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大腿骨 頸部骨折에 合倂한 非癒合 및 壞死의 治療 : 症例報告
吳正一 최신의학사 1971 最新醫學 Vol.14 No.9
A case report is made on a 46 year old male who had one year old subcapital fracture of his right femur with the complication of non-union and partial avascular necrosis of femoral head. Initially he was attempted to have hip-nailing one week after the injury, however, it was unable because of his general condition became worse just after the skin incision. He had hip spica cast for a month after that and since then he was never able to walk. His right leg has developed muscle atrophy, shortening and pain in his hip with limitation of motion. He was received McLaughlin type hip-nailing and cortical bone graft that was 8.3cm (341 inch) long and 0. 7cm in diameter. He started his leg exercise from the next day of surgery and full weight bearing was began at ten months after operation. At the 14 months following surgery, the X-ray showed complete bony union with integration of grafted bone at proximal a half and the density of femoral head due to avascular necrosis became decreased in well preserving hip joint space. He was pain free on walking and no any difficulties with his right hip for daily living.
鄭鎬三,吳正一,李圭植 한양대학교 의과대학 1984 한양의대 학술지 Vol.4 No.1
It was well documented that in the course of development of rat tibia in formation of cartilage model from the mesenchymal cells and subsequent ossification generally starts as early as 15-16th day of embryonic stage and that development of tibia completes by the 8-10th day after birth. Rather extensive studies have been made on the differention of cartilage cells, including their secretory activities of matrix and composition of matrix as well. However, there are still much to be clarified on the more precise feature of differentiation and growth of epiphyseal plates in the rat tibia. Therefore the present study was designed to explore differentiation of epiphyseal plate biochemically and histologsically at each developing stage of rat tibia. The albino of Wistar strain were used as experimental animal. And expreimental animals were sacrificed at 16, 18, 20th of fetal life and 2nd, 4th and 10th day of neonatal life. The epiphyseal plates were removed from tibia and were fixed in 10% formalin and 2% glutraldehyde-2.5% paraformaldehyde phosphate. The PAS-hematoxylin stain was carried out for the study of general development of tibia and alcian blue (1.0), alcian blue (2.%) and aldehyde fuchsin-alcian blue stains for the determination of mucopolysaccharide variations. Also, thin sections were prepared and stained with uranyl acetate and lead citrate stain for the ultramicroscopic study of chondrocytes and matrix of epiphyseal plates at different stages of development of rat tibia. The results obtained were as fokkows: 1. A small amount of acid unsulfated mucin was found in the matrix of epiphyseal plate as early as 16th day of fetal life. 2. On the 18th day of fetal life existance of acid mucin and sulfated mucin were recognized in the matrix of epiphyseal plate and thereafter they were increased in amount. 3. The acid mucin reached maximum level at 2nd day of neonatal life and thereafter sulfated mucin gradually appeared in the mathix of epiphyseal plate. 4. In the proliferative zone of tibia of 18day old embryo, secretary granules were deposited in the all membranes of chondrocyte. As the fetus grew, the namber and size of secreted granules were increased approprocial by increase in salfated mucin: And the rough endoplasmic reticulum in the chondrocytes was increased also. To summerize above results the acid mucin start to appear in the matrix of epiphyeal plate as ealry as 16th day of fetal life and later a part of acid mucin is changed to neutral sufated mucin, the secretary granules observed on the cell membrane of chondrocytes of 12 day old embryo seems to be sulfated mucin.