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대퇴골 간부 골절과 동반된 동측 대퇴골 경부 및 전자간부 골절
장준섭,신규호,궁윤배 대한골절학회 1995 대한골절학회지 Vol.8 No.3
The segmental fracture of the femur usually was caused by severe force and often accompanied with marked damage of the soft tissue and associated fractures of the other bones. Treatment of the segmental fracture is almost always required operation, and the interest lies in deciding on what operating methods to use and the technical difficulty involed with each method. From Jan. 19S6 to Dec. 1993, 29 patients were treated for femoral neck or intertrochanteric fractures which accompanied with ipsilateral femoral shaft fractures at Severance Hospital, Yonsei University College of Medicine, 16 cases were intracapsular (femoral neck) and 13 cases were extracapsular (intertrochanter) hip fractures; We analysed the union time and complications of the 21 cases which were followed over one year. The following results were obtained: 1. For the group of ipsilateral femoral neck and shaft fracture, the knee injury was the most common associated injury (66.7%). 2. For the group of ipsilateral intertrochanter and femoral shaft fracture, the knee injury was not so frequent than the previous group (11.1%). 3. The ipsilateral femoral neck and shaft fracture was induced by a longitudinal force, which was parallel with femoral shaft and through the knee, and accompanied with a lateral force. But the ipsilateral intertrochanter and femoral shaft fracture may be induced by a different mechanism, a direct transverse force towards the proximal femur. In conclusion, the ipsilateral intertrochanteric and femoral shaft fracture should be distinguished from the ipsilateral femoral neck and shaft fracture, because of the associated injury pattem and different mechanism of the injury.
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신규호,한수봉,궁윤배,Shin, Kyoo-Ho,Hahn, Soo-Bong,Kung, Yun-Pei 대한근골격종양학회 1995 대한골관절종양학회지 Vol.1 No.2
Malignant tumor of the pelvic bone has nonspecific symptom and it is not easily detected by physical examination or by radiologic study in early stage, because of its anatomical characteristics. Associated with their variety of disease entity, the treatment of malignant pelvic bone tumor is a problematic point. We have analysed 36 cases of malignant pelvic bone tumors diagnosed at the Severance hospital from 1968 to 1993 to provide a reference for diagnosis and treatment of the malignant pelvic bone tumors. We found that the chondrosarcoma(27.8%) and the osteogenic sarcoma(27.8%) were the most common type of pelvic bone malignancy, and then, in the order of incidence, there were Ewing's sarcoma(16.7%), malignant fibrous histiocytoma(11.1%). There were differences of the age distribution among each diseases and the average age was Ewing's sarcoma 20.5, osteogenic sarcoma 27.2, chondrosarcoma 40.0, malignant fibrous histiocytoma 64.8, respectively. Three of the 5 patients with low grade tumors survived(60%), whereas 3 of the 17 patients with high grade tumors survived(18%). The survival rate of the low grade malignant group was 60%, the high grade was 18%.
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