1.A Case of Traumatic Dislocation of PeroneaI Tendons
The Journal of the Korean Orthopaedic Association 1981;16(4):962-963
Traumatic dislocation of peroneal tendons is caused by sudden dorsiflexion of the foot accompanied by a powerful contraction of peroneal muscles. This tears the peroneal retinaculum and allows the tendons to dislocate anteriorly. This injury is not uncommon, but clinically it has been given little attention. Authors experienced a case of traumatic dislocation of peroneal tendons which was treated surgically with good result.
Dislocations
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Foot
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Muscles
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Tears
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Tendons
2.Bilateral congenital absence of the patella: A case report.
Jong Deuk RHA ; Yong Hoon KIM ; Sung Il YOON ; Myung Ho LEE ; Duk Ryeon KIM
The Journal of the Korean Orthopaedic Association 1993;28(2):895-899
No abstract available.
Patella*
3.The Statistical Analysis for 285 Amputee in the Patients with Electrical Burn
Sun Ho LEE ; Jong Deuk RHA ; Kyung Duck MIN ; Nam Seog KIM
The Journal of the Korean Orthopaedic Association 1988;23(4):1205-1211
Electrical burn is thought to be similar to crushing injury in that it usually involves skin, muscle and neurovascular structure simultaneously. Especially in extremity, there are many occasions that amputations are inevitable. Since the demarcation between viable and non-viable tissue tends to be obscure, electrical burn greatly differs from other types of injury in detailed methods of treatment, such as the level, the timing and the technique of amputation. During the past 10 years from January, 1978 to December, 1987, authors experienced 285 amputations in 181 cases of electrical burn at Orthopedic Department of Hanil Hospital. The clinical data of our experience were reviewed and analysed. The results were as follows ;l. Amputation rate in electrical burn was 22.4%. 2. Out of total 285 amputations, the number of upper extremity was 187 (65.6%) and it was 1.9 times more than that of lower extremity. Right forearm was 1.8 times more than left forearm. 3. Multiple limbs amputation were performed in 83 cases (45.9%). 4. Among 285 stumps, more than one operation were done in 74 stumps because of infection (50%), necrosis of stump end (35.1%), bony overgrowth at stump end (8.1%) and neuroma(6.8%).
Amputation
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Amputees
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Burns
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Extremities
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Forearm
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Humans
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Lower Extremity
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Necrosis
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Orthopedics
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Skin
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Upper Extremity
4.Metaphyseal Chondrodysplasia, Schmid Type: A Case Report
Sun Ho LEE ; Jong Deuk RHA ; Kyung Duck MIN ; Sung Il YOON ; Jin Seok YANG
The Journal of the Korean Orthopaedic Association 1989;24(3):982-987
Metaphyseal Chondrodysplasia is rare, hereditary disease characterized by defective enchondral bone formation with major manifestation at the metaphysis. Jansen originally used the term metaphyseal dysostosis in 1934 to describe a patient who has a short stature with irregular metaphysis of the lower extremity and hands. Schmid reported a milder form of Metaphyseal dysostosis in 1949, which is more common and is transmitted in autosomal dominant trait. Mukusick reported another form of Metaphyseal Chondrodysplasia which is associated with ectodermal abnormalities in 1964. The other different types were reported alos, but they are extremly rare. The basic defect in the disease may be the failure of hypertrophic cells to mature and degenerate, caused by a block in or deficiency of enzymes of glycolytic cycle. The skull and spine are spared. Serum chemistry and kidney function are normal. The only treatment necessary, once adequate diagnosis has been estabilished, is careful observation and properly timed corrective orthopaedic surgery. We experienced one case of Schmid Type Metaphyseal Chondrodysplasia. Corrective osteotomy was performed and satisfactory result was obtained.
