1.Operative Treatment of the Clavicular Fracture with Reconstruction Plate.
Jae Do KANG ; Kwang Yul KIM ; Hyung Chun KIM ; Gew Hun KANG
The Journal of the Korean Orthopaedic Association 1997;32(1):111-115
It had been reported by many authors that the incidence of delayed or nonunion in fracture of clavicle was higher in open reduction and internal fixation than conservative treatment. The purpose of this study is to verify the gratification of the reconstruction plate in fracture of clavicle which needed internal fixation. From March 1993 to September 1995, 32 clavicular fractures were underwent open reduction and internal fixation with reconstruction plate for the wide gap, soft tissue interposition and comminuted fracture etc. The results were as follows 1. The range of motion of the shoulder was returned to normal range within 1.5 weeks except one case who had brachial plexus injury. 2. All cases had bony union. Average time to clinical union was 2.9 weeks and the bony union 7.8 weeks. 3. By functional evaluation of shoulder by Weitzman, final results were excellent in 27, good in 4 and fair in l. 4.Fixation and maintenance of clavicular fragment by reconstruction plate was recommendable for wide separated, soft tissue interposed, comminuted fracture of the clavicle. We concluded that reconstruction plate in fracture of clavicle could be recommended as one of the device for internal fixation.
Brachial Plexus
;
Clavicle
;
Fractures, Comminuted
;
Incidence
;
Range of Motion, Articular
;
Reference Values
;
Shoulder
2.A Case of Proliferating Trichilemmal Tumor.
Soo Il CHUN ; Hyung Joo KIM ; Won Hyoung KANG ; Tai Seung KIM
Korean Journal of Dermatology 1985;23(4):539-542
Proliferating trichilernmal tumor is a rare benign solitary tumor that may be histopathologically misinterpreted as squarnous cell carcinoma. It affects frequently the scalp of elderly women. We present herein a case of proliferating trichilemmal tumor in an 87-year-old male who had had a slowly growing tumor on the scalp for 30 years.
Aged
;
Aged, 80 and over
;
Female
;
Humans
;
Male
;
Scalp
3.Flexibility and Graf.
Jae Do KANG ; Kwang Yul KIM ; Hyung Chun KIM ; Kyung Chil JUNG ; Ho Seob YOO
Journal of Korean Society of Spine Surgery 1997;4(2):265-272
STUDY DESIGN: The lumbar segmental motions were analysed in asymptomatic volunteers. OBJECTIVES: To obtain normative data on flexibility and Graf's instability degree in sagittal plan of the normal lumbar spine. SUMMARY OF LITERATURE REVIEW: Although several clinical and radiological measurement tech niques are available, little is known about the normal range of lumbar spine motion. As a consequence, the diagnostic evaluation of radiographs are frequently based on subject opinions rather than object reality. MATERIALS AND METHODS: The authors have checked lumbar flexion-extension Yiews of 95asymptomatic volunteers who were divided into 5 groups by the age, and then their flexibility and Graf's instability degree were calculated by Graf's method with using Graf/Bar Mark II(digitalizing table) and personal computer program(RachisR). Evaluation of the sexual difference and comparison of the difference of each age group in spine level were done RESULTS: 1. There were significant differences in flexibility among age groups(p<0.05) and highest flexibility was observed in group 1 (age: 15-19yrs) and 15-19 segment 2. Flexibility was not different between male and female(p>0.05). 3. Graf's instability degree was not different among 5 age groups(p>0.05), and between male and female(p>0.05). 4. The mean Craf's instability degree was below 8o in L2-3, L3-4, and L4-5 segment, but above 8 in L5-S1 segment(male: 11.62+/-9.27 , female. 11.11+/-8.70). CONCLUSIONS: Although we observed small subjects, these results are the basic steps toward more objective and careful interpretation of flexibilty and Graf's instability degree.
Female
;
Humans
;
Male
;
Microcomputers
;
Pliability*
;
Reference Values
;
Spine
;
Volunteers
4.Meralgia Paresthetica Secondary to soft Tissue tuberculosis: a case report.
Jae Do KANG ; Kwang Yul KIM ; Hyung Chun KIM ; Ho Seob YOO
The Journal of the Korean Orthopaedic Association 1997;32(3):647-652
Meralgia paresthetica is a syndrome of pain or dysesthesia, or both, of the anterolateral thigh caused by entrapment or metabolic neuropathy of the lateral femoral cutaneous nerve. Many cases of meralgia paresthetica have been presented for a century. We have experienced a case of meralgia paresthetica which was misdiagnosed as lumbar radicu- lopathy at other hospital, of a 53-year-old man who had developed painful paresthesia and dysesthe- sia of the anterolateral thigh caused by soft tissue tuberculosis of oblique abdominal muscles just proximal to the lateral inguinal ligament where the lateral femoral cutaneous nerve passes. We report a case of unilateral meralgia paresthetica secondary to soft tissue tuberculosis with review of literatures because it has not previously been reported.
