• Journal of Trauma and Injury
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• 제28권4호
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• pp.280-283
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• 2015

The adolescent Tillaux fracture is an avulsion fracture of the anterolateral corner of the distal tibial epiphysis caused by external rotation of the foot. This type of fracture occurs during epiphyseal fusion in adolescence. A difficult to detect Tillaux fracture was discovered on a preoperative radiograph, such fractures have rarely been reported to accompany a predominantly adult-type ankle fracture. Especially, to the best of our knowledge, no case of a trimalleolar ankle fracture in an adolescent with a Tillaux fracture has been reported. Thus, we present a case of a trimalleolar ankle fracture in a 15-year-old adolescent with a Tillaux fracture who was successfully treated surgically.

• Archives of Reconstructive Microsurgery
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• 제16권2호
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• pp.100-107
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• 2007

Treatment of giant cell tumor of distal radius can be treated in several ways according to the aggressiveness of the tumor. But the management of giant cell tumor involving juxta-articular portion has always been a difficult problem. In some giant cell tumors with bony destruction, a wide segmental resection may be needed for preventing to recur. But a main problem is preserving of bony continuity in bony defect as well as preservation of joint function. We have attempted to overcome these problems by using a microvascular technique to transfer the fibula with peroneal vascular pedicle or anterior tibial vessel as living bone graft. From April 1984 to July 2005, we performed the reconstruction of wide bone defect after segmental resection of giant cell tumor in 14 cases, using Vascularized Fibular Graft, which occur at the distal radius. VFG with peroneal vascular pedicle was in 8 cases and anterior tibial vessel was 6 cases. Recipient artery was radial artery in all cases. Method of connection was end to end anastomosis in 11 cases, and end to side in 3 cases. An average follow-up was 6 years 6 months, average bone defect after wide segmental resection of lesion was 6.8 cm. All cases revealed good bony union in average 6.5 months, and we got the wide range of motion of wrist joint without recurrence and serious complications. Grafted bone was all alive. In functional analysis, there was good in 7 cases, fair in 4 cases and bad in 1 case. Pain was decreased in all cases but there was nearly normal joint in only 4 cases. Vascularized fibular graft around wrist joint provided good functional restoration without local recurrence.

• 대한골관절종양학회지
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• 제20권2호
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• pp.89-93
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• 2014

투명세포연골육종은 매우 드문 골종양으로 장골의 골단이나 골간단에 발생한다. 많은 연구에서 대퇴골의 근위부를 가장 흔하게 발생하는 부위로 보고하였고, 상완골의 근위부가 그 다음으로많이 보고되었다. 조직학적으로 이 종류의 종양 세포들은 투명한 세포질과 뚜렷한 세포질막과 함께 중심성으로 위치하는 둥근 핵소체를 가지고 있다. 일반적으로 투명세포연골육종은 고식적인 연골육종과 혼동되지 않는다. 하지만, 방사선학적으로 장골의 간부에 발생한 경우 진단이 어려우며, 이전 문헌을 통하여 단 3례만이 보고된 바 있다. 저자들은 이전에 보고된 바 없는 42세 남자 환자의 경골 간부에서 발생된 투명세포연골육종을 보고하고자 한다.