1.Opponensplasty in Leprosy
Duck Yun CHO ; Young Gil HAAM ; Jong Woo KIM
The Journal of the Korean Orthopaedic Association 1995;30(6):1739-1745
Although the incidence of leprosy is decreased considerably, the deformity and disability of it is serioues. In the hand, combined median and ulnar nerve affection is most common, and it leads to many problems including opposition dysfunction and claw hand deformity. And opposition dysfunction is most significant disability in the hand function, so its correction or reconstruction is mandatory We performed 20 cases of opponensplasty from Oct. 91 to Apr. 94 at National Medical Center, and analyzed its results according to new assessment criteria invented by authors, and evaluated the efficacy of the operative treatments. The results were as follows: 1. The patients were 9 males and 11 females, average age was 48 years old, and average duration of paralysis was 28 years. The mean follow-up period was 2.8 years. And most common type of nerve affection was combined low median and high ulnar nerves. 2. We performed 18 cases of Burkhalter opponensplasty using extensor indicis proprius and 2 cases of Riordan opponensplasty using ring finger sublimis at the leprosy hands. 3. According to authors assessment criteria for leprosy hand, the result of operative treatment was excellent in two, good in ten, fair in seven, and poor in two patients. So we obtained more than good results in 50% patients. 4. We could obtain good result with Burkhalter opponensplasty in leprosy hand, especially when combined with proper preoperative physical therapy and adjuvant operation for release of contracture and joint stiffness.
Animals
;
Congenital Abnormalities
;
Contracture
;
Female
;
Fingers
;
Follow-Up Studies
;
Hand
;
Hand Deformities
;
Hoof and Claw
;
Humans
;
Incidence
;
Joints
;
Leprosy
;
Male
;
Paralysis
;
Tendon Transfer
;
Ulnar Nerve
2.Chronic Recurrent Multifocal Osteomyelitis
Duck Yun CHO ; Young Gil HAHM ; Jong Woo KIM
The Journal of the Korean Orthopaedic Association 1996;31(4):920-927
Chronic recurrent multifocal osteomyelitis (CRMO) is a rare and recently recognized disease of unknown etiology, characterized by remission and exacerbation of multiple bone lesions which radiologically and pathologically have the appearance of hematogenous osteomyelitis. The natural history appears to be slow and spontaneous resolution of the osseous lesions without specific treatment. And antimicrobial agents seem to have no beneficial effect. In proper clinical setting, CRMO should be considered, because recognition of this entity would help us to avoid costly and potentially harmful diagnostic and therapeutic interventions. We report a case of a 48-year-old adult who had chronic recurrent multifocal osteomyelitis.
Adult
;
Anti-Infective Agents
;
Humans
;
Middle Aged
;
Natural History
;
Osteomyelitis
3.Patient with Low Back Pain and Cornell Medical Index
Chung Gil CHOI ; Yak Woo ROH ; Jong Dae HWANG
The Journal of the Korean Orthopaedic Association 1978;13(2):195-200
The cornell medical index is self-administered instrument that collects a large body of significant medical and psychiatric data. The original C. M. I. consists of 195 questions, but authors selected 60 questions from the original C. M. I. to simplify it. The purpose of this investigation is to clarify if there are any correlations between low back pain and extraskeletal disorders. This investigation was conducted on 144 in-and out-patients who were treated at the Department of Orthopaedic Surgery,Our Lady of Mercy Hospital, Catholic Medical College from Jan. to July 1977. Among them 75 patients were male,69 patients were female, and 22 patients had decompression laminectomy and discectomy. The results of this investigation are as follows; 1. The majority of patients with low back pain are 2nd to 4th decade. (Male: 30±10.7) (Femal:36.1±10.5) 2. Average number of complaints is 19.9/60 in male, 21.8/60 in female. 3. Complaints in section F(Fatigability) and G(mental) are predominant in all cases. 4. There are no significant difference in number of complaints between the operative and non-operative case, and between each decade.
Cornell Medical Index
;
Decompression
;
Diskectomy
;
Female
;
Humans
;
Laminectomy
;
Low Back Pain
;
Male
;
Outpatients
4.The Clinical Outcome of Flap Coverage for the Treatment of Malignant Melanoma.
Woo Joo JEON ; Jong Woo KANG ; Il Hwan KIM ; Gil Soo SON ; Jong Woong PARK
Journal of the Korean Microsurgical Society 2010;19(2):81-87
In surgical treatment of the malignant melanoma, radical resection and a sentinel lymph node biopsy are essential procedures to eradicate the tumor and to minimize the risk of local recurrence. For the reconstruction of skin defect after tumor resection, a skin graft has been generally performed procedure. However, if tendon or bone is exposed after tumor resection, simple skin graft is not enough for the coverage of the defect and additional procedure is mandatory. In this study, we reviewed the clinical results of 16 patients, who had been diagnosed with malignant melanoma of the limb and underwent surgical resection and reconstruction of the defect with various methods. The sentinel lymph node dissection was performed in all patients combined with radical excision of the tumor. In 11 cases of positive sentinel lymph nodes, further elective lymph node dissections were performed. The mean tumor invasion depth was 4.54 mm (2~10 mm), and AJCC stage II was most common (9 cases). The pedicled flaps were performed in 10 cases for the reconstruction of defects. All flaps were successfully survived without significant complications until the last follow up. In conclusion, a pedicled flap coverage is very useful reconstruction strategy for the soft tissue defects after radical resection of malignant melanoma.
