2.Reconstruction of Knee in Long
The Journal of the Korean Orthopaedic Association 1984;19(5):971-976
The microsurgical free vascularized latissimus dorsi myocutaneous flap was successfully applied in the correction of long-term flexion contracture of the left knee due to scalding burn on the paralyzed leg from poliomyelitis. The patient was a 21 year old male, who suffered from 70° of flexion contracture of the left knee due to scalding burn at the age of 7 years. He has had flaccid paralysis of both legs since the age of 2 years. and not been able to ambulate with bilateral crutches and long leg braces. However after posterior capsulotomy, and successful microsurgical free vascularized latissimus dorsi myocutaneous flap, his left knee could be fully extended and fitted into bilateral long leg braces. So he was able to walk with bilateral crutches and discharged from the hospital on the day of 5th week after admission. Therefore microsurgical free vascularized latissimus dorsi myocutaneous flap is recommended for large soft. tissue defects such as those arising from posterior capsulotomy of knee joint used in the correction of flexion contracture from scalding burn scar upon the paralyzed legs from poliomyelitis.
Braces
;
Burns
;
Cicatrix
;
Contracture
;
Crutches
;
Humans
;
Knee Joint
;
Knee
;
Leg
;
Male
;
Myocutaneous Flap
;
Paralysis
;
Poliomyelitis
;
Posterior Capsulotomy
;
Superficial Back Muscles
3.Stabilization of Fractures and Fracture-Dislocations of the Thoracolumbar Spine
The Journal of the Korean Orthopaedic Association 1985;20(4):561-572
There are many hypotheses of spinal instability after trauma and the concept had been recently changed from 2-column concept by Holdsworth to 3-column concept by Francis Denis & McAfee and also there are controversies about the operative management of the unstable thoracolumbar spine fractures and fracture-dislocations. So we tried to find some relationship between the spinal instability and the effect of the stabilization operation for the fractures and fracture-dislocations in the thoracolumbar spine in this study. Totally 53 cases that stabilization operation had been performed for the unstable fractures and fracture-dislocations of the thoracolumbar spine at Yonsei University Hospital, including Yongdong hospital, from March, 1973 to October, 1984 and followed up over 6 months, were reviewed. 1. Majority of the patients (84.9%) was in an active age group (20–49 years of his age) and more common in males. 2. The first lumbar vertebra was most commonly involved segment (43.3%) and falling from a height was the most common cause of injuries (50.9%). 3. Injuries to the anterior, middle and posterior column of the spine (58.5%) was the most common mechanism of injury according to the classification by Francis Denis and McAfee. 4. The wedged deformity of the involved segment over 50% was usual (71.7%) and mean wedged deformity was 57% of the height of the vertebral body and most commonly associated fractures besides the body itself was laminae fractures (46.5%). 5. Seventy eight percent of the angular deformity was corrected after Luque rod instrumentation and 76%, after Harrington rod instrumentation, 68%, after posterior wiring, 58%, after anterior decompression and anterior interbody fusion. 6. Forty twa point seven percent of the displacement in anteroposterior plain X-ray film and 58.8% in the lateral film were corrected by Luque rod instrumentation and 39.5% in anteroposterior film and 44.3% in the lateral film were corrected by Harrington rod instrumentation. 7. No significant differences in the recovery of the neurologic signs were found according to the method of surgical treatments. 8. So Luque rod or Harrington rod instrumentation is now recommended for obtaining the spinal stability as a method of surgical treatment in the unstable thoracolumbar spine fractures and fracture-dislocations.
Accidental Falls
;
Classification
;
Congenital Abnormalities
;
Decompression
;
Humans
;
Male
;
Methods
;
Neurologic Manifestations
;
Spine
;
X-Ray Film
4.Ender nailing for tibial shaft fractures.
In Hwan JEONG ; Jeong Hwan OH ; Eui Hwan AHN ; Sang Moon WEE
The Journal of the Korean Orthopaedic Association 1993;28(2):741-753
No abstract available.
5.Ipsilateral radial head dislocation and radial shaft fracture.
Eui Hwan AHN ; In Hwan JUNG ; Jeong Hwan OH ; Kyu Cheol SHIN
The Journal of the Korean Orthopaedic Association 1992;27(3):844-847
No abstract available.
Dislocations*
;
Head*
6.Preliminary Study of Emotional State and Family Function in Mothers of Atopic Dermatitis Patients.
Hwee Jeong CHEONG ; Chil Hwan OH ; Sook Haeng JOE
Korean Journal of Dermatology 1990;28(5):535-542
No abstract available.
Dermatitis, Atopic*
;
Humans
;
Mothers*
7.Acute renal failure from tourniquet-induced rhabdomyolysis: a case report.
Jeong Hwan OH ; Kyeong Soo KIM ; Kyeong Jong HAM
The Journal of the Korean Orthopaedic Association 1991;26(4):1359-1362
No abstract available.