Abdominal Muscles
;
Humans
;
Ligaments
;
Middle Aged
;
Paresthesia
;
Thigh
;
Tuberculosis*
5.Treatment of the Open Tibial shaft Fracture using Unreamed Intramedullary Nailing
Jae Do KANG ; Kwang Yul KIM ; Jung Ha PARK ; Hyung Chun KIM
The Journal of the Korean Orthopaedic Association 1995;30(3):725-731
We have treated the open tibia shaft fractures, especially Gustilo type II, with unreamed interlocking intramedullary nail. In cases combined with soft tissue damage around fracture site, maintaining rigid internal fixation and preserving endoosteal blood supply is important in union of fracture and soft tissue healing. We have analyzed 18 cases of Gustilo type II open tibial shaft fractures managed with intramedullary nailing without reaming since 1991, the follow-up period was average 22 months. Most of the fractures were the result of moderate to high-energy trauma. In all 18 cases, nails were inserted via closed method. Static interlocking nailing was used in all cases. In 16 cases, union of the fracture was achieved from 16 to 25 weeks(average 23 weeks). In the other 2 cases, union was achieved in 7 months. There was no serious postoperative complication except one skin infection with skin defect managed by skin flap and one failure of the interlocking screw. These results are comparable with those obtained from other forms of fixation, including immobilization with a cast, reamed intramedullary nailing, and external fixation.
Follow-Up Studies
;
Fracture Fixation, Intramedullary
;
Immobilization
;
Methods
;
Postoperative Complications
;
Skin
;
Tibia
6.Reciprocal ST-segment depression in acute inferior myocardial infarction : Possible indicator of concomitant left anterior descending coronary artery stenosis.
Jeong Gwan CHO ; Young Keun AHN ; Joo Hyung PARK ; Myung Ho JEONG ; Jong Chun PARK ; Jung Chaee KANG
Korean Circulation Journal 1993;23(3):350-355
BACKGROUND: Reciprocal ST-segment depression in precordial leads is a common finding in acute inferior myocardial infarction. The responsible mechanism and the significance of this finding, however, are still controversial. METHODS: Clinical characteristics, serial eletrocardiograms, angiographic findings of coronary artery and left ventricle were reviewed in 33 patients with acute inferior myocardial infarction. Reciprocal ST-segment depression was defined as ST-segment depression > or =1.0mm in two or more adjacent chest leads, I and aVL in patients with acute inferior myocardial infarction showing ST-segment elevation in II, III, aVF. Coronary angiography and left ventriculography were performed 15,2+/-16.9 hours after arrival. RESULTS: Eleven patients did not have reciprocal ST-segment depression(group A) and 22 patients had reciprocal ST-segment depression(group B). There was no significant difference in the demographic data of the patients except age and peak CK-MB, which were significantly higher in group B than group A. Left anterior descending coronary artery(LAD) stenosis was significantly more frequent in group B than group A(54.5% vs 18.2%, p<0.05). However the distribution of left ventricular regional wall motion abnormality and global ejection fraction showed no difference between two groups. In addition, there was no difference in in-hospital complications. CONCLUSIONS: These results suggest that reciprocal ST-segment depression in acute inferior myocardial infarction can be explained by anterior ischemia due to concomitant LAD stenosis in some cases, but its clinical significance is limited at least in terms of in-hospital complications.
Constriction, Pathologic
;
Coronary Angiography
;
Coronary Stenosis*
;
Coronary Vessels*
;
Depression*
;
Heart Ventricles
;
Humans
;
Inferior Wall Myocardial Infarction*
;
Ischemia
;
Thorax
7.Disc Excision and Posterior Lumbar Interbody Fusion for Internal Disc Derangement.
Chul Hyung KANG ; Jae Hong CHUN
Journal of Korean Society of Spine Surgery 2001;8(1):62-67
STUDY DESIGN: This study reviewed prospectively 15 patients with chronic persistent low back pain who were treated with disc excision and posterior lumbar interbody fusion(PLIF). Outcomes of treatment were evaluated by a follow-up interview and x-ray studies. OBJECTIVES: To evaluate the efficacy of surgical treatment of patients with chronic persistent low back pain resulting from internal disc derangement (IDD) that does not respond to conservative treatments. SUMMARY OF LITERATURE REVIEW: Chronic persistent low back pain resisting to all known modalities of conservative treatments represents a difficult problem. The efficacy of any specific treatment methods for this group of patients is controversial. MATERIALS AND METHODS: Between 1994 and 2000, 15 patients were treated with disc excision and PLIF at Keimyung University Hospital from 1994 to 2000. The clinical outcomes were evaluated by postoperative follow-up interviews, and the fusion results were evaluated by x-ray studies. RESULTS: All patients responded properly to the follow-up evaluation. 66.6% of the patients had satisfactory results(13.3% excellent, 53.3% good, 26.7% fair, 6.7% poor), and a successful fusion was obtained in all of the patients. CONCLUSION: These results suggest that disc excision and PLIF for IDD patients is effective modality in treatment of IDD.
