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정덕환,한정수,김용환,남기운,김진원,Chung, Duke-Whan,Han, Chung-Soo,Kim, Yong-Hwan,Nam, Gi-Un,Kim, Jin-Won 대한미세수술학회 1993 Archives of reconstructive microsurgery Vol.2 No.1
Soft-tissue deficits over the plantar forefoot, plantar heel, Achilles tendon, and distal parts of lower leg are often troublesome to cover with a simple graft or local flap due to limited mobility of surrounding skin and poor circulation in these area. Soft-tissue reconstruction in these regions should provide tissue components similar to the original lost tissue, supply durability and minimal protective pressure sensation and result in a donor site that is well tolerated and treated. We analysed 7 cases that were treated with the Instep flap due to soft-tissue defects over these regions from July of 1990 to July of 1993. All flaps were viable and successful at follow-up. 1. The age ranged from 9 years to 60 years, and 6 cases were male and 1 case female. 2. The sites of soft-tissue loss were the plantar forefoot(1 case), plantar heel(3 cases), Achilles tendon(2 cases), and distal parts of lower leg(1 case). 3. The causes of soft-tissue loss were simple soft-tissue crushing injury(1 case), crushing injury of the 1st toe(1 case) and posttraumatic infection and necrosis(5 cases). 4. The associated injury were open distal tibio-fibula, fracture(2 cases), medial malleolar fracture of the ankle(1 case), Achilles tendon rupture(2 case) and 1st metatarso-phalangeal disarticulation(1 case). 5. The size of flap was from $3{\times}4cm$ to $5{\times}10cm$(average $4{\times}5.6cm)$. 6. In 7 cases, we were not to find post-operative necrosis and infection, non-viability, limitation of ankle joint, and gait disturbance caused by the Instep flap surgery. 7. This study demonstrates that the Instep flap should be considered as another valuable technique in reconstruction of these regions.
한정수,정덕환,박광희,김환진,Han, Chung-Soo,Chung, Duke-Whan,Park, Kwang-Hee,Kim, Hwan-Jin 대한근골격종양학회 2012 대한골관절종양학회지 Vol.18 No.1
Glomus tumor is a kind of vascular tumor that arises from the glomus body, which regulates skin temperature and is placed in the skin and the subcutaneous area. It is a benign tumor that usually presents in the subungal area. It is relatively common in areas other than the fingers, but its occurrence in peripheral nerves is known to be comparatively rare. We report our experience with a case of glomus tumor arising from the brachial plexus, a rare site of occurrence for glomus tumors. 사구종은 피부와 피하 인접부위에 위치하는 피부의 온도를 조절하는 사구체에서 발생하는 혈관종의 일종으로 대개 조갑하 부위에서 발생하는 양성 종양이다. 수지 이외의 부위에서 발생하는 경우가 상대적으로 흔하나 말초 신경에서 생기는 경우는 비교적 드문 것으로 알려져 있다. 본 교실에서는 일반적으로 호발하는 부위가 아닌 상완신경총에서 발생한 사구종 1예를 경험하였기에 이에 대해 보고하고자 한다.
척추 유합술 후 발생한 독성 쇽 증후군 : 1례 보고 A Case Report
김기택,정덕환,한정수,이용걸,홍규표,박재영 대한척추외과학회 1999 대한척추외과학회지 Vol.6 No.1
연구계획 : 척추 유합술 후에 독성 쇽 증후군이 발병하여 사망하였던 1례를 분석하였다. 연구목적 : 정형외과 의사들에게 정형외과 영역의 수술 후에 창상 감염의 소견 없이도 발병할 수 있는 독성 쇽 증후군에 대한 주의를 환가시키기 위함이다. 대상 및 방법 : 교통사고로 수상하여 제 12흉추 방출성 골절, 우측 혈흉, 좌측 요골 원위부 골절 진단 하에 입원하였던 27세 여자 환자에게 혈흉이 완해되기를 기다렸다가 수상 후 3주째에 척추경 나사못 기기를 이용한 척추 유합술을 시행하였다. 수술기간 중 환자는 생리 중이었으며, 일반 생리대와 탐폰을 병용하였다. 술 후 8일째에 권태감, 오한, 구역, 구토 증세와 함께 39.3 ℃ 이상의 고열이 시작되었으며, 소변 검사에서 백혈구가 다수 나오는 소견 외에는 모두 정상의 검사 소견을 보였고, 수술 창상도 전혀 감염의 소견이 없었다. 결과 : 환자의 상태는 점차 악화되어 술후 10일째에 사망하였다. 결론 : 저자들은 척추 유합술 후에 독성 쇽 증후군으로 사망한 예를 경험하여, 임상적인 창상 감염의 소견없이도 독소를 생산하는 균주의 감염에 의한 독성 쇽 증후군의 병발 가능성에 대한 주의를 환기시키기 위하여 증례 보고하는 바이다. Study Design : A retrospective analysis of the fatal case who had toxic shock syndrome after spinal fusion. Objectives : To call orthopaedic surgeon’s attention to that toxic shock syndrome may be present despite the absence of clinically apparent infection after orthopaedic surgery. Summary of Literature Review : Toxic shock syndrome is an acute febrile illness with severe multisystem derangement and the rate of fatality is 10 to 15 percents. It develops most commonly in young women, and is usually associated with menstruating women who use tampons. Orthopaedic procedures have not been considered as risk factor of toxic shock syndrome, and there have been few reports of toxic shock syndrome associated with bone manipulation and implants. Materials and Methods : A twenty-seven-year-old woman who was admitted for T12 bursting fracture, right hemothorax, and left distal radius fracture from traffic accident. After resolving of hemothorax, she recieved spinal fusion with pedicle screw instrumentation on three weeks after trauma. At perioperative period, she was in menstrual period and used the tampons. In the evening of the eighth postoperative day, the patient had a temperature elevated up to 39.3℃, accompanied with malaise, chills, nausea, vomiting, and dehydration. Laboratory evaluation revealed pyuria on urinalysis, but the others were unremakable. The surgical wound had an entirely benign appearance without erythema, fluctuation, and drainage. Results : The patient continued to do poorly, and then she died at ten days after the surgery. Conclusions : We report a fatal case with toxic shock syndrome after spinal surgery, and also serve to remind orthopaedic surgeons that toxin-producing organisms may be present despite the absence of surgical wound infection.