1.Open Reduction of Intra-Articular Fractures of the Calaneus through the Lateral Approach
Young Soo BYUN ; Hong Tae KIM ; Bong Hoon PARK ; Jae Koo LEE ; Hyug Su AN
The Journal of the Korean Orthopaedic Association 1994;29(3):764-773
Displaced intra-articular fractures of the calcaneus result in serious and prolonged disability. These injuries continue to pose a therapeutic challange and there remains a great deal of controversy regarding treatment, operative versus nonperative. The lateral approach for open reduction, popularized by Palmer, has been used by many authors, with high percentage of excellent results. We treated 21 displaced intra-articular fractures of the calvaneus in 18 patients by open reduction and internal fixation through the lateral approach from July 1990 to May 1992 and the patients have been followed from 12 to 36 months from the time of their injury. The clinical and radiographic analyses were as follows; 1. The most common cause of injury was falls from a height: 19 fractures in 16 patients(88.8%), Spine fracture was most commonly associated injury : 5 patients (27.8%). 2. Fracture was classified according to classification of Paley and Hall. Eight fractures were tongue type(no comminution 4, with comminution 4), 12 joint depression type(no comminution 8, with comminution 4), and a comminuted type. 3. The average bohler tuber-joint angle was
Accidental Falls
;
Calcaneus
;
Classification
;
Congenital Abnormalities
;
Depression
;
Follow-Up Studies
;
Foot
;
Fractures, Comminuted
;
Heel
;
Humans
;
Hypesthesia
;
Intra-Articular Fractures
;
Joints
;
Osteomyelitis
;
Spine
;
Toes
;
Tongue
;
Transplants
2.A Case of Severe Digoxin Intoxication Treated with Digoxin Immune Fab.
Seong Tak KIM ; Yong Su LIM ; Won Bin PARK ; Jae Hyug WOO ; Jae Ho JANG
Journal of the Korean Society of Emergency Medicine 2014;25(3):323-326
Digoxin is commonly used in treatment of various heart conditions, such as atrial fibrillation, atrial flutter, and sometimes heart failure. The therapeutic range of digoxin is narrow. Therefore, Digoxin toxicity is common. However, severe digoxin intoxication is uncommon. Many cases involving application of Digoxin immune Fab for digoxin intoxication in other countries have been reported. However, no cases have been reported in Korea. We reported on one case, a 34-year-old male with acute and severe digoxin intoxication who was treated with digibind(R). His chief complaint was gastrointestinal symptoms, including nausea and vomiting. Electrocardiography (ECG) showed third degree atrioventricular (AV) block. After an infusion of digibind(R), third degree AV block rhythm was changed to first degree AV block. Nowadays, we can obtain a digoxin antidote from the national poisoning information center. Therefore, we should actively consider application of Digoxin immune Fab in patients with severe digoxin intoxication.
Adult
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Atrial Fibrillation
;
Atrial Flutter
;
Atrioventricular Block
;
Digoxin*
;
Electrocardiography
;
Heart
;
Heart Failure
;
Humans
;
Information Centers
;
Korea
;
Male
;
Nausea
;
Poisoning
;
Vomiting
3.Prognostic Value and Optimal Sampling Time of S-100B Protein for Outcome Prediction in Cardiac Arrest Patients Treated with Therapeutic Hypothermia.
Hyung Seok KIM ; Ho Sung JUNG ; Yong Su LIM ; Jae Hyug WOO ; Jae Ho JANG ; Jee Yong JANG ; Hyuk Jun YANG
Korean Journal of Critical Care Medicine 2014;29(4):304-312
BACKGROUND: The aim of this study was to determine the prognostic value and optimal sampling time of serum S-100B protein for the prediction of poor neurological outcomes in post-cardiac arrest (CA) patients treated with therapeutic hypothermia (TH). METHODS: We prospectively measured serum S100 calcium binding protein beta subunit (S-100B protein) levels 12 times (0-96 hours) after the return of spontaneous circulation (ROSC). The patients were classified into two groups based on cerebral performance category (CPC): the good neurological outcome group (CPC 1-2 at 6 months) and the poor neurological outcome group (CPC 3-5). We compared serial changes and serum S-100B protein levels at each time point between the two groups and performed receiver operating characteristic curve analysis for the prediction of poor neurological outcomes. RESULTS: A total of 40 patients were enrolled in the study. S-100B protein levels peaked at ROSC (0 hour), decreased rapidly to 6 hours and maintained a similar level thereafter. Serum S-100B protein levels in the poor CPC group (n = 22) were significantly higher than in the good CPC group (n = 18) at all time points after ROSC except at 4 hours. The time points with highest area under curve were 24 (0.829) and 36 (0.837) hours. The cut-off value, the sensitivity (24/36 hours) and specificity (24/36 hours) for the prediction of poor CPC at 24 and 48 hours were 0.221/0.249 ug/L, 75/65% and 82.4/94.1%, respectively. CONCLUSIONS: Serum S-100B protein was an early and useful marker for the prediction of poor neurological outcomes in post-CA patients treated with TH and the optimal sampling times were 24 and 36 hours after ROSC.
