1.A Clinical Study on the Diaphyseal Fractures Treated with Compression Plate
Jang Seok CHOI ; Moon Sik HAHN ; Jay Suk CHANG
The Journal of the Korean Orthopaedic Association 1980;15(4):675-682
Most orthopedic surgeons were aimed at the rigid internal fixation on the surgical treatment of the fracture. And the compression plate was developed and regarded as an excellent rigid internal fixation device by its advantages of accurate anatomical reduction, early joint mobilization and shortening of the duration of the fracture healing, which are chief aim of A.S.I.F. method. During the period of January 1970 to December 1979, 67 cases of diaphyseal fractures of the long bones were treated with compression plate according to A.S.I.F. method at the Department of Orthopedic Surgery, College of Medicine, Seoul National University and results were obtained as follows: 1. The age of patient was ranged from 15 to 77, and the highest incidence was in the 3rd decade male group (31.4%). 2. Old fracture cases were slightly more than fresh cases, and the fresh femur fracture was the commonest. 3. The periods of the postop immobilization of fresh fractures were 3.7 weeks in humerun fracture, 6.3 weeks in forearm fractures, 8.7 weeks in femur fracture and 7.0 week in tibia fracture, and in old fractures about 4 weeks was longer than fresh fractures. 4. The bony union was accomplished in all cases between 8 week and 24 week. 5. The complication were 4 superficial infections, 4 deep infections, 1 delayed union and 9 joint stiffnesses. 6. Compression plate fixation is considered as an excellent method for the treatment of the fractures of the long bones.
Clinical Study
;
Femur
;
Forearm
;
Fracture Healing
;
Humans
;
Immobilization
;
Incidence
;
Internal Fixators
;
Joints
;
Male
;
Methods
;
Orthopedics
;
Seoul
;
Surgeons
;
Tibia
2.Arachnoid Cyst in Sylvian Fissure Presented with Bitemporal Hemianopsia.
Tae Sik JANG ; Byung Kook MIN ; Jong Sik SUK ; Duck Young CHOI
Journal of Korean Neurosurgical Society 1993;22(4):581-584
The anterior middle fossa is the most common location of benign intracranial arachnoid cysts. In the adult, headache, temporal bulging, and mild proptosis are the usual presenting complaints, although seizures and contralateral weakness have been described. Bitemporal hemianopsia associated with this lesion has not been noted previously. Herein we describe the patient with bitemporal hemianopsia associated with sylvian fissure arachnoid cyst. Cystoperitoneal shunt was beneficial. The etiology, histology, and suggested therapy of other patient with arachnooid cyst are also discussed.
Adult
;
Arachnoid Cysts
;
Arachnoid*
;
Exophthalmos
;
Headache
;
Hemianopsia*
;
Humans
;
Seizures
3.A Case of Cavernous Hemangioma of the Cauda Equina.
Chan Young CHOI ; Byung Kook MIN ; Jang Sik SUK
Journal of Korean Neurosurgical Society 1996;25(10):2103-2106
The intradural cavernous hemangioma of the spinal cord is a rare vascular malformation. We report a case of cavernous hemangioma of the cauda equina in a 46-year-old female who presented with intermittent low-back pain and radiating pain to both lower extremities. A intradural mass was detected by spinal MRI. She underwent complete removal of the mass through L1 total laminectomy. Her symptoms were improved. The clinical, radiological, histopathological feature of this lesion are discussed toghther a review of the literature.
Cauda Equina*
;
Female
;
Hemangioma, Cavernous*
;
Humans
;
Laminectomy
;
Lower Extremity
;
Magnetic Resonance Imaging
;
Middle Aged
;
Spinal Cord
;
Vascular Malformations
4.A Case of Cavernous Hemangioma of the Cauda Equina.
Chan Young CHOI ; Byung Kook MIN ; Jang Sik SUK
Journal of Korean Neurosurgical Society 1996;25(10):2103-2106
The intradural cavernous hemangioma of the spinal cord is a rare vascular malformation. We report a case of cavernous hemangioma of the cauda equina in a 46-year-old female who presented with intermittent low-back pain and radiating pain to both lower extremities. A intradural mass was detected by spinal MRI. She underwent complete removal of the mass through L1 total laminectomy. Her symptoms were improved. The clinical, radiological, histopathological feature of this lesion are discussed toghther a review of the literature.
Cauda Equina*
;
Female
;
Hemangioma, Cavernous*
;
Humans
;
Laminectomy
;
Lower Extremity
;
Magnetic Resonance Imaging
;
Middle Aged
;
Spinal Cord
;
Vascular Malformations
5.The Economical Impacts of Surgical Site Infections.
Eun Suk PARK ; Kyoung Sik KIM ; Woo Jung LEE ; Seen Young JANG ; Jun Yong CHOI ; June Myung KIM
Korean Journal of Nosocomial Infection Control 2005;10(2):57-64
BACKGROUND: The purpose of this study was to estimate the economical impacts of surgical site infection (SSI) after general surgeries. METHODS: A prospective study was performed with the surgeries from September to December, 2002 and the SSI cases were collected based on the definitions of Centers for Disease Control and Prevention, The length of stay (LOS) and the hospital charge for the SSI group were compared with the non-SSI (NSSI) group by a matched cohort study for age, sex, operation procedure, and NNIS risk groups. RESULTS: There were 1,007 cases of surgeries and the 52 cases of SSI and the 26 cases have been matched. The LOS of the SSI group was 5.2 days longer than that of the NSSI group (P<0.05) which was significant, The injection and dressing meal, and total hospital charge were \157,562, \72,251, and \2,153,964 more in SSI group than those of NSSI group (P<0,05) for post-operation stay. The charge of medication and room in SSI group were \558,146 and \723,114 more than those of the NSSI group, but there were no significant difference. CONCLUSION: The SSI could increase the LOS and the hospital charge; therefore, this economic loss had an impact on the hospitals as well as the patients. To estimate the economic impacts of SSI precisely, however, further studies are needed to analyze and control other factors for the cost such as a type of surgery. In addition, the scope and setting of cost analysis should be expanded into the aspects of an individual, the hospital, and society.
