1.Bladder Management after Total Hip Arthroplasty under Spinal Anesthesia.
Sung Kwan HWANG ; Jong Bong KIM
The Journal of the Korean Orthopaedic Association 1998;33(7):1709-1712
We conducted a retrospective study of 104 patients to examine the efficacy of two methods of urinary bladder management after total hip arthroplasty under spinal anesthesia. Patients who had total hip replacement was randomly assigned either to Group I, in which indwelling catheters were placed during the operation and removed the next morning, or Group II, in which urinary retention was managed by intermittent catheterization as needed. After the removal of the indwelling catheter, the patients in Group I had a lower incidence of urinary retention than those in Group II. Bladder distention(volume above 700ml) was more common in Group II and was associated with an increased need for subsequent long-term catheterization. There was no significant difference between the groups in the rates of urinary tract infection. We conclude that the short-term use of an indwelling catheter after extended surgery, such as joint replacement, reduces the incidence of urinary retention and bladder overdistention, without increasing the rate of urinary tract infection.
Anesthesia, Spinal*
;
Arthroplasty, Replacement, Hip*
;
Catheterization
;
Catheters
;
Catheters, Indwelling
;
Humans
;
Incidence
;
Joints
;
Retrospective Studies
;
Urinary Bladder*
;
Urinary Retention
;
Urinary Tract Infections
2.Functional Leg Length Inequality Following THA.
Sung Kwan HWANG ; Jong Bong KIM
The Journal of the Korean Orthopaedic Association 1998;33(7):1665-1671
This is a follow up study on consecutive series 50 patients of total hip arthroplasty to assess for transient leg-length inequality. The authors report a clinical experience of 50 patients who have been pelvis tilt before total hip replacement. Retrospectively reviewed for the presence of pelvic obliquity preoperative and at the 1, 3 and 6 months follow-up visits. The results were as follows. Fourty-eight patients(96%) with functional leg length inequality related pelvic obliquity were improved within 6months postoperative follow up period after total hip arthroplasty. Two patients(4%) had persistent functional leg length inequality that affected factors-old age, female and soft tissue tightness due to pelvic obliquity. We believe that in most of these patients, the transient functional leg length inequality has a self-limited course, whereas in a small number, the profoud sense of inequality remains.
Arthroplasty, Replacement, Hip
;
Female
;
Follow-Up Studies
;
Humans
;
Leg Length Inequality*
;
Leg*
;
Pelvis
;
Retrospective Studies
;
Socioeconomic Factors
3.Passive Manipulation for the Treatment of Frozen Shoulder
Sung Kwan HWANG ; Jong Soon KIM
The Journal of the Korean Orthopaedic Association 1989;24(5):1434-1438
The treatment of frozen shoulder should initially be conservative, with the emphasis on passive stretching of the capsular structures. If the patient's clinical progress stalls or the condition worsens, and his or her life style is disturbed enough, manipulation under gerneral anesthesia is indicated. The Authors practiced the passive manipulation under the general anesthesia on 7 patients of frozen shoulder, who had been treated at the Department of Orthopaedic Surgery, Yonsei University, Wonju College of Medicine, from March 1988 to April 1989. The results obtained were as follows:l. All seven patients achieved nearly full range of motion with minimal or no pain. 2. After 3 months of follow-up, all seven patients showed neither signs of readhesions nor recurrence of pain. 3. There were no complications, such as humerus shaft fracture and dislocation of shoulder.
