mean age was 52.2 years. We evaluated the viability of flap, postoperative complication, healing time, patient's satisfaction. Results: There was no flap failure in 8 cases. But recurrent discharge in 2 cases was healed through several times adequate debridement and delayed suture without complication. Flap edema may be due to venous congestion was healed through leg elevation and use of low molecular weight heparin. Mean time to heal the skin defect was 4 weeks. No infection and recurrence in follow up period. Cosmetic results as judged by patients were that 5 cases are good and 3 cases are fair. Conclusion: Sural artery flap is good treatment method among the numerous methods in the cases of skin defect, with soft tissue exposed, which is not covered with debridment and skin graft. Sural artery flap is useful method for the skin defect of lower legs because it is simple procedure, has constant blood supply and relatively good cosmetic effect.
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서혜부 피판과 신경혈관 도서형 피판을 이용한 무지 재건술
진진우,김종관,박찬완,이영호,곽완섭,정성원,Jin, Jin-Woo,Kim, Chong-Kwan,Park, Chan-Wan,Lee, Young-Ho,Kwak, Wan-Sub,Jung, Sung-Weon 대한미세수술학회 2005 Archives of reconstructive microsurgery Vol.14 No.2
Purpose: We reconstructed the thumb with groin flap combined with secondary heterodigital neurovascular island flap and report our 6 cases. Materials and Methods: Between March 2003 and August 2004, 6 degloving thumbs or amputation of thumbs were reconstructed with groin flap combined with secondary heterodigital neurovascular island flap. There ware 4 men and 2 women, and mean age was 42.2 years. The following parameters were evaluated. Results: Recipient thumb was no limitation of apposition. but flexion contracture of interphalangeal joint was about 10 degree in two cases. Average grip power were 80% and average pinch power were 70% that of the normal thumb. The two point discrimination was average 10.5 mm and double sensibility in 2 cases. 2 patients have cold intolerance. Neuroma formation was not made. Cosmetic results as judged by patients were that 4 cases are good and 2 cases are fair. Conclusion: If massive skin defect after degloving thumb or amputation of thumb are present, we consider the numerous methods for reconstruction of thumb. This surgical procedure is good methods because of it's pliability, sensation, satisfactory functional results but major disadvantage are the staged operation and cosmetic effect of the absence of thumb nail.
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김종관(Chong-Kwan Kim),진진우(Chin-Woo Jin),정성원(Sung-Weon Jung),이지훈(Ji-Hoon Lee) 대한정형외과학회 2009 대한정형외과학회지 Vol.44 No.6
최근 관절경적 기구와 술식의 발달로 견관절의 관절경 수술이 널리 시행되고 있으나 수술이 복잡해지고 시간이 길어짐에 따라 여러 합병증이 보고되고 있다. 관절경적 방카트 봉합술 이후 발생한 상완 신경총 손상은 드문 합병증으로 오랜 기간 치료에도 심각한 후유증을 남긴다. 저자들은 상완 신경총 손상에 대하여 신경 봉합술과 신경 박리술을 시행하였으며 2년 후 비교적 양호한 결과를 얻을 수 있었다. Shoulder arthroscopy is widely used through the development of arthroscopic technique and equipment but some complications have been reported that are related to the complexity of technique and the long duration time of operation. Brachial plexus injury, as a complication of arthroscopic Bankart repair, is rare, but remains a serious sequelae. We performed the neurorrhaphy and neurolysis of brachial plexus and showed relatively good functional outcome after 2 years.
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