1.Bilateral Slipped Upper Femoral Epiphysis: A case report
The Journal of the Korean Orthopaedic Association 1976;11(3):494-498
During s period of rapid growth in adolescence, weakening of the epiphyseal plate and shearing stress of incumbent body weight may cause the femoral head to become displaced from its normal relation to the femoral neck. Slipped upper femoral epiphysis was firstly described by Ambrose Pare in 1572, and many cases have been reported in Europe and America, and extremely rare in Korea. This particular case is a 15-year-old boy. Slipping was evident on the initial X-ray taken at a local provincial hospital approximately 1 year prior to come to this hospital. Owing to the capital epiphysis subluxated with coxa magna deformity, we performed Herndons operation as the first step of treatment. And schedule to do subtrochanteric wedge osteotomy for correction of residual deformity on right hip later on. Varization of left hip is also considered.
Adolescent
;
Americas
;
Appointments and Schedules
;
Body Weight
;
Congenital Abnormalities
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Epiphyses
;
Europe
;
Femur Neck
;
Growth Plate
;
Head
;
Hip
;
Humans
;
Korea
;
Male
;
Osteotomy
;
S Phase
2.12 Cases of Squamous Cell Carcinoma in the Extremities
Key Yong KIM ; Duk Yun CHO ; Young Koo LEE
The Journal of the Korean Orthopaedic Association 1976;11(3):316-322
Squamous cell carcinoma is a primary malignant tumor of the skin arising from the epidermis with etiology unknown, and chronie irritations are considered as predisposing factors such as prolonged exposure to sunlight, chronic ulceration of the scar, persistent draining sinus of the chronic osteomyelitis. Habitual pipe smoking and exposure to heavy metal or chemical agents are also thought to be contributing factors to produce this tumor. Orthopaedic surgeons are occasionally concerned in case of patients with squamous cell carcinoma developed in the extremities particularly arising from the persistent draining sinus of the chronic osteomyelitis. We reviewed 12 patients with squamous cell carcinoma in the extremities treated at National Medical Center between 1963 and 1975. All cases were definitely diagnosed clinically and histopathologically. 1) Male to female ratio was 11:1. Average sge of the patients was 52. 2) Farmer is predominant in incidence as 10 out of 12. 3) Sites of invoIvement were buttock and lower extremities in all cases. 4) Predisposing factors of the tumor were chronic skin ulceration in 7 cases, persistent draining sinus of chronic osteomyelitis in two and unknown in three cases. 5) Duration of the skin ulceration or draining sinus before producing tumor was considerably long between 10 and 30 years in majority of the cases. 6) Duration of newgrowth before operation was less than one year in 5, between one and two years in three, and more than two years in four cases. 7) Pre-operative chest X-ray was normal in all cases. However X-ray of the bones of affected limbs showed no bony change in two cases, and various bony changes in 10 cases such as periosteal reaction, cortical erosion, findings of pre-existing chronic osteomyelitis etc. In detail, two cases revealed direct infiltration and active bony destruction into the cortex and medulla by tumor mass. 8) We performed amputation or disarticulation at various levels in 5 cases, radical excision in 3 and biopsy in one case. 9) Within 6 months postoperatively, four cases showed local recurrence of newgrowth as well as metastasis to the lung concomitantly. Three of them were the cases of radical resection. One of them developed distant metastasis to the clavicle.
Amputation
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Biopsy
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Buttocks
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Carcinoma, Squamous Cell
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Causality
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Cicatrix
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Clavicle
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Disarticulation
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Epidermis
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Epithelial Cells
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Extremities
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Farmers
;
Female
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Humans
;
Incidence
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Lower Extremity
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Lung
;
Male
;
Neoplasm Metastasis
;
Osteomyelitis
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Recurrence
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Skin
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Skin Ulcer
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Smoking
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Sunlight
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Surgeons
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Thorax
;
Ulcer
3.Analysis of Fractures of the Foot and Ankle
Key Yong KIM ; Myung Chul LEE ; Bong Yeol LIM
The Journal of the Korean Orthopaedic Association 1978;13(4):727-739
The results of the treatment upon total 132 cases of ankle and foot fractures treated during the period from January 1969 to August 1978 at the Department of Orthopaedic Surgery, National Medical Center have been analysed and reported in this paper. 1. Sex ratio between male and female was 3.7:1. 68 cases (51.5%) cases out of 132 cases were in the age groups of 2nd and 3rd decades. remarkably higher than any other group. 2. 85 cases out of 132 cases were closed fractures and 47 cases were open fractures, but the incidence of the open fracture in higher in the fractures below the metatarsal bones and multiple fractures. 3. 59 cases out of 132 cases were ankle fractures 34 tarsal bone fractures 14 metatarsal bone fractures, 8 phalangeal bone fractures and 20 multiple fractures Accordingly, the incidence of the ankle fracture is higher than other fractures. 4. Ankle fracture was classified in 4 types according to the fracture mechanism (Lauge-Hansen classification). 20 cases out of 59 cases were pronation-abduction type, 15 cases were pronation-external rotation type, 14 cases were supination adduction type and 9 cases were supination-external rotation type. 15 cases out of 59 cases of the ankle fractures were treated by tension band compression internal fixation. The result of this method was much better than other methods. 5. 25 cases out of 35 cases of calcaneal fracture involved subtalar joint according to Rowe classification. 12 cases out of 25 cases of calcaneal fracture involved subtalar joint were Tongue type-C. In the treatment, no relation between restoration tuber angle or Gissane angle and the incidence of complication was obtained. 6. The incidence of the complication, such as secondary oateoarthritis, non union. malunion, occurred higher in the open and multiple fractures than closed and single fractures.
