• Clinics in Shoulder and Elbow
• /
• 제19권1호
• /
• pp.33-38
• /
• 2016

Background: This study was conducted to evaluate the surgical outcomes of plate fixation using autologous iliac bone graft shaped in the form of a matchstick in clavicle nonunion resulting from prior surgical or non-surgical management. Methods: From May 2005 to February 2013, 17 patients underwent surgery for clavicle nonunion. The mean age at the time of surgery was 48.8 years. The iliac bone was harvested and shaped into slivers approximately 3 cm long, which resembled matchsticks. After opening of the medullary canal, the plate and screws were applied and cancellous bone was placed at the nonunion site. Matchstick bone grafts which were longitudinally placed and encircled on the nonunion site were tied with periosteum using 3-4 stitches. Union was determined via postoperative plane X-ray. Clinical status was evaluated using the visual analogue scale score for pain, and Constant and American Shoulder Elbow Surgeon score. Results: All patients had a stable radiological union at the follow-up. The mean duration from index operation to nonunion operation was 13.2 months (7-32 months). The mean follow-up period was 20.1 months (8-56 months), and the mean duration until union was 11.2 weeks (8-16 weeks). All clinical scores were improved at the final follow-up (p<0.001). The mean segmental defect was $3.3{\pm}2.6mm$ (1-18 mm); and the difference in clavicular length between operative and non-operative site was $5.9{\pm}6.9mm$. Conclusions: Matchstick shaped autologous iliac bone grafting technique in clavicle nonunion is acceptable with a high union rate.

• 한국화재소방학회논문지
• /
• 제34권2호
• /
• pp.94-96
• /
• 2020

2013년 11월 한국의 농촌 주택에서 발생한 여성 신체의 지속적인 연소 사례가 제시된다. 여성의 신체 중 무릎에서 목 부분까지는 거의 완전하게 소각되었고 머리, 팔, 무릎 아래의 다리 및 발은 거의 연소되지 않은 상태로 발견되었다. 외부 점화원으로는 성냥에 의한 불씨가 가장 유력했다. 거실 바닥에서 발견된 할머니만 주로 연소되었으며, 주택 안에 있는 다른 사물들은 검갈색의 기름이 묻은 것처럼 또는 기름으로 코팅된 것처럼 보였으며 사실상 거의 연소되지 않았다. 변사자의 타지 않은 의류 및 양말에서 인화성 물질이 검출되지 않았으며, 근육 조직에서 약독물 성분 또한 확인되지 않았다. 말초 혈액의 혈중일산화탄소-헤모글로빈 농도는 11%, 안방수의 에틸알콜농도는 0.010% 미만이었다. 부검 결과 탄화가 고도로 진행되어 사망원인을 단정하기 어려웠다.