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대퇴골 골수정 고정술에서 항응고제 투여와 연관된 혈종에 의한 지연성 좌골 신경 마비 - 증례 보고 -
김영모 ( Young Mo Kim ),주용범 ( Yong Bum Joo ),송석환 ( Seok Hwan Song ) 대한골절학회 2017 대한골절학회지 Vol.30 No.4
Femur intramedullary nailing can be one of the most predictable procedures in orthopedic traumatol-ogy. The advantage of this method is that the fracture site does not have to be widely exposed for re-duction, which can minimize soft tissue damage. For this reason, the incidence of complications related to hematoma has been rare. We experienced only one case of sciatic nerve palsy due to hematoma after intramedullary nailing; the patient was receiving an anticoagulant therapy. Therefore, we report this case with literature review.
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원위 경골 골절의 최소 침습적 금속판 치료에서 해부학적 경피적 강선 정복
김영모 ( Young Mo Kim ),강찬 ( Chan Kang ),황득수 ( Deuk Soo Hwang ),주용범 ( Yong Bum Joo ),이우용 ( Woo Yong Lee ),황정모 ( Jung Mo Hwang ) 대한골절학회 2011 대한골절학회지 Vol.24 No.3
Purpose: To report the method of anatomical reduction and its maintenance by percutaneous wiring reduction in minimally invasive plate osteosynthesis for distal tibial fractures. Materials and Methods: 17 cases that were diagnosed oblique, spiral or transverse fracture of distal tibia from August 2007 to February 2010 and were able to anatomically reduce by the method of percutanous wiring reduction in minimally invasive plate osteosynthesis were included in this study. Mean age was 50, and mean follow up period was 18 months. We investigated the period until bone union was achieved, degree of angulation angle, and complications. For postoperative evaluation, Olerud and Molander ankle score and VAS pain score in daily living were checked. Results: The mean varus/valgus angulation after bone union on AP radiograph was 0.9 degrees and the mean anterior/posterior angulation on lateral radiograph was 2.0 degrees The mean Olerud and Molander ankle score was 89.4, and mean pain score due to walk adjacent to metal plate was 0 points. Conclusion: By the method of percutaneous wiring reduction in distal tibial fracture, anatomical reduction is easily acquired, and only by wire itself, reduction could be maintained, so that without additional manual reduction, plate could be easily fixed.
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성인의 요골두 및 경부 골절의 수술적 치료: Mason 2형 골절의 아분류
신현대 ( Hyun Dae Shin ),김경천 ( Kyung Cheon Kim ),우세민 ( Se Min Woo ),주용범 ( Yong Bum Joo ),김동규 ( Dong Kyu Kim ) 대한골절학회 2006 대한골절학회지 Vol.19 No.4
Purpose: To evaluate the results of treatment according to the sub-classification of the Mason type II fracture. Materials and Methods: From 1999 to 2003, according to the sub-classification of the Mason type II fracture, 33 patients were treated with miniplate in displaced neck fracture (IIa), with compression screw in displaced head fracture (IIb), with miniplate and/or compression screw in displaced head and neck fracture (IIc), with compression screw and miniplate in comminution fracture (III) or excision of head in irreducible state. The clinical results were evaluated by An and Morrey`s functional rating index. Results: Functional rate score averaged 92.7 in type IIa, 88.4 in IIb, 86.4 in IIc, 83.5 in type III with reduced fracture, 75.0 in type III with excised head, and 75.5 in type IV. Complications included heterotopic ossification (2 cases), metal loosening (1 case), malunion (1 case), partial ankylosis of elbow (3 cases), posttraumatic arthritis (1 case). Conclusion: These results supported the recommendation for internal fixation with compression screw in isolated radial head fracture (IIb) and with miniplate in fracuture combined with displaced neck (IIa, IIc, indicated some III). We concluded that sub-classification is useful for dicision making in radial head or neck fracture`s treatment.
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