Ankle Fractures
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Ankle
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Classification
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Female
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Foot
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Fractures, Bone
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Fractures, Closed
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Fractures, Multiple
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Fractures, Open
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Humans
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Incidence
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Male
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Metatarsal Bones
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Methods
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Sex Ratio
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Subtalar Joint
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Supination
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Tarsal Bones
;
Tongue
4.Multifocal Eosinophilic Granuloma without Extraskeletal Involvement: A Case Report
Key Yong KIM ; Ho Yoon KWAK ; Joong Myung LEE
The Journal of the Korean Orthopaedic Association 1983;18(3):560-564
A very rare case of multifocal eosinophilic granuloma without extraskeletal involvement in 35 year-old ma was experienced. The patient was admitted for the painful swelling of the right clavicular region and was treati with curettage and autograft of iliac bone. Five months later newly developed the pain in the trochanteric lesion left femur without fever, and also was confirmed as the same lesion. Both lesions were treated with curettage and iliac bone graft, and were followed by radiotheraphy. According to the pathological study, those lesions were confirmed as the multifocal eosinophilic granuloma.
Autografts
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Curettage
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Eosinophilic Granuloma
;
Eosinophils
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Femur
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Fever
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Humans
;
Transplants
5.A Clinical study of Flexion Contractures of the Injured Fingers
Key Yong KIM ; Duck Yun CHO ; Kyu Seong LEE
The Journal of the Korean Orthopaedic Association 1987;22(1):97-102
One of the commonest and most serious problems of the injured hand is flexion contractures of the fingers. Such deformities not only functionally impair the digit, but also reduce or restrict the functional capability of the entire hand. We reviewed 150 digits of 73 patients with flexion contractures of the fingers which had been treated at National Medical Center from Jan. 1976 to Dec. 1985. The results were as follows: 1. The duration of flexion contractures which were scattered from 4 months to 17 years and average duration of contracture was 20.6 months. 2. The methods of treatment were Z-plasty, adhesiolysis, capsulotomy, excision of both collateral ligaments, stripping of extensor mechanism and volar plate and release of flexor tendon sheath according to injury mechanism and duration of contracture. 3. The postoperative results showed up 32 (21.3%) excellent, 78 (52%) good, 24 (16%) fair and 16 (10.7%) poor. 4. The postoperative results of burned injury which showed up-8 excellent, 11 good out of 20 cases they are supposed to have satisfactory results. 5. Crushing injury which had intraarticular fracture or comminution show up unsatisfactory results. 6. It seems obvious that the early active motion of interphalangeal joint is important to improve joint function. 7. The arc of motion was retained in a more functional position postoperatively than preoperatively.
Burns
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Clinical Study
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Collateral Ligaments
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Congenital Abnormalities
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Contracture
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Fingers
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Hand
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Humans
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Intra-Articular Fractures
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Joints
;
Tendons
6.Tendon Graft in Old Flexor Tendon Injury
Key Yong KIM ; Duck Yun CHO ; Sung Churl LEE
The Journal of the Korean Orthopaedic Association 1989;24(2):462-468
The flexor tendon injuries of the finger are very difficult to treat satisfactorily. Early treatment is desirable, but not always posaible. In addition, joint stiffness and limitation in gliding of the tendon caused by adhesion, make the problem more complex. From 1978 until 1988, 13 patients (14 eases) underwent operations for free tendon graft, and 10 patients (13 eases) for staged tendon graft at the Department of Orthopaedic Surgery, National Medieal Center. They have been followed up for clinical study, and the result was summarized as follows:1. Old flexor tendon injuries were common in the teen and twenties, especially in male. 2. They occurred in the index (10 Cases, 37.0%) and middle (8 cases, 29.6%) fingers most commony, especially zone II (62.9%). 3. The result was evalusted according to the method designed by Strickland and Glovac. In 19 out of 27 cases, satisfactory result (excellent and good) was yielded. 4. In cause, deep laceration by sharp object was better in the result than crushing injury. 5. The interval between the injury and the operation ranged from 1 month through 11 years, averaging 16 months, and is supposed to have little relation to the result. 6. The preoperative state is supposed to have much relation to postoperative result, judging from 100% of satisfactory result in Grade I compared with 40% in Grade V according to Boyes preoperative classification. 7. Little difference is seen in the result between free tendon graft and staged tendon graft. And 5 cases complicated by adhesion, rupture of grafted tendon and wound infection yielded poor result.