Extremities
;
Follow-Up Studies
;
Humans
;
Lymph Node Excision
;
Lymph Nodes
;
Melanoma
;
Nitriles
;
Pyrethrins
;
Recurrence
;
Sentinel Lymph Node Biopsy
;
Skin
;
Surgical Flaps
;
Tendons
;
Transplants
5.Two Cases of Prolonged Priapism Caused by Abuse of Intracavernosal Self-injection.
Myung Cheol GIL ; Tae Woo KANG ; Youl Koon SEONG ; Gyung Woo JUNG ; Jong Chul WOO
Korean Journal of Andrology 2001;19(1):65-68
Priapism is a rare disease, but needs early intervention and appropriate management. We present 2 cases of ischemic low-flow priapism after intracavernosal injection of vasoactive drug. 43-year-old man and 61-year-old man visited our clinic complaining of continuous plan and erection persisting for several days after self cavernosal injection for increasing their erectile function. We performed blood gas analysis of cavernosal blood and color doppler ultrasound. And so we confirmed the diagnosis of low-flow priapism. Detumescence was finally achieved after the proximal shunt operation. Their erectile function was not recovered and they became permanent impotence.
Adult
;
Blood Gas Analysis
;
Diagnosis
;
Early Intervention (Education)
;
Erectile Dysfunction
;
Humans
;
Male
;
Middle Aged
;
Priapism*
;
Rare Diseases
;
Ultrasonography
6.Malignant Eccrine Acrospiroma: A case report.
Gil Ro HAN ; In Sun KIM ; Kye Yong SONG ; Ki Duck KIM ; Beom Woo YEOM ; Jong Sang CHOI
Korean Journal of Pathology 1993;27(5):538-541
A case of malignant eccrine acrospiroma of the anterior chest wall is reported. This mass had been present for 20 years and during rescent 5 years it showed frequent ulceration and bleeding suggesting malignant transformation. Microscopically, several foci malignant transformation from preexisting benign eccrine acrospiroma are seen and in immunohistochemical staining, the tumor cells both benign and malignant portion, show positive reaction to cytokeratin.
7.The significance of mucin producing cancer in colorectal cancer.
Bong Hwa LEE ; Jin Hee SOHN ; Jong Keun LEE ; Gil Ro HAN ; Hyo Sook PARK ; Ze Hong WOO
Journal of the Korean Surgical Society 1991;40(5):633-643
No abstract available.
Colorectal Neoplasms*
;
Mucins*
8.A Case of Percutaneous Intracavitary Amphotericin B Injection for the Treatment of Hemoptysis due to Pulmonary Aspergilloma.
Woa Ja LIM ; Kook Kyu KIM ; Myung Jun KIM ; Jong Gil WOO ; Hong Suk KIM ; Byung Ho KIM
Tuberculosis and Respiratory Diseases 1994;41(1):42-46
Pulmonary Aspergillomas usually arise from proliferation of Aspergillus in preexisting parenchymal cavities.202 college students (99 men, 103 women) aged 18% 26 years. Fasting blood samples were. The most common symptom in this disorder is hemoptysis, which may be minimal in amount or it may be massive & life threatening. The optimum therapy for pulmonary aspergilloma is controversial. The major options available include surgical resection of the lesion, a number of medical therapies, or simple observation of the patient for a time. Surgery is the most effective treatment but it is limited to some patient because most patients haute underlying pulmonary disease. Thus the various form of medical therapy was available with successful result. The authors present a case of percutaneous intracavitary amphoterician B injection for the treatment of pulmonary aspergilloma & its successful effect for the repetitive hemoptysis.
Amphotericin B*
;
Aspergillus
;
Fasting
;
Hemoptysis*
;
Humans
;
Lung Diseases
;
Male
9.Comparison Vertebroplasty with Kyphoplasty in Delayed Post-traumatic Osteonecrosis of a Vertebral Body(Kummell's Disease).