Chemistry
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Diagnosis
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Dysostoses
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Ectoderm
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Genetic Diseases, Inborn
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Hand
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Humans
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Kidney
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Lower Extremity
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Osteogenesis
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Osteotomy
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Skull
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Spine
5.Treatment of Complete Acromioclavicular Dislocation by Weaver and Dunn Method
Sun Ho LEE ; Jong Deuk RHA ; Kyung Duck MIN ; Sung Il YOON ; Jin Seok YANG
The Journal of the Korean Orthopaedic Association 1989;24(4):1114-1120
Twenty-four cases of complete acromioclavicular dislocation had been treated surgically by Weaver and Dunn method at Hanil Hospital during the period from March 1976 to March 1988. Among twenty-four cases, we had average 84.4 months follow-up data on fifteen cases with acute complete dislocation and two cases with chronic complete dislocation. The following results were obtained. 1. The transferred coracoacromial ligament had been secured to the resected clavicular end by wire or silk(silk in eleven cases, wire in six). All patients in wire sutured group had to be reoperated on because of breakage of wire. But no significat differences in final clinical function of the shoulder was seen. 2. Calcification was found in the region of the transferred coracoacromial ligament in twelve cases(70.6%). 3. All patients had normal shoulder motion, sixateen(94.1%) were asymptomatic, and only four(23.5%) felt mild weakness of shoulder. 4. On the clinical assessment by the criteria of Imatani et. al., 12 patients(70.6%) were graded excellent, 4 patients(23.5%) were good, and one patient(5.9%) was fair.
Acromioclavicular Joint
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Dislocations
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Follow-Up Studies
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Humans
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Ligaments
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Methods
;
Shoulder
6.A Percutaneous Cross Pinning Method for Supracondylar Fracture of the Humerus : The Significance of Elbow Position during Pinning to Avoid Ulnar Nerve Damage
Jong Deuk RHA ; Myung Ho LEE ; Hyun Soo PARK ; Woo Cheon LEE ; Tong Hoon SA
The Journal of the Korean Orthopaedic Association 1995;30(5):1404-1407
The percutaneous pinning is a simple, effective method for the treatment of displaced supracondylar fractures of the humerus in children. But there is some controversy in the number of pins used and the method of pin insertion. The cross pinning method provides more stability at the fracture site but the risk of ulnar nerve damage is higher than in lateral pinning method, The senenty-one displaced extension type supracondylar fractures were treated by closed reduction and percutaneous cross pinning from January 1991 to October 1994. Among them, the medial pin was inserted in elbow extension in twenty-eight cases and in forty- three cases the medial pin was inserted in elbow flexion. Ulnar nerve injury occured postoperatively in six cases, in which the pin was inserted with the elbow in flexion position. These results may suggest that when percutaneous cross pinning method is selected to fix the supracondylar fracture of the humerus, it would be safer to insert one or two lateral pins with the elbow in full flexion position followed by one medial pin in extension position in order to reduce the risk of loss of reduction and ulnar nerve damage.
Child
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Elbow
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Humans
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Humerus
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Methods
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Ulnar Nerve
7.A Case of Pulmonary Embolism After Cesarean Delivery.
Ki Cheol KIL ; Dae Ho KANG ; Jong Kun LEE ; Eun Jeong BAIK ; Young LEE ; Jong Gu RHA ; Soo Pyung KIM
Korean Journal of Obstetrics and Gynecology 2000;43(1):124-127
Pulmonary Embolism, one of the causes of maternal death, is a life threatening disease that needs early and accurate diagnosis. We have exprerienced a case of a fatal pulmonary embolism which was diagnosed by lung perfusion scan on the postoperative 1 day after cesarean delivery and was managed with heparin therapy. We present this case with a brief review of literatures.
Diagnosis
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Heparin
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Lung
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Maternal Death
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Perfusion
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Pulmonary Embolism*
9.Reconstruction of Hand and Forearm Injury using Reverse Ulnar Artery Forearm Flap: Six Cases Report
Woo Cheon LEE ; Jong Deuk RHA ; Hyun Soo PARK ; Yong Hoon KIM ; Myung Ho LEE ; Suk Min CHOI
The Journal of the Korean Orthopaedic Association 1995;30(4):1058-1063
There are many methods in reconstruction for skin defect in hand and forearm. Among them, reverse ulnar artery forearm flap has several advantages which are versatile, safe and convenient flap. We report 6 cases of our experiences.
Forearm Injuries
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Forearm
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Hand
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Skin
;
Ulnar Artery
10.Reconstruction of Medial Malleolus and Deltoid Ligament using Bone
Yong Hoon KIM ; Jong Deuk RHA ; Myung Ho LEE ; Hyun Soo PARK ; Woo Cheon LEE ; Tong Hoon SA
The Journal of the Korean Orthopaedic Association 1995;30(5):1463-1467
We present a case of medial malleolus and deltoid ligament loss with extensive overlying soft tissue defect from crushing injury. The resultant gross medial ankle instability necessitated deltoid ligament reconstruction using a bone-patellar tendon graft.
Ankle
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Child
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Humans
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Ligaments
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Patella
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Patellar Ligament
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Tendons
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Transplants