1.Functional Recovery after Operative Treatment of Hip Fractures in the Elderly.
Won Young SHON ; Jeong Ho PARK ; Ki Hoon KIL ; Seung Ju JEON ; Seung Woo SUH
The Journal of the Korean Orthopaedic Association 1998;33(4):968-973
The goal of fracture treatment is to restore the patient to pre-injury function level. But the outcome assessment after orthopedic interventions has usually focused on physician-defined parameters of technical success, such as fracture union, alignment and range of motion rather than patient function and quality of life. However, the correlation among improvements in these parameters and functional status, psychosocial well being is inconsistent and weak in the elderly. Therefore authors assessed the functional status after surgical intervention of hip fractures in the elderly with functional recovery score(FRS). Independence in basic activities of daily living, in instrumental activities of daily living, in mobility, freedom from pain and intact memory were assessed in 133 hip fractures in the elderly. The hip fractures in the elderly resulted in 24.8% loss of function after the first year. The older the age, the more the loss of function after surgery of hip fractures. The more functional loss was observed in female patients and in patients with poor postoperative radiological results, but statistically insignificant (P>0.05). The more functional loss was observed in patients with underlying medical disease preoperatively and it was statistically significant (P<0.05). We recommend the evaluation of functional status in the elderly after hip fractures.
Activities of Daily Living
;
Aged*
;
Female
;
Freedom
;
Hip Fractures*
;
Hip*
;
Humans
;
Memory
;
Orthopedics
;
Quality of Life
;
Range of Motion, Articular
2.The Changes of Anterior Displacement in Combined ACL / MCL Injured Knee after MCL Healing.
Hyoung Soo KIM ; Seung Rim PARK ; Joon Soon KANG ; Woo Hyeong LEE ; Seung Hoon YEOUM
The Journal of the Korean Orthopaedic Association 1998;33(4):1016-1024
The medial collateral ligament(MCL) of the knee is the well established secondary restraint to the anterior displacement of the knee joint. However, there has been no report about the estimation of the anterior displacement in combined ACL(anterior collateral ligament) and MCL injures according to period when they were treated with conservative measures. This prospective study evaluated the changes of anterior displacement over time in combined ACL/MCL injury as the MCL injury heals after initial conservative measures. 19 patients who had combined ACL/MCL injury were followed during twelve months after injury. All patient had a positive Lachman test and were evaluated the side to side differences on KT-2000 knee arthrometer(Medmetric, San Diego, California) testing under 20 Ibs anterior tibial loading at 30 degree knee flexion. The stability of the knee was assessed using KT-2000 knee arthrometer every 8 weeks with clinical examination prospectively. They were treated with CI (Combined instability) brace (Smith & Nephew, Carlsbad, California) as conservative measures. Overall, Initial side to side difference of the anterior displacement was averaged 5.21mm (range,4.0-7.0mm) and 3.30mm (range,2.0-5.5mm) finally. According to the classification of MCL injury, in Grade III groups, they had the greatest initial anterior displacement about 6.4mm, but tight- ened the most to 3.08mm finally. In Grade II and Grade I groups they showed 2.97mm and 2.13mm side to side difference (p>0.01). However in Grade I, the anterior displacement were decreased by 4 months after injury but, it were increased at 6 months after injury. In Grade II and III, the decrement of the anterior displacement were continued by 6 months after injury, but they were not changed after that. The data was analyzed by General Linear Model Procedure method. Conclusively, the anterior displacement of knee in patients with combined ACL/MCL injury was diminished with the time in the majority of patients as the MCL healed. It means that the MCL was the stabilizer to the anterior displacement of the knee under the anterior tibial loading.
Braces
;
Classification
;
Humans
;
Knee Joint
;
Knee*
;
Linear Models
;
Prospective Studies
3.A Clinical Study of 40 Patients with Tsutsugamushi Disease in Chungcheung Province.
