• Title/Summary/Keyword: 골절 정복

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The Difference between Short and Long Intramedullary Nailing as the Treatment for Unstable Intertrochanteric Femoral Fracture (AO/OTA 31-A2) in Elderly Patients (고령환자에서 발생한 불안정성 대퇴골 전자간부 골절(AO/OTA 31-A2)의 치료 시 골수강내 금속정의 길이에 따른 추시 결과)

  • Shin, Won Chul;Lee, Eun Sung;Suh, Kuen Tak
    • Journal of the Korean Orthopaedic Association
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    • v.52 no.1
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    • pp.25-32
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    • 2017
  • Purpose: The purpose of this study was to analyze the radiological and clinical outcomes in elderly patients with unstable intertrochanteric femur fractures in accordance with the length of intramedullary nail. Materials and Methods: Between August 2009 and December 2014, a total of 139 patients-older than 65 years of age with AO/OTA classification of 31-A2 unstable intertrochanteric femur fracture-who has been followed-up for at least 1 year after the treatment with internal fixation by using an intramedullary nail were enrolled for this retrospective control study. The subjects were classified into two groups according to the length of intramedullary nail: 106 patients in the short group (group I) and 33 patients in the long group (group II). For radiological assessments, the reduction state, time to union, and implant related complications were examined. The clinical outcomes were assessed by preoperative hemoglobin, operating time, intraoperative bleeding amount, blood transfusion rate, hospitalization period, and Charnley hip pain scoring system at the final follow-up. Results: The postoperative radiographs showed good or acceptable reduction in all cases. The mean time of radiologic bone union was 4.8 months, and there was no difference between the two groups. With respect to surgical time, the group II was found to take longer (57.87 minutes) than the group I (45.65 minutes) (p=0.003). The bleeding amount during surgery of the group II was greater (288.78 ml) than that of the group I (209.90 ml) (p=0.046). The clinical results at the final follow-up were found to be satisfactory in both groups. Conclusion: In cases of good reduction of the fracture from the treatment of unstable intertrochanteric femur fracture accompanying the posteromedial fragment in elderly patients, both groups-long and short intramedullary nails-showed satisfactory radiological and clinical outcomes.

Isolated Fracture Dislocation of the Tarsal Navicular -A case report- (족부 주상골의 단독 골절 탈구 -증례 보고-)

  • Lee, Young-Kuk;Ahn, Won-Il
    • Journal of Korean Foot and Ankle Society
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    • v.3 no.1
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    • pp.58-61
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    • 1999
  • Isolated fracture dislocation of the tarsal navicular bone is extremely rare. The mechanism of injury of this fracture dislocation is known as a horizontal or axial load on plantar flexed foot. Closed or open reduction is recommended for displaced navicular fracture. We report one case of isolated fracture dislocation of the tarsal navicular which was treated with closed reduction and percutaneous K-wire fixation.

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A Case of Transorbital Orbital Floor Fracture Repair Assisted Endonasal Balloon Catheter (비내 풍선 카테터 유도하 경안와 접근법을 이용한 안와 하벽 골절 정복 1예)

  • Kim, Min Joon;Kim, Jung Suk;Park, Tae Jung;Jung, Tae Young
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.276-280
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    • 2018
  • It is important to choose which approaches should be used to correct the fracture if the operation is indication for surgery in patients with orbital floor fracture. Transorbital, transantral, and endonasal approaches are methods for correcting the orbital floor fracture. The approach needs to be considered the location of the fracture, the degree, the severity of the fracture, the least remaining patient's disability, and preference of the surgeon. We report a case of orbital floor fracture using transorbital approach and endonasal catheter ballooning to resolve the limitations of transorbital approach alone.

Irreducible Ankle Fractures by Locked Posterior Malleolar Fragment: Case Report (포착된 후과 골편에 의한 비정복성 족관절 골절: 증례 보고)

  • Kang, Jong-Hoon;Park, Hong-Gi
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.125-130
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    • 2005
  • Irreducible fracture dislocation of the ankle associated with comminuted displaced fracture of posterior malleolus is rare. Locked posterior malleolar fragments interfere with reduction of fibula or talus in ankle fractures. Prompt recognition and appropriate surgical approaches are necessary to achieve anatomical reduction of the ankle fractures.

