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대퇴골 간부에 발생한 골섬유성 이형성증 - 1례 보고 -
이승훈,정필현,황정수,채동주,홍정용 대한골절학회 1997 대한골절학회지 Vol.10 No.4
Osteofibrous dysplasia is a rare benign fibrosseous lesion that occurs predominantly in children. It is almost always occurs in the tibia, occasionally in both tibia and fibula or only in the fibula. It is distinguished from fibrous dysplasia by the osteoblastic rimming of the bony trabeculae and the presence of lamellar bone and radiographically by its cortical location rather than medullary location. We are now reporting a case of an eleven-year-old male patient who had a osteofibrous dysplasia of the femoral shaft with pathological fracture.
연골 모세포종에 속발한 동맥류성 골 낭종 : 2 Cases Report
채동주,황정수,정필현,윤순현,홍정용 東國大學校 1997 東國論叢 Vol.36 No.-
Chondroblastoma is a rare, benign primary bone tumor usually involving the epiphysis of long bone in the second decade of life. The lesion is characterized by a relatively high recurrence rate despite surgical treatment. Aneurysmal bone cyst is a bone tumor-like lesion which consists of 1% of the primary bone tumor and characterized by rapid growth and destruction of the surrounding bone tissue. Aneurysmal bone cyst occurs as a primary lesion in the 70% of cases. But in the remaining 30% of cases exists in association with some other type of bone lesion. The most common of these associated lesions are giant cell tumor, chondroblastoma, osteoblastoma, and chondromyxoid fibroma. These combined cases have been reported more invasive propensity and higher recurrence rate after treatment. We present two cases of aneurysmal bone cyst secondary to chondroblastoma on the talus and the calcaneus with clinical details. 연골 모세포종은 발생 빈도가 드물며 주로 10대의 장관골 골단부에 호발하는 양성 골종양으로서 수술적 치료후에도 재발율이 높으며, 드물게 전이하거나 악성 변화를 초래하여 임상적 관심이 높다. 동맥류성 골 낭종은 원발성 골 종양의 1%정도를 차지하며 빠른 성장과 골 파괴가 특징인 양성 골 종양 유사 질환이다. 동맥류성 골 낭종의 약 70%는 원발성으로 발생하나 30%는 다른 병변과 연관되어 발생한다고 한다. 속발성 동맥류성 골 낭종은 거대 세포종, 연골 모세포종, 골 모세포종 및 연골 유점액 섬유종 등과 관련되어 발생하며 이 경우 보다 침습적이며 치료후 재발율도 높다고 알려져 있다. 본 동국대학교 정형외과학교실에서는 거골과 종골에 동맥류성 골 낭종을 포함한 연골모세포종을 각각 치험하였기에 문헌고찰과 함께 보고하는 바이다.
김한철,정필현,황정수,강석,채동주,엄규황,홍정용,박용범 대한골절학회 1998 대한골절학회지 Vol.11 No.1
The subtrochanteric area is cortical bone which has a decreased blood supply and a serious communtion after trauma. Large biomechanical stresses in the subtrochanteric area can lead to failure of fixation devices. Many fixation devices have been used to treat the fractures of subtrochanter of the femur. The Gamma nail was introduced for the treatment of peritrochanteric fractures with the theoretical advantage of a load-shearing femoral component. We reviewed 15 patients of subtrochanteric fractures who were treated by use of the Gamma nail at Dongguk university hospital since March 1993. Results showed satisfactory fracture union with little loss of position, even in comminuted fractures. The patients had shorter convalescence and earlier weight bearing. Perioperative complications were few. We conclude that Gamma nail is effective in achieving good stabilization of the unstable fractures of the subtrochanteric region and is an advance in the treatment of subtrochanteric fractures of the femur.