Jong Seung LEE ; Jeung Hoon LEE ; Jang Kyu PARK ; Sun Young KIM ; Woo Hyun CHANG
Korean Journal of Dermatology 1989;27(3):272-282
Forty patients(9 male and 31 female) with tsutsugamushi disease were evaluated clinically. The diagnosis of tsutsugamushi disease was confirmed by indirect immunofluoresent test or isolation of causative agent. More than 77% of patients were over 40 years of age. After the incubation period(5 to 13 days, average 8 days) symptoms developed suddenly. The frequent symtoms were fever(100%), chill(100%), headache(100%), rnalaise(97%), and myalgia(95%). On physical exammination the rash, eschar, and lymphadenopathy were found in 97%, 82%, and 67% respectively. Eschar was observed in the trunk, especially axillary, abdominal and inguinal area. Serum transarninase(SGOT snd SGPT) was elevated(89 and 87%). Urinalysis revealed proteinuria in 35%(12/34) and hematuria in 19%(7/36). Chest roentgram and ECG demonstrated abnormalities in 39%(14/36) and 73%(26/36) respectively, The treatment with doxycycline was very effective in all cases.
Diagnosis
;
Doxycycline
;
Electrocardiography
;
Exanthema
;
Hematuria
;
Humans
;
Lymphatic Diseases
;
Male
;
Proteinuria
;
Scrub Typhus*
;
Thorax
;
Urinalysis
4.Measurement of Normal Corpus Callosum with MRI in Korean Adults and Morphological Change of Corpus Callosum by Grade of Hydrocephalus.
Jong Deok KIM ; Dong Hoon SONG ; Tchoong Kie EUN ; Dong Woo PARK ; Seung Kuk CHANG
Journal of the Korean Radiological Society 1995;33(3):339-343
PURPOSE: To measure the size of normal corpus callosum in each portion using objective and reproducible method with MRI and evaluation of morphological change of corpus callosum by grade of hydrocephalus. MATERIALS AND METHODS: Midsagittal Tl-weighted MR imaging of the corpus callosum was investigated in 41 volunteers of normal Korean adults and 19 patients with hydrocephalus. Corpus callosum was measured for the anteroposterior length(A), height(B), and the thickness of genu(C), body (D), splenium(E), and the narrowest portion of body(F). And the analysis of morphology and signal intensity of the corpus callosum were also evaluated. Hydrocephalus was graded as mild, moderate, and severe, and comparision of thickness with normal corpus callosum in each portion was done. RESULTS: The mean length and height were 72.3mm, 28.6mm in male, and 70.7ram, 28.9mm in female. And the mean dimention for C, D, E, and F were 13.1 ram, 8ram, 13.2mm, 5.2ram in male, and 12.8mm, 7.5ram, 12.3 ram, 5mm in female. The morphology of normal corpus callosum was "hook" shaped on midline sagittal Tl-weighted image. Narrowing at posterior third portion of body were present on 30 cases(73.2%) and even in thickness of the body in 11 cases(26.8%). The signal intensity of the corpus callosum on midsagittal Tl-weighted spin echo image of normal cases was homogeneous hyperintense as compared with cerebral gray matter. In hydrocephalus, A and B were increased and other portions were decreased in thickhess. Genu and the narrowest portion of body showed significant difference of thickness according to the grade of hydrocephalus. CONCLUSION: The mean dimention of all portion of corpus callosum were larger in male than female except for callosal height but not significant statistically with the exception of splenium. Hydrocephalus lead to morphological change of the corpus callosum. Among the portion of corpus callosum, genu and the narrowest portion of the body were thought to be the most sensitive indicators of degree in hydrocephalus.
Adult*
;
Corpus Callosum*
;
Female
;
Humans
;
Hydrocephalus*
;
Magnetic Resonance Imaging*
;
Male
;
Volunteers
5.Buccinator Myomucosal Flap for Treatment of Osteoradionecrosis of the Mandible.
Clinical and Experimental Otorhinolaryngology 2016;9(1):85-88
The use of a myomucosal flap from the buccinator muscle is a valuable reconstruction method for intraoral defects. In this paper, we report the clinical advantages of using a buccinator myomucosal flap for the treatment of partial mandibular defects caused by osteoradionecrosis. We implemented a buccinator myomucosal flap for the reconstruction of a partial mandibular defect in a 55-year-old man with tonsil cancer and partial mandibular defects caused by osteoradionecrosis. The total operating time was 90 minutes. Twelve months after the reconstruction, the patient remains free of disease. A buccinator myomucosal flap can be used for the reconstruction of partial mandibular defects caused by osteoradionecrosis. It is a reliable method for reconstructing small mandibular defects.
Humans
;
Mandible*
;
Mandibular Reconstruction
;
Middle Aged
;
Myocutaneous Flap
;
Osteoradionecrosis*
;
Reconstructive Surgical Procedures
;
Tonsillar Neoplasms
6.Endoscopic-Assisted Total Thyroidectomy via Lateral Keloid Scar Incision.