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RETROMANDIBULAR APPROACH FOR OPEN REDUCTION & INTERNAL FIXATION OF MANDIBULAR CONDYLAR NECK FRACTURE (하악골 과두경부 골절의 정복술 시 retromandibular approach의 유용성에 관한 고찰)

  • Baek, Jin-A
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.6
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    • pp.625-630
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    • 2007
  • Fractures of the mandibular condyle are account for between 26% and 57% of all mandibular fractures. Clinicians should decide how to treat the fractured condyle with many factors considered. Many surgical methods have been developed to reduction of fractured condyle and it' s internal fixation. In open reduction of fractured condylar neck and subcondyle, retromandibular approach offers a safe and effective approach for direct fixation due to easy access and low surgical morbidity.

Treatment of Tibial Condyle Fracture (경골과 골절의 치료)

  • Lee, Dong-Chul;Shon, Oog-Jin;Park, Sung-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.20 no.2
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    • pp.177-186
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    • 2003
  • Background: Clinical and radiological results based on fracture types and associated injuries after the treatment of tibial plateau fracture were evaluated for analyzing prognostic factors. Materials and Methods: From June 1997 to June 2002, 50 cases were followed for at least 1 year. Mean age was 47.4 years, and mean follow period was 30.0 months. Fracture classification was performed by the Schatzker method. Clinical and radiological evaluation were performed by the Porter and Rasmussen method. Evaluation was based on degree of reduction and associated injuries, etc. Results: The most common cause of injury was traffic accident (37 cases, 74%), The common fracture types by Schatzker classification were type II (14 cases) and VI (12 cases). Methods of treatment were screw fixation (15 cases), plate and screw (21 cases), external fixator (5 cases), and conservative treatment (9 cases). The most common associated injuries were ipsilateral fibular fracture (18 cases) and MCL (medial collateral ligament) injury (8 cases). Conclusion: Acceptable results after treatment of tibial plateau fracture were obtained from the anatomical reduction group, non-associated injury group, the young age group, and the early ROM (range of motion) beginning group.

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The treatment of an impacted canine related with a miniplate inserted for mandibular fracture (하악골 골절 치료를 위한 miniplate와 관련된 매복견치의 치험례)

  • Hwang, Sang-Hee;Park, Hyo-Sang;Kwon, Tae-Geon;Nam, Ki-Young;Kim, Jong-Bae
    • The korean journal of orthodontics
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    • v.35 no.2 s.109
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    • pp.148-152
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    • 2005
  • This case report describes the treatment of an impacted tooth in relation to pediatric mandibular fracture. A 10-rear-old girl presented with au impacted mandibular canine related with a miniplate in the left mandibular body area. An ordinary surgical traction ended in failure. Good occlusion was established by removal of the miniplate. It would be considered important to make an exact diagnosis of the cause and remove the mechanical obstruction instantly for successful orthodontic treatment of an impacted tooth.

A Case of Thyroid Cartilage Fracture with Vocal Cord Paralysis (갑상연골 골절로 인한 성대마비의 치험례)

  • 조진규;차창일;안회영;조중생;홍남표
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.14.2-14
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    • 1983
  • Complications and sequelae of the laryngeal trauma are respiratory difficulties, edema or swelling, cellulitis or abscess, fistula, perichondrium and chondritis, chronic laryngeal stenosis, vocal cord paralysis, decannulation difficulty, and impaired voice production etc. Generally, the treatment of laryngeal injuries consists of initial tracheostomy for adequate airway and later surgical intervention for its complications and sequelae. Recently, authors experienced a case of closed laryngeal injury with thyroid cartilage fracture, left vocal cord paralysis, swallowing difficulty and right clavicular fracture owing to automobile accident. With reconstructive surgery for thyroid cartilage fracture, we established an adequate airway, improved swallowing function and better voice production.

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Re-establishment of occlusion after unilateral condylar fracture (편측성 하악 과두 골절 후의 교합 관계 회복)

  • Kim, Yoo-Kyung;Park, Sung-Ho;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • v.37 no.2
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    • pp.110-113
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    • 2012
  • Complications resulting from condylar fracture include occlusal disturbance due to loss of leverage from temporomandibular joint (TMJ). In general, closed reduction with active physical training has been performed, and under favorable circumstances, adaptation occurs in attempt to restore the articulation. The patient in this case report had unilateral condylar fracture accompanied with multiple teeth injuries, but he was left without any dental treatment for 1 mon which led to unrestorable occlusal collapse. Fortunately, delayed surgical repositioning of dislocated maxillary anterior teeth followed by consistent long-term physical training has been proved successful. Normal occlusion and satisfactory remodeling of condyle were obtained on 10 mon follow-up.