Anesthesia
;
Anesthesia, General
;
Bursitis
;
Dislocations
;
Follow-Up Studies
;
Gangwon-do
;
Humans
;
Humerus
;
Life Style
;
Muscle Stretching Exercises
;
Range of Motion, Articular
;
Recurrence
;
Shoulder
4.Mechanical Failure In Using Compression Plate in Long Bone Fractures
Sung Kwan HWANG ; Jung Ho RAH ; Jong Soon KIM
The Journal of the Korean Orthopaedic Association 1990;25(1):93-102
The metallic failure is one of the annoying problems after fracture surgery. The seventeen cases of metallic failures after compression plate fixation were treated at the Department of Orthopaedic Surgery. Yonsei University Wonju College of Medicine between January, 1980 and December, 1988. The results were summerized as follows: l. Among 17 cases, 12(70.5%) were under 40 years of age and 14(80%) were male patients. 2. The sites of fracture of the seventeen cases; 12 femurs, 3 tibiae, and 2 radii. Of the cases, there were breakage of plates in 13 cases, bending 1 case and failure of screw in 3 cases. 3. The pattern of fracture: communited fracture
Femur
;
Fractures, Bone
;
Fractures, Open
;
Gangwon-do
;
Humans
;
Incidence
;
Male
;
Osteoporosis
;
Radius
;
Tibia
;
Transplants
;
Weight-Bearing
5.A Case of Surgically Corrected-Combined form of Total Anomalous Pulmonary Venous Return.
Dae Sung HWANG ; Sun Hwan CHO ; Jong Bum CHOI ; Hyang Suk YOON ; Soon Ho CHOI
Korean Circulation Journal 1992;22(3):473-478
Total anomalous pulmonary venous return(connection) is a congenital heart disease. Especially, the reports of the patients with double connections of all pulmonary veins were rare. An infant who underwent operation for total anomalous pulmonary venous return had double drainge of all pulmonary veins to both left vertical vein and anomalous descending vein. This second lesion was not diagnosed preoperatively, but in operative field. Operative treatments were performed by ligation of left vertical vein and central pulmonary vein-to-left atrium anastomosis without ligation of the descending anomalous vein. For these less common variants fo total anomalous pulmonary venous return,a more detailed and precise understanding of morphology can facilitate accurate surgical repair. And also, early detection of the disease is an another issue for a good prognosis.
Heart Defects, Congenital
;
Humans
;
Infant
;
Ligation
;
Prognosis
;
Pulmonary Veins
;
Scimitar Syndrome*
;
Veins
6.A case of thanatophoric dwarfism.
Sung Jin HWANG ; Kyung Nam CHOI ; Jong Hyun CHOI ; Doo Yong CHUNG ; Kyung Rok SEUNG
Korean Journal of Obstetrics and Gynecology 1993;36(11):3803-3808
No abstract available.
Thanatophoric Dysplasia*
7.Problem of questionable dementia in epidemiological studies: Comparison with mild dementia.
Jong Han PARK ; Sung Wan CHO ; Hwang Heui LEE ; Sang Yong CHOI
Journal of Korean Neuropsychiatric Association 1993;32(4):572-578
No abstract available.
Dementia*
;
Epidemiologic Studies*
8.Surgical Treatment of a Chordoma Arising from the Second Thoracic Vertebral Body through the Modified Anterior Approach: Case Report.
Jong Won LEE ; Young Baeg KIM ; Seung Won PARK ; Sung Nam HWANG ; Duck Young CHOI
Journal of Korean Neurosurgical Society 2000;29(4):574-579
No abstract available.
Chordoma*
9.A Case of Bowen Disease in the Finger Web.
Deborah LEE ; Jong Keun SEO ; Sunghwan HWANG ; Jungnan KANG ; Hyojin KIM ; Young Seok LEE ; Hosuk SUNG
Korean Journal of Dermatology 2013;51(8):663-664
No abstract available.
Bowen's Disease
;
Fingers
10.Neuropsychological effects of chronic alcoholism on the tactual-spatial performance and memory.
Jong Sub LEE ; Chan Hyung KIM ; Sung Hoon LEE ; Won Joon HWANG ; Kae Joon YOO
Journal of Korean Neuropsychiatric Association 1993;32(1):59-69
No abstract available.
Alcoholism*
;
Memory*