Keun LEE ; Sang Gu LEE ; Woo Kyung KIM ; Chan Jong YOO ; Chan Woo PARK
Korean Journal of Spine 2008;5(2):70-76
OBJECTIVE: Kummell's disease is a rare spinal disorder with delayed post-traumatic osteonecrosis of a vertebral body and the pathophysiology is still unclear. Percutaneous vertebroplasty was found to be an effective procedure as a treatment, but there are not sufficient studies. We evaluated the efficacy and complications of vertebroplasty or kyphoplasty in the treatment of delayed post-traumatic intravertebral osteonecrosis. METHODS: A retrospective review was conducted of 29 patients complicated with delayed post-traumatic intravertebral osteonecrosis among the 393 cases of osteoporotic vertebral compression fracture treated with vertebroplasty or kyphoplasty from January 2001 to June 2005. With 29 cases of intravertebral osteonecrosis, we reviewed the duration from initiation of symptoms to admission and the history of trauma. Also, we analysed the restoration of height of vertebral body, the correction of kyphotic angle, the clinical results with VAS score, the amount of injected polymethylmethacrylate(PMMA), and the complications due to PMMA leakage between the vertebroplasty and kyphoplasty. RESULTS: There were 29 patients(22 females and 7 males) complicated with delayed post-traumatic osteonecrosis of vertebral body(7.3%), and mean age was 73.3 years. The cases with prominent traumatic history were 19 and the mean duration from initiation of symptoms to admission was 5.9 weeks. The whole surgically treated levels were 31 levels; 19 levels with vertebroplasty(group A), 12 levels with kyphoplasty(group B). The leakage of PMMA was occurred in 9 levels; 6 levels in vertebroplasty and 3 levels in kyphoplasy. However, there were no serious complications. In the VAS score, there was 4.9 in group A compared to 5.3 in group B. But there was no significant difference statistically. We measured vertebral body height and kyphotic angle to figure out the degree of restoration after procedures. Both group A and B showed somewhat effective restoration of vertebral height and correction of kyphotic angle. However, there were no stastical differences between two groups. After 14 months, restored vertebral heights and corrected kyphotic angles reaggravated and this suggest that the process of vertebral osteonecrosis is going on even after receiving vertebroplasty and kyphoplasty. CONCLUSION: For the treatment of Kummell's disease, both vertebroplasty and kyphoplasty seemed to be somewhat effective. Although the PMMA leakage occurred more often in vertebroplasty group than kyphoplasty group, there were no statiscal difference in recovery of VAS score. However, the process of intravertebral osteonecrosis can be developed continuously after procedure which may be the cause of serious complications. Therefore, continuous follow-up observation after procedure should be recommended.
Body Height
;
Female
;
Follow-Up Studies
;
Fractures, Compression
;
Humans
;
Kyphoplasty
;
Osteonecrosis
;
Polymethyl Methacrylate
;
Retrospective Studies
;
Vertebroplasty
10.Early Vertebroplasty versus Delayed Vertebroplasty for Acute Osteoporotic Compression Fracture : Are the Results of the Two Surgical Strategies the Same?.
Seong SON ; Sang Gu LEE ; Woo Kyung KIM ; Chan Woo PARK ; Chan Jong YOO
Journal of Korean Neurosurgical Society 2014;56(3):211-217
OBJECTIVE: In Korea, early vertebroplasty (EVP) or delayed vertebroplasty (DVP, which is performed at least 2 weeks after diagnosis) were performed for the treatment of acute osteoporotic compression fracture (OCF) of the spine. The present study compared the outcomes of two surgical strategies for the treatment of single-level acute OCF in the thoracolumbar junction (T12-L2). METHODS: From 2004 to 2010, 23 patients were allocated to the EVP group (EVPG) and 27 patients to the DVP group (DVPG). Overall mean age was 68.3+/-7.9 and minimum follow-up period was 1.0 year. Retrospective study of clinical and radiological results was conducted. RESULTS: No significant differences in baseline characteristics were observed between the two groups. As expected, mean duration from onset to vertebroplasty and mean duration of hospital stay were significantly longer in the DVPG (17.1+/-2.1 and 17.5+/-4.2) than in the EVPG (3.8+/-3.3 and 10.8+/-5.1, p=0.001). Final clinical outcome including visual analogue scale (VAS), Oswestry Disability Index, and Odom's criteria did not differ between the two groups. However, immediate improvement of the VAS after vertebroplasty was greater in the EVPG (5.1+/-1.3) than in the DVPG (4.0+/-1.0, p=0.002). The proportion of cement leakage was lower in the EVPG (30.4%) than in the DVPG (59.3%, p=0.039). In addition, semiquantitative grade of cement interdigitation was significantly more favorable in the EVPG than in the DVPG (p=0.003). Final vertebral body collapse and segmental kyphosis did not differ significantly between the two groups. CONCLUSION: Our findings suggest that EVP achieves a better immediate surgical effect with more favorable cost-effectiveness.
Follow-Up Studies
;
Fractures, Compression*
;
Humans
;
Korea
;
Kyphosis
;
Length of Stay
;
Osteoporosis
;
Retrospective Studies
;
Spine
;
Vertebroplasty*