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섬유성 골이형성증에서 Huckstep 정을 이용한 Shepherd's Crook 변형의 치료 - 증례 보고 -
황건성,김태승,김병훈,이종민,Whang, Kuhn-Sung,Kim, Tae-Seung,Kim, Byoung-Hoon,Lee, Jong-Min 대한근골격종양학회 2002 대한골관절종양학회지 Vol.8 No.1
대퇴 근위부에 발생한 섬유성 골이형성증의 임상 증상으로는 동통, 파행, 하지 부등등이 유발되며 때로는 shepherd's crook 변형과 같은 심한 변형을 초래한다. 수술적 치료는 보존적 치료에 반응하지 않는 지속적인 동통이 있거나, 변형이 진행하는 경우에 시행하며 병변의 크기나 침범 부위, 변형 정도에 따라 다양한 치료가 시행되고 있다. 이에 저자들은 섬유성 골이 형성증으로 중증의 양측성 shepherd's crook 변형을 일으킨 환자 1례에 대해 전자부 교정 절골술과 Huckstep정을 이용하여 치료한 결과를 보고하고자 한다. Clinical symptoms of fibrous dysplasia in proximal femur include pain, limping, and leglength discrepancy. Occasionally varus deformity, which may range from mild coxa vara to a marked shepherd's crook deformity was developed. Surgical intervention generally is considered advisable in the presence of persistent pain unresponsive to conservative treatment or significant or progressive deformity. Depending on the lesion size, lesion site, and deformity, several treatment methods have been used. This is a report on one case of bilateral shepherd's crook deformity in fibrous dysplasia, which was treated with corrective osteotomy by Huckstep nail.
황건성,김태승,성일훈,박준식,Hwang, Kuhn-Sung,Kim, Tae-Seung,Sung, Il-Hoon,Park, Jun-Sic 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.2
Purpose: This study was undertaken to review the precise morphological patter'ns of polydactyly of the foot and to evaluate outcomes of surgical interventions. Materials and Methods: The records of patients who had polydactyly of foot from 1983 to 2000 were reviewed retrospectively. 29 duplicated toes(24 patients) were analyzed. All cases were evaluated and classified with Temtamy and McKusick's axial pattern, Watanabe's morphologic pattern and level of duplication. Clinical evaluation was performed according to Phelps and Grogan's. Mean age at surgery was 5.7 years(range: 10 months$\sim21$ years). All the patients were subsequently evaluated during mean 17 months(range: 13 months-$\sim5$ years). Results: Preaxial polydactyly was seen in 3 cases, central polydactyly in 3 cases, postaxial polydactyly in 22 cases and remaining 1 case was multiple my involvement. Only 2 patients have familial history and the most common associated anomaly was hand deformity(20.8%). Clinical results were excellent in 14 cases, good in 5 cases, poor in one. 17 patients(70%) were operated before 6 years olds and they had better results than those of who were operated after 6 years olds. Conclusion: The Method of surgical correction for the polydactyly should be individualized by its morphological pattern because the purpose of operation was to give comfort in wearing shoes and patient's psychological relief. This study showed that polydactyly of the foot could be corrected surgically with good results in most cases, and the better results would be achieved if the operation is performed before preschool age according to its individualized pattern of duplication.
황건성 한양대학교 의과대학 1997 한양의대 학술지 Vol.17 No.2
Distraction Osteogenesis is a biologic phenomenon that can be utilized to induce the formation of new bone. This technique has been used to treat patients with limb-length discrepancy, angular deformities, segmental bone loss, and nonunions. Distraction force is applied commonly with circlar or unilateral fixator. The author review indications, history of limb lengthening, basic principles, surgical technique, and also clinical indications with complications.
당뇨환자의 불안정 족관절에 있어서의 전방 T자형 금속판을 이용한 족관절 고정술
황건성,성일훈,조수현,Hwang, Kuhn-Sung,Sung, Il-Hoon,Cho, Soo-Hyun 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.1
It has been known that the ankle arthrodesis is a common surgical procedure for treating the ankle arthrosis and deformity that do not respond to the non-operative treatment. To date, various surgical techniques for the ankle arthrodesis have been reported. Clinical and biomechanical trials have shown that the rigid internal fixation leads the increased rate of the union. The ankle arthrodesis may be complicated with the nonunion, delayed union, malunion, and infection. In cases of the Charcot joint of the ankle in diabetic patients, however, arthrodesis could reduce the disadvantage of the nonoperative treatment, such as the loss of the reduction, progressive collapse, multiple ulcerations and infection. The object of this case report is to report our experience of a successful ankle arthrodesis using an anterior T plate in treating the unstable ankle of a diabetic patient, associated with the ankle fracture and the neuropathy. The surgical approach of this technique is simple so that it would allow less soft tissue injury, and this procedure would be regarded as one alternative to provide the rigid internal fixation in the ankle arthrodesis.