Acute Kidney Injury*
;
Rhabdomyolysis*
8.Fractures of Lumbar Ring Apophysis
Soo Bong HAHN ; Byeong Mun PARK ; Jeong Hwan OH
The Journal of the Korean Orthopaedic Association 1984;19(6):1037-1041
Fracture of the posterior lumbar ring apophysis or vertebral cartilaginous end plate is unusual, having previously been described only in adolescent males. In this report, we present 3 such cases involving 2 adolescent males and 1 adolescent female. All patients had a bony ridge or fragment projecting into the spinal canal, usually from the lower border of L4 vertebral body; a defect in the posteroinferior aspect of the vertebral body. Preoperative myelogram and computerized tomogram including plain X-ray appear to be helpful in demonstrating bone within the canal and preoperative diagnosis can facilitate selection of the appropriate surgical approach. The radiographic findings, including the myelogram and computerized tomographic appearance are detailed and the previous literatures are reviewed.
Adolescent
;
Diagnosis
;
Female
;
Humans
;
Male
;
Spinal Canal
9.Clinical Manifestations and Perinatal Outcomes in Pregnancies with Fetal Dysplastic Kidney Disease.
Kie Suk OH ; Haeng Soo KIM ; Jeong In YANG ; Joon Hwan OH ; Seung Seop KEUM
Korean Journal of Obstetrics and Gynecology 2000;43(1):43-50
OBJECTIVE: To obtain clinically useful data regarding prenatal diagnosis, proper antepartum counseling and obstetric management in pregnancies with fetal dysplastic kidney disease. METHODS: We retrospectively reviewed 13 cases of MCDK(Multicystic dysplastic kidney) and PCDK(Polycystic dysplastic kidney), diagnosed by antenatal ultrasound and delivered from June 1994 through July 1999 at Ajou University School of Medicine, Department of Obstetrics and Gynecology, with regard to prenatal ultrasonographic findings, perinatal outcomes, maternal complications and associated fetal anomalies. RESULTS: The incidence of MCDK and PCDK was one in 1,066 and one in 2,398 births, respectively. Of the 9 cases of MCDK, one case was terminated due to severely associated anomaly, and 6 cases were delivered by spontaneous labor or pitocin induction at term, of which 1 case was delivered by pitocin induction at 36 weeks gestation due to intrauterine fetal death. Two cases were delivered by cesarean section. There were no neonatal deaths in 7 cases of MCDK and they have been followed up to date, and alive. Of the 4 cases of PCDK, 3 cases were terminated by induced abortion or induced vaginal delivery, and 1 case was delivered by cesarean section, which was combined with hypertrophic cardiomyopathy, and the baby died within 24 hours after birth. Perinatal complications consisted of small for gestational age, urinary tract infection, hydronephrosis, acute respiratory failure, acute renal failure, periventricular hemorrhage and laryngomalacia in the neonatal period. CONCLUSION: It is suggested that antenatal ultrasonography and genetic analysis to evaluate accurate diagnosis and associated anomalies should be performed to manage and councel properly the pregnancies with fetal dysplastic kidney disease.
Abortion, Induced
;
Acute Kidney Injury
;
Cardiomyopathy, Hypertrophic
;
Cesarean Section
;
Counseling
;
Diagnosis
;
Female
;
Fetal Death
;
Gestational Age
;
Gynecology
;
Hemorrhage
;
Humans
;
Hydronephrosis
;
Incidence
;
Kidney Diseases*
;
Kidney*
;
Laryngomalacia
;
Obstetrics
;
Oxytocin
;
Parturition
;
Pregnancy*
;
Prenatal Diagnosis
;
Respiratory Insufficiency
;
Retrospective Studies
;
Ultrasonography
;
Urinary Tract Infections
10.Operative Treatment for Cubital Tunnel Syndrome
Kyu Cheol SHIN ; In Whan CHUNG ; Dong Heon KIM ; Jeong Hwan OH ; Sung Tae LEE ; Eui Hwan AHN ; Deok Hwan KOH
The Journal of the Korean Orthopaedic Association 1996;31(4):825-832
Thirteen patients were operated for cubital tunnel syndrome and followed for an average of 26 months postoperatively. Ten patients had a history of relevant trauma and three patients had degenerative osteoarthritis of the elbow. The average duration of symptoms was 18 months (range, 2 to 96 months). Diagnosis was made by physical examination, electromyography and nerve conduction study. Among these, nerve conduction study was found to be the most valuable diagnostic method for the patients with atypical clinical findings. Most of the operations were performed by anterior transposition of the ulnar nerve. At the most recent follow-up, the result was excellent in two patients, good in eight, and fair in three; thus ten patients(77%) showed satisfactory results. The rating system for ulnar neuropathy based on sensory, motor dysfunction and pain was useful for evaluating the operative results. The postoperative gain of score for pain and sensory function were larger than that of motor function. Factors known to influence the result of the operation (age, duration of symptom, history of trauma, method of operation) did not effect the outcome in this study. For successful operation, the ulnar nerve must be thoroughly examined, all possible levels of compression must be released and new foci of compression must be created.
Cubital Tunnel Syndrome
;
Diagnosis
;
Elbow
;
Electromyography
;
Follow-Up Studies
;
Humans
;
Methods
;
Neural Conduction
;
Osteoarthritis
;
Physical Examination
;
Sensation
;
Ulnar Nerve
;
Ulnar Neuropathies