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자기공명영상이 정상인 대퇴골두무혈성괴사 위험군의 혈관조영술, 골주사, 골수압 및 조직학적 소견
구경회 ( Kyung Hoi Koo ),조세현 ( Se Hyun Cho ),송해룡 ( Hae Ryong Song ),민영식 ( Young Sik Min ),김재수 ( Jae Soo Kim ),김지연 ( Ji Youn Kim ) 대한고관절학회 1994 Hip and Pelvis Vol.6 No.1
Twenty-eight hips(22 Patients), at high-risk of osteonecrosis(ON) of the femoral head, with negative magnetie resonance(MR) images, underwent superselective angiography of the medial femoral circumflex artery. Six patients(seven hips) suffered groin pain since one to 12 weeks prior to this study. Superselective angiography showed the interruption of the superior retinacular aiteries(SRAs) in 13 hips(12 patients), including six of seven symptomatic hips. bone scan was performed on eight out of 13 angiographically positive hips. Decrease of radionuclide uptake(cold lesions) was observed in all of the eight femoral heads. Thufeen femoral heads with interruption of SRAs, underwent intraosseous pressure(IOP) measurement and core biopsy. IOPs were elevated in 11 femoral heads. Histologic study showed evidence of early necrosis in ten femoral heads. But the remaining three were negative for ON. This study indicates that there exists a considerable number of highrisk femoral heads, even with negative MR images, which has positive findings on angiography, scintigraphy(cold lesions), and IOP measurement, which reflects the interruption of SRAs, decreased perfusion, and marrow edema, and that among those patients, a large portion shows positive findings for early necrosis on histologic study.
상완골 간부골절의 금속판 내고정술과 골수강내 금속정술에 의한 치료의 비교
이광원,김하용,최원식,김환정,민영식,김규현 대한골절학회 1997 대한골절학회지 Vol.10 No.4
We evaluated prospectively ninety-two patients out of 130 humeral shaft fractures requiring surgical stabilization from January 1991 to December 1995. Among them, thirty-one patients received open reduction and internal fixation with plate & screws (PLT). Thirty-one patients received closed reduction & antegrade intramedullary nail fixation(IMN). Thirty patients received closed reduction & antegrade and retrograde endernail fixation(EN). Average follow-up period was 20.7 months. Eleven patients had primary radial nerve palsies. The higher incidence of nonunion was found on IMN(42%), and EN(20%), than PLT(8%). We concluded that the result of IMN was not superior to that of PLT or EN.