Adolescent
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Classification
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Clinical Study
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Fingers
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Hand
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Humans
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Joints
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Lacerations
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Male
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Methods
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Rupture
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Tendon Injuries
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Tendons
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Transplants
;
Wound Infection
7.Pigmented Villonodular Synovitis of the Hip Joint
Soo Ho LEE ; Key Yong KIM ; Tae Yun CHO
The Journal of the Korean Orthopaedic Association 1995;30(1):145-151
Plgmented villonodular synovitis is a benigh lesion that develops in joint lining and is characterized by an exuberant inflammation. Many authors have discussed etiology, clinical and radiological features, pathology and treatment regarding the disease. This occurs most commonly in the knee joint as a monoarticular proliferative process, but rarely in the hip joint. It is a nonneoplastic disease but may develop as an aggressive local process with bone and joint destruction. Sometimes clinician can not detect it in early time because of its nonspecific clinical findings and misdiagnose it as sarcomatous process. So, early diagnosis of hip joint involvement is necessary because destruction of the femoral head and acetabulum is the ultimate outcome if treatment is not intiated. We report two cases of pigmented villonodular synovitis involving the hip joint, which were diagnosed and treated in our department.
Acetabulum
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Early Diagnosis
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Head
;
Hip Joint
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Hip
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Inflammation
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Joints
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Knee Joint
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Pathology
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Synovitis
;
Synovitis, Pigmented Villonodular
8.MRI findings of ruptured intervertebral lumbar discs.
Key Yong KIM ; Yung Tae KIM ; Choon Sung LEE ; Soo Ho LEE ; Yong Jung KIM
The Journal of the Korean Orthopaedic Association 1991;26(6):1779-1787
No abstract available.
Magnetic Resonance Imaging*
9.Femoral Neck Fractures in Patients with Cerebrovascular Accident (CVA)
Kee Won RHYU ; Yong Koo KANG ; Han Yong LEE ; Seung Key KIM ; Kyung Tai LEE
The Journal of the Korean Orthopaedic Association 1995;30(5):1236-1241
To assess the prognostic factors of the femoral neck fractures in patients with CVA, we compared the survival rates in 12 cases of CVA group with 12 cases of non-CVA group and evaluated the various clinical factors of CVA group affect the mortality. All of the patients both CVA group and non- CVA group were treated hemiarthroplasty for femoral neck fractures between June 1990 and June 1992. The mean age was 68.9 years old in the CVA group and 69.3 years old in the non-CVA group. The mean follow-up periods were 32.8 months in the CVA group and 33.6 months in the non-CVA group. The results were as follows; 1. The incidence of the femoral neck fracture with CVA was 15%(12 cases among SO femoral neck fractures). 2. The survival rates in the CVA group at l-year, 2-year, and 3-year were 83.3%, 66.7%, and 58.3% respectively. In the non-CVA group, the survival rates were 83.3%, 75.0%, and 62.5%. 3. In the CVA group, serum total protein, nutritional index, hypertension, lung disease, and cardiac disease may be valuable prognostic factors. In conclusion, the pretraumatic patient's general physical condition could affect the mortality of femoral neck fracture in the CVA patients rather than CVA itself or postoperative status.
Femoral Neck Fractures
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Femur Neck
;
Follow-Up Studies
;
Heart Diseases
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Hemiarthroplasty
;
Humans
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Hypertension
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Incidence
;
Lung Diseases
;
Mortality
;
Nutrition Assessment
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Stroke
;
Survival Rate
10.Primary culture of osteoblast.
Key Yong KIM ; Choon Sung LEE ; Soo Ho LEE ; Jae Dam LEE ; Gon Sup KIM
The Journal of the Korean Orthopaedic Association 1991;26(6):1860-1863
No abstract available.
Osteoblasts*