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김진수,조훈기,황새민,이근우,양기원,이경태,Kim, Jin-Su,Cho, Hun-Ki,Hwang, Sae-Min,Lee, Keun-Woo,Young, Ki-Won,Lee, Kyung-Tai 대한족부족관절학회 2013 대한족부족관절학회지 Vol.17 No.2
Purpose: Open reduction and internal fixation of calcaneal fracture using plate has been used. While numerous plates have been manufactured, most of the conventional plates are designed for westerners, realistically the size is larger for Korean. The domestic products, on the other hand, often have the undesirable screw holes and path. Therefore, we measured the radiologic parameter of Korean calcaneus for providing the plate and screw hole placements. Materials and Methods: We measured the outer lines and angles with over the 20 years old 291 females and 322 males. A: Length of inferior plane of calcaneus, B: Length of anterior plane of calcaneus, C: Length from line A to sinus tarsi, D: Length from line A to posterior point of posterior facet, E: Length from line A to calcaneal tuberosity, F: Length of posterior facet, G: Length from anterior point of line A to C, H: Length from line C to line D, a: Angle between A and B, b: Gissane angle, c: Bohler angle, d: Calcaneal pitch angle using Marosis m-view$^{(R)}$. Results: Mean A, B, C, D, E, F, G, H were 63.6, 26.4, 23.2, 43.7, 40.5, 26.9, 12.8, 18.1 mm. Mean a, b, c, d angle were 105.8, 122.4, 32.4, $20.5^{\circ}$. Male's calcaneus is significantly bigger than female's (p<0.001). Conclusion: AP calcaneus length 63.6 mm, maximal height 43.7 mm is considered to be helpful in making the Korean calcaneal plate.
경골 골수 내 금속정 확공중 발생한 확공기의 파단 - 증례 보고 -
곽호윤,김진수,양기원,조준원,황새민 대한골절학회 2013 대한골절학회지 Vol.26 No.4
경부 간부 골절에서 골수 내 금속정을 이용한 내고정 수술 중 골수 내 확공을 시행하다가 발생한 확공기의 파단과 파단된 확공기를 제거한 사례에 대하여 보고자 한다. 골절의 근위부를 확공하던 중 확공기의 원위부에 파단이 발생하였으며 파단된 확공기가골수 내에 끼어서 단순하게 제거할 수 없었다. 골절부위를 개방하고 역방향으로 쳐올려서 파단된 확공기를 성공적으로 제거하고골수 내 금속정 삽입술을 완료하였다. 이를 문헌고찰과 함께 보고하고자 한다.
곽호윤 ( Ho Yoon Kwak ),김진수 ( Jin Su Kim ),양기원 ( Ki Won Young ),조주원 ( Joo Won Joh ),황새민 ( Sae Min Hwang ) 대한골절학회 2013 대한골절학회지 Vol.26 No.4
The reamer crack, followed by breakage at its distal part occurred during intramedullary nailing of tibial shaft fracture. The broken reamer was trapped in the intramedullary canal, making it very difficult to pull out. We successfully extracted the broken reamer by retrograde impaction through the fracture site and completed intramedullary nailing procedure. Thus, we present this case with a review of the literature.