Follow-Up Studies
;
Humans
;
Low Back Pain
;
Prospective Studies
8.Clinical Efficacy of Trimetazidine(Vastinan(R)) in the Treatment of Stable Angina.
Jung Chaee KANG ; Young Keun AHN ; Joo Hyung PARK ; Myung Ho JEONG ; Jeong Gwan CHO ; Jong Chun PARK
Korean Circulation Journal 1993;23(5):735-740
BACKGROUND: Trimetazidine(Vastinan(R)) is a new antianginal agent of different action mechanism specifically targeted at the metabolic cellular consequences of myocardial ischemia. The clinical efficacy of the Trimetazidine in angina pectoris is still to be defined. METHOD: To determine the antianginal effect of trimetazidine in the treatment of ischemic heart disease, 15 patients with stable angina(12 male, 3 female, mean age : 59.3 years) were studied. In 6 cases as a single agent and in 9 cases as an additive regimen to conventional antianginal medications. Trimetazidine(20mg 3 times daily) was given for 30 days or more to evaluate the clinical effect. Graded exercise tests were carried out before the trial of Trimetazidine and on the 30th day of the treatment period. RESULTS: 1) The number of episodes of anginal attacks decreased from 4.2+/-2.7 to 2.0+/-0.5 a week(p<0.05) after treatment with Trimetazidine. 2) Trimetazidine also significantly increased the duration of total exercise from 12.1+/-4.7 min to 14.5+/-3.3 min(p<0.05), and the time to 1mm ST segment depression from 7.7+/-5.9 min to 11.7+/-5.2 min(p<0.05) on treadmill exercise by modified Bruce protocol. 3) Total workload (METs) and rate pressure double product(heart rate x systolic blood pressure) slightly increased, but the differences were not significant statistically. 4) No serious clinical side effects were observed during the treatment. CONCLUSION: These results suggest that the Trimetazidine is an effective and safe as an antianginal drug in the treatment of stable angina patients as a single agent and as an additive regimen when the patients are refractory to conventional drugs.
Angina Pectoris
;
Angina, Stable*
;
Depression
;
Exercise Test
;
Female
;
Humans
;
Male
;
Myocardial Ischemia
;
Trimetazidine
9.A Case of Congential Atresia of Left Main Coronary Ostium.
Hyung Wook PARK ; Myung Ho JEONG ; Young Keun AHN ; Jeong Gwan CHO ; Jong Chun PARK ; Jung Chaee KANG
Korean Circulation Journal 1998;28(10):1794-1797
Congenital atresia of left main coronary ostium is a rare congenital coronary anomaly. This anomaly was detected during elective coronary angiogram in a 40 year-old female patient with chest pain and exertional dyspnea. Treadmill exercise test demonstrated 2 mm upslope depression of ST segment at stage I and the test was terminated due to chest pain. Myocardial stress SPECT using 201 Tl-dipyridamole showed reversible perfusion defects at anterior, apex and lateral wall. It was impossible to select left coronary artery ostium and right coronary angiogram revealed 30% eccentric stenosis at proximal right coronary artery with grade 3 collateral flow to left anterior descending and circumflex arteries. Operative finding revealed totally occluded left coronary ostium with membrane-like, non-atheromatous tissue similar to aortic wall. The patient was successfully treated with coronary artery bypass grafts (CABG) using left internal mammary artery and great saphenous vein. She underwent follow-up coronary angiogram, which revealed patent grafts, at one year after CABG and no cardiovascular event was observed on 5-year clinical follow-up.
Adult
;
Arteries
;
Chest Pain
;
Constriction, Pathologic
;
Coronary Artery Bypass
;
Coronary Vessels
;
Depression
;
Dyspnea
;
Exercise Test
;
Female
;
Follow-Up Studies
;
Humans
;
Mammary Arteries
;
Perfusion
;
Saphenous Vein
;
Tomography, Emission-Computed, Single-Photon
;
Transplants
10.Coronary angiographic morphology of unstable angina.
Joo Hyung PARK ; Young Keun AHN ; Myung Ho JEONG ; Jung Gwan CHO ; Jong Chun PARK ; Jung Chaee KANG
Korean Journal of Medicine 1993;45(4):446-455
No abstract available.
Angina, Unstable*