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 ; Classification ; Clinical Study ; Elbow ; Fractures, Open ; Head ; Humans ; Olecranon Process ; Range of Motion, Articular ; Red Cross ; Seoul ; Ulna

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.