Clinical and Experimental Otorhinolaryngology 2014;7(4):338-341
Thyroidectomy is traditionally performed by the transcervical approach. To avoid or reduce visible scarring, diverse innovative surgical trials have been reported. Here we report a patient who underwent endoscopic thyroidectomy via a lateral keloid scar due to a previous traffic accident. A 30-year-old woman presented with a papillary thyroid carcinoma. Total thyroidectomy was performed via a keloid scar incision. The keloid scar was then revised. The total thyroidectomy was successful, resulting in no acute complications, such as neural injury, hematoma, or seroma formation. The keloid scar healed with excellent cosmetic results and the patient remains free of disease 12 months after excision. Endoscopic total thyroidectomy via a lateral keloid scar incision healed not only the physical disease but also the mental disease.
Accidents, Traffic
;
Adult
;
Cicatrix*
;
Endoscopes
;
Female
;
Hematoma
;
Humans
;
Keloid*
;
Seroma
;
Thyroid Gland
;
Thyroid Neoplasms
;
Thyroidectomy*
;
Wound Healing
7.Percutaneous Vertebroplasty in Spinal Metastasis and Myeloma:25 Cases Experience.
Woo Min PARK ; Jee Soo JANG ; Chang Hun RHEE ; Ho Shin GWAK ; Seung Hoon LEE
Journal of Korean Neurosurgical Society 2000;29(11):1484-1490
No abstract available.
Neoplasm Metastasis*
;
Vertebroplasty*
8.Transoral Thyroglossal Duct Cyst Excision.
International Journal of Thyroidology 2016;9(2):131-136
A thyroglossal duct cyst (TGDC) is one of the most common causes of anterior midline neck mass. Successful management of a TGDC requires histopathology and an understanding of the embryogenesis of the thyroid. Traditional TGDC surgery uses a transcervical approach, which results in an external neck scar. In contrast to the surgical removal of a benign neck mass, TGDC surgery should include removal of the cyst, the hyoid bone, and the thyroid remnant track from the foramen cecum to the hyoid bone. Considering the embryological development of the TGDC, it was evident to us that an entirely transoral approach to the TGDC region was an option. Before its descent, the TGDC originates from the bottom of the tongue. The TGDC is located behind the strap muscles of the neck and the hyoid bone. Following this naturally predetermined access alongside the TGDC, we were able to develop a new surgical approach to the TGDC area and introduced the transoral TGDC excision.
Cecum
;
Cicatrix
;
Embryonic Development
;
Female
;
Hyoid Bone
;
Muscles
;
Neck
;
Pregnancy
;
Thyroglossal Cyst*
;
Thyroid Gland
;
Tongue
9.Transoral Thyroglossal Duct Cyst Excision.
International Journal of Thyroidology 2016;9(2):131-136
A thyroglossal duct cyst (TGDC) is one of the most common causes of anterior midline neck mass. Successful management of a TGDC requires histopathology and an understanding of the embryogenesis of the thyroid. Traditional TGDC surgery uses a transcervical approach, which results in an external neck scar. In contrast to the surgical removal of a benign neck mass, TGDC surgery should include removal of the cyst, the hyoid bone, and the thyroid remnant track from the foramen cecum to the hyoid bone. Considering the embryological development of the TGDC, it was evident to us that an entirely transoral approach to the TGDC region was an option. Before its descent, the TGDC originates from the bottom of the tongue. The TGDC is located behind the strap muscles of the neck and the hyoid bone. Following this naturally predetermined access alongside the TGDC, we were able to develop a new surgical approach to the TGDC area and introduced the transoral TGDC excision.
Cecum
;
Cicatrix
;
Embryonic Development
;
Female
;
Hyoid Bone
;
Muscles
;
Neck
;
Pregnancy
;
Thyroglossal Cyst*
;
Thyroid Gland
;
Tongue
10.Morton Neuroma in a Patient with Rheumatoid Arthritis.
Yeon Ah LEE ; Doo Hyun WOO ; Sang Hoon LEE ; Seung Jae HONG ; Hyung In YANG
The Journal of the Korean Rheumatism Association 2006;13(4):355-356
No abstract available.
Arthritis, Rheumatoid*
;
Humans
;
Neuroma*