Area Under Curve
;
Heart Arrest*
;
Humans
;
Hypothermia*
;
Prospective Studies
;
ROC Curve
;
S100 Calcium Binding Protein beta Subunit*
;
Sensitivity and Specificity
4.A Case of Congenital Complete Heart Block of Fetus Associated with Anti - SS - A / Ro Antibodies.
Dong Chul OH ; Jung Yeol HAN ; Yon Ju KIM ; Ji Eun KIM ; Hyun Mee RYU ; Moon Young KIM ; Jae Hyug YANG ; Jee Yeon MIN
Korean Journal of Perinatology 2001;12(3):358-361
No abstract available.
Antibodies*
;
Fetus*
;
Heart Block*
;
Heart*
5.A Clinical Study on the Incompetent Internal Os of Cervix.
Chang Heon KIM ; Kye Hyun KIM ; Kuol HUR ; Hee Chul KIM ; Keun Jai YOO ; In Ok SONG ; Jyung Yeol HAN ; Jae Hyug YANG ; Bum Chae CHOI
Korean Journal of Perinatology 2000;11(2):197-203
No abstract available.
Cervix Uteri*
;
Female
6.Treatment of Nasopharyngeal Angiofibroma with Intraoperative Serial Intratumoral Embolization : 2 Cases.
Jae Hyug KIM ; Yu Jung LEE ; Sun Hee SONG ; Jung Soo KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 2006;49(10):1031-1034
Angiofibroma is a rare disease that is diagnosed typically in adolescent male patients as a nonencapsulated, submucosal spreading tumor. Because these tumors are highly vascular, embolization and surgery remain as the two major therapeutic tools. For reducing the blood supply of the tumor and decreasing intraoperative bleeding, embolization has become an effective preoperative procedure. There are two embolization methods which are intravascular and intratumoral embolization. Recently, we experienced two cases of nasopharyngeal angiofibroma that were resected by endoscopic approach after intraoperative serial intratumoral embolization with good results. We report these with a review of literature.
Adolescent
;
Angiofibroma*
;
Endoscopy
;
Hemorrhage
;
Humans
;
Male
;
Preoperative Care
;
Rare Diseases
7.Inadvertent Parathyroidectomy during Thyroid Surgery for Papillary Thyroid Carcinoma and Postoperative Hypocalcemia.
Dongbin AHN ; Jin Ho SOHN ; Jae Hyug KIM ; Ji Young PARK ; Junesik PARK
Journal of Korean Thyroid Association 2012;5(1):65-72
BACKGROUND AND OBJECTIVES: The aim of this article is to report our experience of inadvertent parathyroidectomy during thyroid surgery and to analyze its associated factors and clinical implications. In addition, we attempted to determined causative factors that result in permanent hypocalcemia after thyroid surgery. MATERIALS AND METHODS: We performed a retrospective review of 500 patients who underwent thyroid surgery for the treatment of papillary thyroid carcinoma from 2004 to 2008. RESULTS: Inadvertent parathyroidectomy was identified in 7.4% of patients and only 1 parathyroid gland was inadvertently removed in most cases. The incidence of inadvertent parathyroidectomy was not associated with gender, age, type of surgical procedure, tumor size, coexisting Hashimoto's thyroiditis (HT), extra-thyroidal extension (ETE), lymph node (LN) metastasis, and surgeon's experience. Nor was inadvertent parathyroidectomy associated with permanent postoperative hypocalcemia. Although operating time >120 min, ETE, and total thyroidectomy (TT) with central neck dissection (CND) were found to be related to permanent hypocalcemia on univariate analysis, tumor size > or =1 cm and surgeon's experience < or =5 years was statistically associated with permanent hypocalcemia on both univariate and multivariate analyses. CONCLUSION: Although inadvertent parathyroidectomy is not an uncommon complication of thyroid surgery, it appears to have only modest clinical implications. Permanent hypocalcemia was significantly associated with tumor size > or =1 cm and short surgical experience of surgeons, especially in the case of TT with CND. Therefore, we suggest that more accurate risk stratification should be made for routine CND, when it is performed by young surgeons.
Carcinoma
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Humans
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Hypocalcemia
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Incidence
;
Lymph Nodes
;
Neck Dissection
;
Neoplasm Metastasis
;
Parathyroid Glands
;
Parathyroidectomy
;
Retrospective Studies
;
Thyroid Gland
;
Thyroid Neoplasms
;
Thyroidectomy
;
Thyroiditis
8.Can Treatment of Patent Ductus Arteriosus with Ibuprofen Compared to Supportive Management Affect Regional Brain Volume in Very Low Birth Weight Infants? A Pilot Study.
