1.Clinical Study on Monteggia Lesion in Adult
The Journal of the Korean Orthopaedic Association 1977;12(4):769-775
10 Monteggia Lesions in adult were treated for about 5 years from 1973 to 1977 at Seoul Red Cross Hospital. Closed reduction of the dislocated Radial Head was adequate in 8 patients of these cases. 6 cases belong to the type I of Bados classification of Monteggia Lesion. In 6 patients who had an open fracture of the Ulna associated with severe soft tissue damage or a fracture of Olecranon, range of motion of the affected elbow were listed as poor. Of the 4 patients on whom open reduction and internal fixation with compression plate only were done, only 3 patients gained satisfactory result. On follow-up(average 11.8 months), pain free full range of motion was observed in only 2 patients. The relationship between the type and the result of treatment was not observed in these cases.
Adult
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Classification
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Clinical Study
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Elbow
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Fractures, Open
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Head
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Humans
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Olecranon Process
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Range of Motion, Articular
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Red Cross
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Seoul
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Ulna
2.Characteristics of Defecation Function Related Quality of Life According to Cancer Location in Colorectal Cancer Survivors
Okimitsu OYAMA ; Dong-Hyuk PARK ; Mi-Kyung LEE ; Ji-yong BYEON ; Eun Byeol LEE ; Jae-Youn CHUNG ; Hye Jeong JUNG ; Jisu PARK ; Taeil KIM ; Sun Ha JEE ; Nam Kyu KIM ; Justin Y JEON
Asian Oncology Nursing 2022;22(4):225-234
Purpose:
The purpose of this study is to explore defecation functions related quality of life (QoL) according to the location of cancer in colorectal cancer survivors.
Methods:
A total of 120 colorectal cancer survivors (67 colon vs. 53 rectum, mean age: 55.3±10.3 years, 46.7% male) who completed treatment were recruited from a tertiary hospital. QoL and defecation function related QoL were surveyed using the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) and EORTC QLQ- colorectal cancer specific core (CR29) questionnaire. Physical activity (PA) levels of participants were surveyed using a global PA questionnaire.
Results:
There was no statistical difference in general QoL according to the location of cancer, but significant differences were observed in defecation function related QoL. When cancer location is closer to the anus, survivors experience more defecation dysfunction, negatively associated with QoL (Hemicolectomy: 67.71±14.07, anterior resection: 92.22±15.18, lower anterior resection: 151.85±17.20, and ultra-low anterior resection: 263.73±42.69).
Conclusion
When location of cancer is closer to the anus, colorectal survivors experience significantly more defecation dysfunction and poorer QoL. Strategies to reduce defecation dysfunction according to the location of cancer among colorectal cancer patients should be developed.
3.Dynamic Fixation versus Static Screw Fixation for Syndesmosis Injuries in Pronation External Rotation Ankle Fractures: A Retrospective Case Control Study
Lim CM ; Choi SW ; Kim BS ; Lee SJ ; Kang HS
Malaysian Orthopaedic Journal 2023;17(No.3):48-58
Introduction: The current standard treatment for ankle
syndesmosis injury is static screw fixation. Dynamic fixation
was developed to restore the dynamic function of the
syndesmosis. The purpose of this study was to determine that
which of static screw fixation and dynamic fixation is better
for treatment of ankle syndesmosis injury in pronationexternal rotation fractures.
Materials and methods: Thirty patients were treated with
dynamic fixation (DF group) and 28 patients with static
screw fixation (SF group). The primary outcome was
Olerud–Molander Ankle Outcome Score. The secondary
outcome were Visual Analogue Scale score and American
Orthopedic Foot and Ankle Society score, radiographic
outcomes, complications and cost effectiveness. To evaluate
the radiographic outcome, the tibiofibular clear space,
tibiofibular overlap, and medial clear space were compared
using the pre-operative and last follow-up plain radiographs.
To evaluate the cost effectiveness, the total hospital cost was
compared between the two groups
Results: There was no significant difference in primary
outcome. Moreover, there were no significant difference in
secondary outcome including Visual Analogue Scale score
and American Orthopedic Foot and Ankle Society score and
radiographic outcome. Two cases of reduction loss and four
cases of screw breakage were observed in the SF group. No
complication in the DF group was observed. Dynamic
fixation was more cost effective than static screw fixation
with respect to the total hospital cost.
Conclusion: Although dynamic fixation provided similar
clinical and radiologic outcome, dynamic fixation is more
cost effective with fewer complications than static screw
fixation in ankle syndesmosis injury of pronation-external
rotation fractures.