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- 저자 : 서동훈 ( Dong Hun Suh ) (검색결과 9 건)
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근위 대퇴부에 발생한 거즈 육아종으로 의심되는 병변에 의한 대퇴골 경부의 병적 골절 - 증례 보고 -
서동훈 ( Dong Hun Suh ),김의창 ( Eui Chang Kim ) 대한고관절학회 2006 Hip and Pelvis Vol.18 No.5
Gossypiboma is the foreign body granuloma that`s due to retained surgical gauze after an operation. The reports of gossypiboma are not infrequent after thoracic, abdominal and pelvic operation, but they are rare after operation on the extremities. Some patients with gossypiboma may remain asymptomatic for several months or several years, but others experience complications such as abscess formation, chronically infectious fistulae formation, neighboring bone erosion and vessel occlusion and sepsis; physicians may suffer some serious legal problems if they are responsible for this condition. We experienced the gossypiboma that developed in the proximal thigh; a 60 year-old patient experienced pathologic fracture of the femoral neck due to this gossypiboma.
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대퇴골 전자간부 골절의 내고정 실패에 대한 원인분석 및 치료
서동훈 ( Dong Hun Suh ),한승범 ( Seung Bum Han ),강종우 ( Jong Woo Kang ) 대한고관절학회 2007 Hip and Pelvis Vol.19 No.2
Purpose: We wanted to analyze the causes of fixation failure after performing compression hip screw fixation for intertrochanteric fracture and we wanted to evaluate the methods to mange this type of failure. Materials and Methods: From January 1999 to August 2005, 15 patients who underwent operation due to fixation failure after compression hip screw ixation for intertrochanteric fracture were evaluated, with at least 1 year follow up, for the fracture type, the status of the reduction, the aspects of failure, the causes of the failure and the clinical and radiologic results after operation. Results: There were 7 cases of cut out by the hip screw, 1 case of hip screw breakage, 1 case of dislodging the hip screw, 2 cases of excessive sliding of the hip screw, 2 cases of plate breakage and 2 cases of fixation loss of the plate. The failure of cases was due to incorrect choice of the implants, and that of 9 cases was due to technical error. The Harris Hip score was an average of 67.8 for 10 cases of failed arthroplasty at the last follow up and 88.4 for 4 cases of re-fixation with a 95 degree angled blade plate, and bone union was achieved at a minimum of 5 months. Conclusion: It is important to choose an adequate implant and a precise technique to achieve a successful result for fixation of unstable intertrochanteric fracture, and refixation with a 95 degree angled blade plate could be considered for the management of failed intertrochanteric fracture with arthroplasty.
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김학준,김택선,서동훈,윤광섭,정국진,전승주,Kim, Hak-Jun,Kim, Taik-Seon,Suh, Dong-Hun,Yoon, Kwang-Sup,Chung, Kuuk-Jin,Jeon, Seung-Ju 대한족부족관절학회 2005 대한족부족관절학회지 Vol.9 No.2
Pigmented villonodular synovitis (PVNS) in ankle is relatively uncommon. This disorder results in increased proliferation of synovium causing villous or nodular changes containing histiocytes, fibroblasts, multinucleated giant cell, and hemosiderin. PVNS is classified into two different type : localized and diffuse. Diffuse type of PVNS in ankle is more common than localized type. Also, recurrence of diffuse type is more frequent. We report a case of diffuse type of PVNS which was recurred soon after the excision.
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이광석,박종웅,서동훈,정웅교,Lee, Kwang-Suk,Park, Joung-Woong,Suh, Dong-Hun,Chung, Woong-Kyo 대한미세수술학회 1998 Archives of reconstructive microsurgery Vol.7 No.2
In 1980 Morrison and O'Brien reported their experiences about the reconstruction of amputated thumb using wrap-around neurovascular free flap from the great toe with a nonvascularized iliac bone graft. From then it has been considered to be a good reconstructive procedure for the amputated thumb, but it's indication has been limited distal to the metacarpophalangeal(MP) joint. We have performed 37 cases of wrap-around free flap from the great toe for the reconstruction of thumb amputated at distal or proximal to the MP joint and investigated their functional results according to the level of amputation. Level of amputation was distal to the MP joint in 25 cases and proximal to it in 12 cases. Pinching and grasping power, two point discrimination and the amount of opposition to the other fingers were compared to the uninjured hand. Pinching and grasping power were not significantly different according to the level of amputation but the amount of two point discrimination was significantly high in the cases amputated proximal to the MP joint. The opposition of reconstructed thumb to the other fingers was completely possible in all cases amputated distal to the MP joint. In 12 cases amputated proximal to the MP joint of the thumb, opposition was completely possible in 6 cases in which the iliac bone block was fixated in the position of $30^{\circ}$ flexion and $45^{\circ}$ internal rotation but in 6 cases in the fixation of $30^{\circ}$ flexion and $30^{\circ}$ internal rotation, the opposition of reconstructed thumb to the ring and little fingers were impossible in 5 cases and only to the little finger in 1 case. In this study, we concluded that even if amputation proximal to the MP joint, it is no more contraindication of the wrap-around free flap procedure for thumb reconstruction, however in these cases we recommend iliac bone block fixation in the position of $30^{\circ}$ flexion and $45^{\circ}$ infernal rotation for the better functional outcome.
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강규복 ( Kyu Bok Kang ),서동훈 ( Dong Hun Suh ),오성록 ( Seong Rok Oh ) 대한골절학회 2011 대한골절학회지 Vol.24 No.2
Purpose: To evaluate the incidence, risk factors and prognosis of delirium in elderly patients with intertrochanteric fractures of femur. Materials and Methods: 162 patients who underwent operation for intertrochanteric fracture of femur from July 2005 to January 2007 were reviewed retrospectively. Delirium was diagnosed by using Confusion Assessment Method (CAM). Medical records were reviewed for the information of the patients, Gross motor function classification of Palisano et al. was used for the evaluation of ambulatory status. Univariate analysis and multivariate analysis were done to find out the risk factors. Results: 2 cases out of 162 (1.2%) met the criteria of delirium at admission, and 39 cases (24.1%) after surgery. Univariate analysis and multivariate analysis identified age, hematocrit, dementia, the duration of opiate use, and pulmonary complication as risk factors. Hospital stay was longer and postoperative ambulatory status was worse in the patients with delirium. Conclusion: Delirium is a frequent complication of intertrochanteric fractures of old age and associated with worse results. Cognitive function as well as physical status should be evaluated before and after surgery. Delirium needs more active prevention and treatment for better results.
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