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경골 간부 골절에서의 비확공성 골수강내 금속정술의 적용
민경대,박종석,최창욱,권희,나수균,권재욱 대한골절학회 1995 대한골절학회지 Vol.8 No.1
Intramedullary nails may be divided into two categories: unreamed and reamed. reaming effectively lengthens the isthmus of the tibia and thereby extends the number of fractures amenable to this technique, but other studies showed that union impairement and infection rates were relatively high because of reaming destroyed the endosteal blood supply, especially open fractures. Unreamed interlocking nails in open fractures offer the advantage of less damage to the intramedullary blood supply. Also lower infection rates have been reported in open fracture when compared with reamed nails. We analysed 22 cases of tibial shaft fractures managed with interlocking nailing without reaming and experienced treatment of complications since September 1992. Average follow-up period was 13 months ranged 5 to 17 months and results were as follows: l) We used an unreamed intetlocking nails for tibial open fractures, 14 cases(Gustilo-Anderson type: I .3 cases, II . 5 cases, III a 4 cases, IIIb. 2 cases)and closed fractures asscciated with combined injuries, 8 cases. 2) Union occurred an average of 5.2 months postoperatively with a range from three to 14 months. 3) The complications were 2 cases of superficial infection and 5 cases of nanunion(3 cases among the 8 cases of closed fracture and 2 cases among the 14 cases of open fracture. 4) The treatment of nonunion was successful with bone graft, additional screw fixation and reinsertion of reamed nail. 5) We concluded that unreamed interlocking nailing was useful method to treat the open tibial shaft fractures in the selected cases, but undesirable to treat closed tibial shaft fractures because considered less mechanical stability.
초음파를 이용한 소아 급성 혈행성 골수염의 조기 진단: 증례보고
민경대,안중현,조우인,황석하,조상혁,송상헌,이병일,Min, Kyoung-Dae,Ahn, Joong-Hyun,Cho, Woo-In,Hwang, Seok-Ha,Cho, Sang-Hyuck,Song, Sang-Hun,Lee, Byung-Ill 대한정형외과초음파학회 2013 대한정형외과 초음파학회지 Vol.6 No.2
소아의 급성 혈행성 골수염에서 각종 합병증을 피하기 위해서는 조기 진단이 매우 중요하다. 저자들은 파행과 발열을 보이는 5세 환아에서 초음파를 이용하여 경골 원위부의 골막하 농양을 동반한 급성 혈행성 골수염을 조기 진단 후 치료한 경험을 보고하고자 한다. It is very important to make an early diagnosis of acute hematogenous osteomyelitis in children to avoid various complications. We report a case of a five-year-old patient with tibial subperiosteal abscess, who was diagnosed using ultrasonography and treated at the early point of the disease.
민경대,Min, Kyoung-Dae 대한정형외과초음파학회 2013 대한정형외과 초음파학회지 Vol.6 No.1
초음파는 슬관절의 초기 검사에 이용할 수 있고 다양한 슬관절 병변을 평가하는 유용한 진단 장비이다. 슬관절의 초음파 검사는 비침습적이며 쉽게 이용할 수 있고 비교적 저렴하여 환자의 검사에 대한 저항감이 적고 동적 검사가 가능한 기술적인 장점이 있다. 검사의 한계는 신뢰도가 주로 검사자의 숙련 정도에 좌우되고 심부 구조는 볼 수 없다는 점이다. 유럽 근골격계 방사선학회에서 제시한 초음파 검사의 기본 술기 지침과 함께 여러 슬관절 병변에 대한 소견들을 소개하고자 한다. Ultrasound is a first line examination of the knee and useful diagnostic tool in assessing the various knee lesions. The advantages of ultrasound are that it is non-invasive, easily available at bed side, cheap, well accepted by patients, and that it has technical benefits including dynamic evaluation. Its limitations include reliability, which is largely operator dependent and its inability to evaluate deep structures. Technical guidelines of the ultrasound released by European Society of MusculoSkeletal Radiology (ESSR) and ultrasonographic findings of various knee lesions are described.
청소년기의 비전형적 양측 전방 십자인대 동시 파열 - 증례 보고 -
민경대,안용주,김준범,최형석,이병일,Min, Kyung-Dae,Ahn, Young-Joo,Kim, Jun-Bum,Choi, Hyung-Suk,Lee, Byung-Ill 대한관절경학회 2005 대한관절경학회지 Vol.9 No.1
청소년기에 전방 십자인대 손상의 주요한 두가지 양상은 건열에 의한 경골극 골절과 전방 십자인대 실질내 파열로 알려져 있다. 저자들은 17세 소녀에서 양측 슬관절 전방 십자인대 경골 부착부에 골을 포함하지 않은 특이한 형태의 인대-골접합부 동시파열을 진단하고 일차적 수복술을 시행하여 좋은 결과를 얻었기에 문헌 고찰과 함께 보고 하고자 한다. It is well known that the two main variants of the anterior cruciate ligament (ACL) ruptures in an adolescent include tibial eminence fractures and midsubstance tears. Authors report a case of 17-year-old girl with simultaneous bilateral anterior cruciate ligament ruptures at the ligamento-osseus junction of tibial attachment which was treated with arthroscopic primary repair.
민경대,고은석,김병흠,최중근,신병준,이병일,Min, Kyung-Dae,Koh, Eun-Suk,Kim, Byung-Heum,Choi, Joong-Keun,Shin, Byung-Joon,Lee, Byung-Ill 대한족부족관절학회 2001 대한족부족관절학회지 Vol.5 No.2
Intraosseus ganglion cysts are uncommon, benign, juxta-articular and usually found within long bones. A 35-year-old male presented with acute right ankle pain. He denied any traumatic event. Tenderness was localized on the subtalar joint. Radiologic studies demonstrated a cystic lesion in the juxta-articular portion of the posterior facet of the calcaneus. The patient underwent excision and curettage. Postoperative recovery was uneventful. A histological examination confirmed a typical intraosseus ganglion cyst. A case of an intraosseus ganglion cyst of the calcaneus causing acute subtalar joint pain is described.
태권도 선수에서의 양측성 좌골 조면 병변 - 증례 보고 -
민경대,최상욱,류기훈,이병일,김준범,Min, Kyoung-Dae,Choi, Sang-Wook,Ryoo, Kee-Hun,Lee, Byung-Ill,Kim, Jun-Beom 대한정형외과스포츠의학회 2007 대한정형외과스포츠의학회지 Vol.6 No.2
좌골 조면 견열 골절은 초기 청소년기에 슬괵건의 급격한 견인력에 의해 발생하는 급성 손상인 반면, 좌골 조면의 견인 골단염은 과도한 활동과 반복된 미세 외상에 의해 서서히 발생하며 진단시 간과하기 쉽다. 저자들은 태권도 선수로 활동 중인 16세 남자에서 특징적인 방사선 소견을 보이는 간과된 좌골 조면 견열 골절과 반대쪽의 견인 골단염이 동시에 나타난 드문 증례를 경험하여 문헌 고찰과 함께 보고하고자 한다. Avulsion of the ischial tuberosity is an acute injury caused by sudden contraction of the hamstrings, typically occurs in early adolescence, whereas ischial apophysitis has a more insidious onset during times of increased activity and its diagnosis is often missed. Authors present a rare case of having neglected avulsion fracture of the the ischial tuberosity in one side and ischial apophysitis in the other side with characteristic radiological features in a 16-year-old male who was an active Tae-Kwon-Do player.