Jae Hoe KOO ; Keum Nho LEE ; Hyug Gi KIM ; Kyung Mi LEE ; Yong Sung CHOI
Neonatal Medicine 2017;24(2):83-87
PURPOSE: This study aimed to compare cerebral hemispheric volumes between pharmacologic treatment and supportive management of patent ductus arteriosus (PDA). METHODS: The study was conducted retrospectively. The subjects of period 1 group were very low birth weight infants whose PDA were treated with pharmacologic closure. Period 2 group were treated with supportive management. Regional brain volumes measured using magnetic resonance imaging were compared between the two groups. RESULTS: total of 12 infants were included. Their median gestational age was 27⁺⁶ (range: 24⁺¹–31⁺¹) weeks and birth weight was 1,065 g (range: 690–1,380). Between the two groups, there was no difference in Apgar score, incidence of bronchopulmonary dysplasia, necrotizing enterocolitis, and culture proven sepsis. The regional brain volumes such as gray matter (Period 1 group, 76,833 mm³ [55,759–100,388] vs. Period 2 group, 79,870 mm³ [59,957–113,018], P=0.59), white matter (82,993 mm³ [63,130–121,311] vs. 92,576 mm³ [77,200–104,506], P=0.18), cerebrospinal fluid (17,167 mm³ [9,279–22,760] vs. 14,348 mm³ [7,018–27,604], P=0.94), basal ganglia (2,065 mm³ [1,697–2,482] vs. 2,306 mm³ [2,065–3,009], P=0.18), and cerebellum (18,374 mm³ [14,843–24,657] vs. 18,096 mm³ [16,134–23,627], P=0.94) were not different between the two groups. CONCLUSION: Regional brain volumes were not different between pharmacological and conservative treatment in infants with PDA. Further wellcontrolled studies are required to evaluate the advantages or disadvantages of supportive management without pharmacologic treatment of PDA.
Apgar Score
;
Basal Ganglia
;
Birth Weight
;
Brain*
;
Bronchopulmonary Dysplasia
;
Cerebellum
;
Cerebrospinal Fluid
;
Ductus Arteriosus, Patent*
;
Enterocolitis, Necrotizing
;
Gestational Age
;
Gray Matter
;
Humans
;
Ibuprofen*
;
Incidence
;
Infant*
;
Infant, Newborn
;
Infant, Premature
;
Infant, Very Low Birth Weight*
;
Magnetic Resonance Imaging
;
Pilot Projects*
;
Retrospective Studies
;
Sepsis
;
White Matter
9.Unilateral Submandibular Gland Aplasia Associated with Ipsilateral Parotid Gland Atrophy.
Dong Hoon KANG ; Dongbin AHN ; Jae Hyug KIM ; Jin Ho SOHN
Korean Journal of Otolaryngology - Head and Neck Surgery 2013;56(6):365-368
The isolated unilateral aplasia of the submandibular gland (SMG) is an extremely rare condition, because most cases of congenital absence of the major salivary glands are associated with other anomalies and several major salivary glands. Worldwide, only 15 cases of isolated unilateral SMG aplasia have been reported. Here, we report a case of a 35-year-old woman with isolated unilateral SMG absence. The ipsilateral parotid gland was hypertrophied at the time of initial diagnosis, but this gland showed significant atrophy during the subsequent 3-year follow-up. This phenomenon may be associated with ipsilateral SMG aplasia, and we report this unique case along with a literature review in this paper.
Atrophy
;
Female
;
Follow-Up Studies
;
Humans
;
Parotid Gland
;
Salivary Glands
;
Submandibular Gland
10.Impact of transient decrease in mixed venous oxygen saturation on prognosis in off-pump coronary artery bypass surgery: a retrospective cohort study
Kyuho LEE ; Kwang-Sub KIM ; Jong-Kwang PARK ; Jun Hyug CHOI ; Young-Lan KWAK ; Jae-Kwang SHIM
Korean Journal of Anesthesiology 2023;76(2):107-115
Background:
The prognostic consequences of transient hemodynamic deterioration due to cardiac displacement, which is most severe during left circumflex artery (LCX) grafting in off-pump coronary artery bypass surgery (OPCAB) are unknown. This study aimed to investigate the association between mixed venous oxygen saturation (SvO2) < 60% during LCX grafting and the occurrence of composite of morbidity endpoints.
Methods:
Data of patients who underwent elective OPCAB between January 2010 and December 2019 were reviewed. Logistic regression analysis was performed to detect risk factors for the composite of morbidity endpoints, defined as 30-day or in-hospital mortality, postoperative myocardial infarction, prolonged mechanical ventilation > 24 h, cerebrovascular accident, and acute kidney injury.
Results:
Among 1,071 patients, the composite of morbidity endpoints occurred in 303 (28%) patients. SvO2 < 60% during LCX grafting was significantly associated with the composite of morbidity (OR: 2.72, 95% CI [1.60, 4.61], P < 0.001) along with advanced age, chronic kidney disease, ratio of early mitral inflow velocity to mitral annular early diastolic velocity, and EuroSCORE II. Other major hemodynamic variables including the cardiac index were not associated with the outcome. Additional regression analysis revealed pre-operative anemia as a predictor of SvO2 < 60% during LCX grafting (OR: 2.09, 95% CI [1.33, 3.29], P = 0.001).
Conclusions
A decrease in SvO2 < 60%, albeit confined to the period of cardiac displacement, was associated with a 2.7-fold increased risk of detrimental outcomes after OPCAB, implying the prognostic importance of this transient deterioration in oxygen supply-demand balance.