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        Bent Semitubular Plate 를 이용한 상완골 근위부 골절의 치료

        이충길,권진우,손경태,신승호,김완업 대한골절학회 1997 대한골절학회지 Vol.10 No.3

        There is no consensus on the best way to treat complicated fractures of the proximal humerus. Open reduction and internal fixation with plate is one of the most popular method, but it has several disadvantages. Thus we used bent semitubular plates to fix the proximal humeral fractures, which were reported by Szabo and Sehr, Moda etc.. This method provided relatively firm fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted fractures. We treated 9 cases of proximal humerus fractures which were with bent semitubular plates from January 1992 to June 1996 and followed up more than 6 months. The following results were obtained.: 1. The bent semitubular plate fixation was useful method even in treatment of comminuted or osteoporotic proximal humerus fractures. 2. The mean duration of radiologic bone union was postoperative 10 weeks. 3. Complications developed in 2 cases; one case was plate failure and the other was humeral head penetration by blade portion. 4. According to Neer criteria 5 cases were excellent, 2 cases satisfactory, l case unsatisfactory and 1 case failure.

      • KCI등재

        골반골 치골지 골절의 동반손상에 관해서 : 컴퓨터 단층촬영의 필요성 The Role of Computerized Tomography

        이충길,권진우,손경태,신승호,박준욱 대한골절학회 1999 대한골절학회지 Vol.12 No.1

        Pelvic fractures in general can be divided into two major types, based on the amount of energy involved: low-energy mechanisms are usually fractures of individual bones of the pelvic ring and high-energy mechanisms results in more severe injury to the pelvic ring, generally producing pelvic ring disruption. Pelvic fractures resulting from low-energy mechanism are usually fractures of individual bones of the pelvic ring that do not damage the true integrity of the ring structure. These include avulsion fractures, isolated fractures of the sacrum, and iliac wing fracture. Computerized tomography permits confirmation of findings noted on plain film and delineates injury to the posterior ring. It facilitates subclassifying the fracture according to degree of severity, as in the Young classification. The purpose of this study is to evaluate the role of CT, which is to identify the combined injuries of pubic ramus fractures. The sacrum impacted fracture and sacroiliac joint injury are often unidentified and diagnosed as an isolated fracture to the pubic ramus. The 42 cases of pubic ramus fractures on conventional radiography were simultaneously performed CT from June 1996 to February 1998. The results of associated injuries were as follows. 1. In 34 cases (81%) posterior pelvic ring injuries (sacral fractures 28 cases, anterior sacroiliac joint widening 6 cases) were observed. 2. CT was very useful to diagnose the posterior pelvic injury and to determine the mechanisms of injury.

      • KCI등재

        상완부 경부 이분골절에 대한 Ender정 고정술

        김수용,이충길,권진우,손경태 대한골절학회 1992 대한골절학회지 Vol.5 No.2

        There is no conseosus on the best way to treat complicated fractures of the proximal humerus. We treated two-part surgical neck fractures which were not suitable for conservative method by semi-open reduction and Ender nailing with addition of cancellous bone graft. This method provided good three-point fixation and then early ROM exercise was possible even in case of osteoporotic or severely comminuted surgical neck fractures. Between June 1989 and February 1992, Ender nailings were performed for two-part surgical neck fractures, and among those cases 16 were followed for more than 1 year. The results of study were as follows; 1. All cases were treated by semi-open reduction and Ender nailing with additional cancellous bone graft. 2. Ender nails were inserted through retrograde entry in all cases. 3. Complications developed in 3 cases; one case of proximal migration of Ender nail and two of shouler joint partial stiffness. 4. The mean duratian of radiologic bone union was postoperative 9 weeks. 5. According to Neer criteria 11 cases were good, 3 fair and 2 poor resufts.

      • KCI등재

        상완골 간부골절에서 교합성 골수강내 금속정을 이용한 치료의 합병증

        박종천,이충길,권진우,손경태,신승호 대한골절학회 1998 대한골절학회지 Vol.11 No.2

        We performed a preliminary study to evaluate the effect of ultrasound in canine osteotomy model. Both ulna shafts were osteotomized and one side was irradiated with low-energy pulsing ultrasound, 50mW/cm2, 1 MHz, 200 microsecond bursting sine wave for I5 minutes, 6 days a week. Effect on the fracture healing was evaluated by radiologic scoring system, amount of uptake of radioactive isotope, and time to union. Results were as follows: At postoperative 2 months, means of the radiologic healing score were 4.5 in the irradiated side and 2.5 on the control side (p=0.019). Mean isotope uptake in the irradiated side was 44.4 count and 33.8 count in the control side (p=0.028). Two nonunion developed on the control side, Mean time to union of eight dogs was 2.6 months in the irradiated side and 3.1 months on the control side. Based on the cumulative union rate curve, fracture healing was stimulated and union was obtained one month faster in the irradiated side than the control side.

      • KCI등재

        흉쇄관절 전방탈구에 대한 경피적 강선고정술후 발생한 무명정맥-대동맥루 : 1례 보고 A case report

        박종천,이충길,권진우,손경태,신승호 대한골절학회 1998 대한골절학회지 Vol.11 No.4

        Kirschner wire fixation in sternoclavicular dislocation poses a considerable risk of serious early or late complications. We report a case of Kirschner wire penetration into the innominate vein and aorta, which caused aortovenous fistula and congestive heart failure.

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