Bandages
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Centers for Disease Control and Prevention (U.S.)
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Cohort Studies
;
Costs and Cost Analysis
;
Hospital Charges
;
Humans
;
Length of Stay
;
Meals
;
Prospective Studies
6.Self analysis of external quality control data of Kyungpook National University Hospital.
Jung Sun YANG ; Eun Sook CHUNG ; Kyung Eun SONG ; Jang Soo SUH ; Won Kil LEE ; In Sik LEE ; Yong Suk KIM ; Jay Sik KIM
Korean Journal of Clinical Pathology 1991;11(1):49-71
No abstract available.
Gyeongsangbuk-do*
;
Quality Control*
7.Rhabdomyolysis with severe hypernatrenia.
Chul Woo YANG ; Dae Hwan JANG ; Kyung Yon O ; Kyung Han LEE ; In Suk PARK ; Yun Sik CHANG ; Young Suk YOON ; Byung Kee BANG
Korean Journal of Nephrology 1991;10(4):614-619
No abstract available.
Rhabdomyolysis*
8.The Comparative Investigation of the Spread of Epidural Analgesia between Elderly and Young Patients .
Kyo Sang KIM ; Kyong Dug JANG ; Young Hee HWANG ; Heung Dae KIM ; Young Suk KIM ; Wan Sik KIM
Korean Journal of Anesthesiology 1981;14(1):48-54
The segmental spread of epidural analgesia was measured in seventeen surgical patients aged between 17 and 52 years, and in fourteen patients between 60 and 77 years. The upper level in the young was 6.29(+/-1.56) thoracic vertebra level, but in the elderly was 4 (+/-0.65_ thoracic vertebra level at 20 minutes after epidural injection of 1.5% lidocaine 20 ml. A given volume of solution spreads to 0.9, 1.07, 1.54, 2.29 segments greater upper extent at 5, 10, 15, 20 minutes after epidural injection and 0.57, 1.07 segments greater lower extent at 5, 10 minutes in the elder than young. So with increasing age relatively small amounts of solution are required, to produce the same extent of anesthesia in the young.
Aged*
;
Analgesia, Epidural*
;
Anesthesia
;
Humans
;
Injections, Epidural
;
Lidocaine
;
Spine
9.Treatment of Steatocystoma Multiplex on Whole Body: A Case Report.
Pal Young JANG ; Sang Ho SHIN ; Kyung Suk LEE ; Nam Gyun KIM ; Jun Sik KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(3):325-328
PURPOSE: Steatocystoma multiplex is a rare benign disease that occurred multiply on whole body surface. Many physicians have tried managing steatocystoma in variable methods. However it is hard to define the optimal way to cure steatocystoma. We performed both aspiration and excisional method to study the usefulness of both methods. METHODS: A 28-year-old woman has asymptomatic multiple subcutaneous nodules on whole body. Most lesions were aspirated with 26-guage needled 3cc syringe but large and purulent three nodules were excised. RESULTS: We diagnosed the lesion histologically as steatocystoma multiplex. Aspirated wound healed without scar, excised wound remained scar but esthetically acceptable. Axillary lesion contained so clustered type cysts that was difficult to aspirate whole cyst. Thus additional excisional method was needed. CONCLUSION: There are many practical methods to cure steatocystoma. However, there is no appropriate method to cure it. Therefore we should select different therapeutic method according to anatomical location and cyst size. Especially at subcutaneous fat-rich lesion like axilla and abdomen, it is better to excise the clustered cyst than to aspirate.
Abdomen
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Adult
;
Axilla
;
Cicatrix
;
Female
;
Humans
;
Steatocystoma Multiplex
;
Syringes
10.Surgical Treatment of Burn Induced Helical Keloid with Excision and Full-Thickness Skin Grafting.
Ji Hee CHUNG ; Jin Sik BURM ; Jong Wook LEE ; Young Chul JANG ; Suk Joon OH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(3):230-234
Burn induced helical keloid is usually manifested by the severe disfigurement. The satisfactory reconstruction of the helical rim has not been achieved by the methods such as full thickness skin grafting(FTSG), core extirpation, and simple excision combined with intralesional steroid injection. In treatment with FTSG, the frequent failure of skin graft in the helical rim is due to the lack of adequate vascular supply in the recipient bed and the exposed helical cartilage after keloid excision. However, if the recipient bed with rich vascularity is widen and sufficient to maintain the viability of the graft, FTSG is the best method that leaves less donor morbidity and is able to reconstruct the natural appearance of helix. We proposed that the improved survival of skin graft could be achieved by better vascular supply by the deepithelialization of the surrounding normal skin after keloid excision. Five helical burn keloids and hypertrophic scars were reconstructed by the method of excision and FTSG. There were no recurrence and the results showed good texture and similar skin color. Excision of scar and FTSG is a satisfactory method to treat helical burn keloid.
Burns*
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Cartilage
;
Cicatrix
;
Cicatrix, Hypertrophic
;
Ear
;
Humans
;
Keloid*
;
Recurrence
;
Skin Transplantation*
;
Skin*
;
Tissue Donors
;
Transplants