1.Very Long Island Pedicled Sole - fillet Flap for Below - Knee Amputation Stump Reconstruction: 2 Cases Report.
Guen Chang HO ; Dong Chang JUN ; Chang Ju LEE ; Soo Jung CHOI ; Chang Kyun LIM
The Journal of the Korean Orthopaedic Association 1997;32(7):1675-1680
The pedicled fillet flap concept has been successfully applied in both the upper and lower extremities for the treatment of difficult wound. In cases of inevitable extremity amputation, the transfer of pedicled flap from the amputed part is possible. In such substance, it is possible to obtain the pedicled fillet flap from the amputed limb to provide stump coverage. We experienced two cases of below-knee amputation due to severe flame burn which the stump was covered with island pedicled sole-fillet flap.
Amputation Stumps*
;
Amputation*
;
Burns
;
Extremities
;
Knee*
;
Lower Extremity
;
Surgical Flaps
;
Wounds and Injuries
2.Reconstruction of ankle using free vascularized flap from amputated hand: A case report.
Soo Joong CHOI ; Chang Kyun LIM ; Ho Guen CHANG ; Jun Dong CHANG ; Chang Ju LEE
The Journal of the Korean Orthopaedic Association 1998;33(2):484-489
It is indispensable to cover the skin defect when bone or tendon is exposed. In case of inevitable amputation of an extremity, it is possible to harvest a free flap from the amputed limb for providing coverage of the other wound. This technique allows immediate wound coverage without the morbidity of an additional donor site. We experienced an electrical burn case with inevitahle wrist disarticulation and successfully treated soft tissue defect of ankle using free vascularized flap.
Amputation
;
Ankle*
;
Burns
;
Disarticulation
;
Extremities
;
Free Tissue Flaps
;
Hand*
;
Humans
;
Skin
;
Tendons
;
Tissue Donors
;
Wounds and Injuries
;
Wrist
3.A study of patellofemoral pain using computerized tomography.
Jun Dong CHANG ; Chang Ju LEE ; Sung Il SHIN ; Jung Chang LEE ; Jong Woo BAE
The Journal of the Korean Orthopaedic Association 1991;26(6):1636-1645
No abstract available.
4.Bone Ingrowth into Harris-Galante Porous-coated Acetabular Cup Retrieved during Revision.
Jun Dong CHANG ; Je Hyun YOO ; Yong Hyuk CHOI ; Chang Ju LEE
Journal of the Korean Hip Society 2006;18(1):12-17
Purpose: To investigate the extent of bone ingrowth into the porous-coated acetabular cups as well as the factors that correlated with bone ingrowth in total hip arthroplasty. Materials and Methods: Thirty six Harris-Galante porous-coated acetabular cups that were retrieved through revision surgery were examined in this study. Acetabular cups retrieved due to infection or severely destroyed cups (ed note: severe what?) were excluded. The extent of bone ingrowth into the acetabular cups was grossly measured, and its correlation with the variables including age, gender, weight, height, the duration of fixation, size, number of screws, inclination and anteversion was statistically analyzed. Results: The mean proportion of bone ingrowth was 52.9 21.9%(2~90%) and less than 30% in three cups(8.3%). The pattern and the location of bone ingrowth were not consistent. There was no correlation between the extent of bone ingrowth and age, gender, weight, height, the duration of fixation, cup size, number of screws, size, inclination and anteversion. Conclusion: Harris-Galante porous-coated acetabular cups showed satisfactory bone ingrowth regardless of the variables associated with the demographic or surgical conditions. Surface treatments with a fiber-metal porouscoating appears to be suitable for cementless acetabular cups in terms of the long term results.
Acetabulum*
;
Arthroplasty, Replacement, Hip
5.Cementless Total Hip Arthroplasty for Avascular Necrosis of the Femoral Head: The influence of the extent of involvement in outcome.
Jun Dong CHANG ; Young Ho LEE ; Soo Jung CHOI ; Ho Guen CHANG ; Won Ho CHO ; Chang Ju LEE
The Journal of the Korean Orthopaedic Association 1997;32(2):243-254
The purpose of this study is to evaluate the influence of the extent of involvement in the results of cementless THA in patients with idiopathic AVN of the femoral head. We reviewed 70 hips (52 patients) who had undergone cementless THA for idiopathic AVN of the femoral head. Anatomic femoral components were used in 43 hips and Harris Galante porous prosthesis were employed in 27 cases. The hips were classified according to International Classification (Association Research Circulation Osseous). The length of the follow-up period ranged from 3 to 5 years (average 53.5 months). Preoperative and postoperative clinical documentation and radiographs were evaluated. Statistical analysis was performed on the results of three analysis groups (Group A, comparison of results among Stage IIIA, IIIB, IIIC, and IV; Group B, between stage III and IV; Group C, between IIIA+IIIB and IIIC + IV). Of the 70 hips in the present study, there were 47 hips in stage III (IIIA, 15; IIIB, 19; IIIC, 13) and 23 hips in stage IV. The average postoperative Harris hip score at the time of study was 91.5 (Analysis Group C, p=.009). Femoral subsidence of more than 5 mm occurred in 5 hips (7.1%). Two hips were in Stage IIIC and three hips were in Stage IV (Group C, p=.024). The hips lower than -10 on Engh's index were present in one hip in Stage IIIC and three hips in Stage IV (Group C, p=.011). This study demonstrated that the clinical and radiological results of cementless THA were poor when the extent of involvement was greater or in the case of late stage subjects, particularly those above IIIC (p<05), with avascular necrosis of the femoral head.
