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RISS 인기검색어
- 검색키워드
- 저자 : 문명호(Myoung Ho Moon) (검색결과 8 건)
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문명호,박희경 전북대학교 의과학연구소 1981 全北醫大論文集 Vol.5 No.1
The management of chronic osteomyelitis of the tibial diaphysis is difficult because of the problem of removing necrotic and infected bone, avascular and infected scar tissue, or both, obliteration the dead space resulting from the disease or following surgery, and providing adequate skin cover. The diverse method of treatment signify current dissatisfacti on with any single method. We encountered such a difficult case, chronic osteon yelitis of the tibia with skin defect, and successful results in 6 patients were obtained by soleus muscle transposition and delayed skin grafting.
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박희경,문명호 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-
Specific laboratory tests for diagnosis of various forms of arthritis are usually lacking. Extensive knowledge of the characteristics of synovial fluid has been avilable for at least the past 30 years, when a monograph on the subject by Kling first appeared in 1938. Since that time, Ropes, Bauer (1953), and Hollander (1960,1961,1966) have published classic monograph on their extensive studies and findings of synovial fluid. It has becom eincreasingly clear during past 10 years that synovial fluid analysis is both the most valuable and yet the most neglected differential diagnostic test for arthritis. We studied the synovial fluid from 73 cases of various forms of arthritis in the Department of Orthopedic Surgery, Jeonbug National University Medical School Hospital, from January to October of 1989. 73cases of arhtritis were considered of 19 osteoarhritides, 10 traumatic, 27 rheumatoid, 8 septic, and 9 tuberculous arthritides. Above 5 kinds of arthritides were grouped into three catagories accdording to Cathcart and Cohen's classification. The first group, noninflammatory joint effusions, consisting of osteoarthritis and traumatic arthritis, was associated with mild inflammatory reactions and increased amount of fluid, but no sgnificant changes in the number of WBC, sugar concentration, mucin content or viscosity. The second group, mild inflammatory joint effusions, namely, rheumatoid arthritis and its variants, showed turbid yellow appearance, low viscosity, fair or good mucin clot formation elevates, showed turbid yellow appearance, low viscosity, fair or good mucin clot formation, elevated but relatively low total WBC counts, anddecreased amount of synovial sugar. The third group, severe inflammatory joint effusiors, such as tuberculous arthritis and septic arthritis, was characterized by low viscosity, poor mucin clot formation, and low joint sugar concentration.
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한명술,문명호 전북대학교 의과학연구소 1980 全北醫大論文集 Vol.4 No.1
Supracondylar fracture of the humerus in children is the most common fracture of the elbow and often present significant problems in management. Forty-six patients with supracondylar fracture of the humerus managed at the Department of Orthopidic Surgery, Jeonbug National University Hospital from June 1977 to May 1979 were analyzed clinically and the summary of the results were as follows : 1. There were 31 boys and 15 girls and the average age was 835 years, The left was involved in 29 patients and the right in 17. 2. The cause of the supracondylar fracture of the humerus was mostly due to falling down(96%). 3. Forty-four patients(96%) had posterior displacement of the distal fragment and two had anterior displacement. 4. 13 fractures were treated by closed reduction and cast immobilization in a cast or splint ; 4, by Dunlop's traction ; 2, by side arm skeletal traction ; 4, by overhead skeletal traction ; 4, by closed reduction and percutaneous pinning ; and 19, by open reduction and K-wire fixation. 5. In the forty-six patients completely evaluated, an excellent result was obtained in 35(76%), a good result in 8(17%), and an unsatisfactory result in 3(7%). A satisfactory result was, therefore, obtained in 93% of the forty-six patients. 6. The type of treatment at least as observed in this study had little effect on the clinical result, change in carrying angle and limitation of the elbow motion.
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한명술,문명호 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-
Fifty four cases of the ankle fracture that were treated in the Department of Orthopedic Surgery, Jeonbug Medical School Hospital, from January 1973 to October 1978 were analyzed clinically and the summary of the results were as follows : 1. Of 54 cases, 40 cases were males and 14 females. The average age of the patients was 31. 2. The causes of the ankle fractures were mostly due to traffic accident (44.4%), sliding down and falling from a height (31.5%), and industrial accident (11.1%). 3. Occupation were 15 technicians, 11 manuals, 10 clericals, 5 students, and 4 drivers. 4. By the classification, supination-external rotation and pronation-external types were about two thirds of all cases. 5. Open reduction was performed in 31 cases, and closed reduction was in 23 cases. 6. The average duration of cast immobilization after the closed reduction was 8.7 weeks, and that of the open reduction was 6.4 weeks. 7. The result of the treatment was better in cases of the open reduction than those of the closed reduction. 8. The good clinical results could be achieved by obtaining the anatomical reduction of the talus in the mortise, that was achieved more satisfactorilly by operative method.
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