Arthroplasty, Replacement, Hip*
;
Classification
;
Follow-Up Studies
;
Head*
;
Hip
;
Humans
;
Necrosis*
;
Prostheses and Implants
6.A case of ulcerative colitis.
Byung Mun LEE ; Se Ook OH ; Se Chang HAM ; Hee Ju JUN ; Hee Ju PARK ; Chan Yung KIM
Journal of the Korean Pediatric Society 1992;35(9):1307-1313
No abstract available.
Colitis, Ulcerative*
;
Ulcer*
7.A Case of Zoster Duplex Bilateralis.
Bong Ju SHIN ; Joo Hyun SHIM ; Seong Jun SEO ; Chang Kwun HONG
Annals of Dermatology 2002;14(1):59-62
Herpes zoster involving noncontiguous dual dermatomes is very rare in both immunocompetent and immunocompromised persons. This unique presentation has been referred to as zoster duplex unilateralis or bilateralis, depending whether one or both halves of the body are involved. A 22-year-old woman, who had been treated for acute leukemia, congestive heart failure and chronic disseminated candidiasis, was referred to our department for painful papulovesicular eruptions on the right side of the anterior chest and upper back for 2 days, and the left buttock for 1 day. Tzanck smear revealed multinucleated giant cells with intranuclear inclusion bodies. We report a rare case of zoster duplex bilateralis.
Buttocks
;
Candidiasis
;
Female
;
Giant Cells
;
Heart Failure
;
Herpes Zoster*
;
Humans
;
Intranuclear Inclusion Bodies
;
Leukemia
;
Thorax
;
Young Adult
8.Eosinophilia-Myalgia Syndrome not Associated with the Ingestion of Nutritional Supplements.
Seung Won AHN ; Bong Ju SHIN ; Seong Jun SEO ; Chang Kwun HONG
Annals of Dermatology 2002;14(1):48-50
Eosinophilia-myalgia syndrome(EMS) is a systemic illness that occurred as an epidemic by ingestion of over-the counter L-tryptophan preparation in the United States in October 1989. We report a Korean case of EMS not associated with the ingestion of either L-tryptophan or other nutritional supplements such as lysine and niacin.
Eating*
;
Eosinophilia-Myalgia Syndrome*
;
Lysine
;
Niacin
;
Tryptophan
;
United States
9.A Case of Unilateral Idiopathic Atrophoderma of Pasini and Pierini.
Bong Ju SHIN ; Seung Won AHN ; Seong Jun SEO ; Chang Kwun HONG
Annals of Dermatology 2002;14(1):35-37
Idiopathic atrophoderma of Pasini and Pierini(IAPP) is an uncommon condition of unknown etiology and typically affects persons in the second and third decades of life. IAPP consists of asymptomatic grey to brown depressed lesions with "cliff drop" borders, which are usually bilateral and located on the trunk. A 40-year-old woman visited our department because of unilateral atrophic lesions on the abdomen, right arm, and posterior aspect of right thigh for 20 years. Laboratory evaluations were normal and histologic examination revealed significantly decreased thickness in dermis. We report an unusual case of idiopathic atrophoderma of Pasini and Pierini presenting unilateral distribution.
Abdomen
;
Adult
;
Arm
;
Dermis
;
Female
;
Humans
;
Thigh
10.A Case of Umbilical Omphalomesenteric Duct Polyp.
Chang Geun CHO ; Seung Hyun HONG ; Gil Ju YI ; Hae Jun SONG ; Chil Hwan OH
Korean Journal of Dermatology 1998;36(1):107-110
A umbilical omphalomesenteric duct polyp is the result of incomplete closure of the omphalomesenteric duct, which connects the midgut with the yolk sac of the embryo. It may be associated with underlying embryologic anomalies such as Meckels diverticulum and umbilical enteric fistula, the complications of which may at times be fatal. This rare malformation should be clinically discerned from persistent granulation tissue or pyogenic granuloma. Histologically, it shows a polypoid lesion consisting of ectopic gastrointestinal epithelium with the appearance of gastric, intestinal, or colonic mucosa. We report a case of an umbilical omphalomesenteric duct polyp in an 8-year-old male patient, who had had a bright-red polyp on the umbilicus from the age of 1 month and had not had any other types of underlying abnormalities.
Child
;
Colon
;
Diverticulum
;
Embryonic Structures
;
Epithelium
;
Fistula
;
Granulation Tissue
;
Granuloma, Pyogenic
;
Humans
;
Male
;
Mucous Membrane
;
Polyps*
;
Umbilicus
;
Vitelline Duct*
;
Yolk Sac