3.Staged Reimplantation Using Cement Spacer Containing Antibiotics in Infected Total Knee Arthroplasty.
Myung Sik PARK ; Ju Won JUNG ; Sung Jin KIM
The Journal of the Korean Orthopaedic Association 1997;32(2):296-301
Despite the continually improving results of total knee arthroplasty, infection remains the most debilitating complication. The treatments of infected total knee arthroplasty were variable, but initially we removed infected implants and inserted antibiotic containing cemented spacer. Postoperatively, patients were mobilized in a 30 knee flexion state and treated with parenteral antibiotics. After control of infection was clinically and radiologically determined, we inserted PCL substitute total knee prosthesis. Five days postoperatively, patient began touch down standing exercise. We observed two cases in whom infected total knee arthroplasty had been salvaged successfully with two-stage implantation using cement spacers containing antibiotics.
Anti-Bacterial Agents*
;
Arthroplasty*
;
Humans
;
Knee Prosthesis
;
Knee*
;
Replantation*
4.A Modular Cementless Femoral Prosthesis for Revision HipArthroplasty.
Myung Sik PARK ; Yung Jin LIM ; Ju Hong LEE
Journal of the Korean Hip Society 2006;18(1):18-24
Purpose: The goal of study was to evaluate the clinical and radiographic performance of the proximal modular cementless femoral stem for use in revision total hip arthroplasty. Material and method: Fifty seven patients (57 hips) were followed for longer than 24 months or up to 8.4 years after performing revision total hip arthroplasty with using the proximal modular cementless femoral stem between January 1997 and December 2002. The preoperative diagnosis included 45 cases of aseptic loosening, 5 cases of septic loosening (re-revision operation), 6 cases of periprosthetic fracture and 1 case of recurrent dislocation. The bone deficiencies were classified according to the Paprosky classification: there were 27 cases of Type I and II, 19 cases of Type IIIA, 9 cases of Type IIIB and 2 cases of Type IV. Results: The average Harris hip score improved from 47 to 87.6. Clinically satisfactory results were noted in 50 patients (87.7%). Radiographically, distal stable fixation was observed in 54 patients (94.7%). Intraoperative complications included two greater trochanteric fractures and two proximal femur fractures. Postoperative complications included 5 femoral stem subsidences (2hips< 5mm, 3 hips>20mm), 4 deep infections, 2 non-unions of the greater trochanter and the osteotomy site and set screw dissociation was noted in 1 case. 5 proximal component changes were done due to progressive subsidence in two cases, non-union at the osteotomy site and trochanteric displacement in two cases and set screw dissociation in one hip. For the infection cases, the proximal segment was removed and re-revised with a 2nd stage operation. (Ed note: check this.) The subsidence of the femoral stems was showed in 3 Paprosky grade IIIA cases and in 2 cases of grade IIIB or more. There was no postoperative periprosthetic fracture observed at the last follow-up. Conclusion: Revision total hip arthroplasty using the proximal modular cementless femoral stem showed good results in the face of the infection of the proximal component and deficient proximal bony support. This procedure appears to be convenient for the surgeon to correct anteversion of the femoral head and leg length discrepancy.
Arthroplasty, Replacement, Hip
;
Classification
;
Diagnosis
;
Dislocations
;
Femur
;
Follow-Up Studies
;
Head
;
Hip
;
Hip Fractures
;
Humans
;
Intraoperative Complications
;
Leg
;
Osteotomy
;
Periprosthetic Fractures
;
Postoperative Complications
;
Prostheses and Implants*
5.A Case of Stomach Perforation during the Therapy of Rheumatic Carditis.
Young Ju LEE ; Man Jin CHUNG ; Soon Ok BYUN ; Myung Hi SHIN ; Ji Sub OH
Journal of the Korean Pediatric Society 1983;26(12):1241-1246
No abstract available.
Myocarditis*
;
Stomach*
6.Intra-abdominal Desmoplastic Small Round Cell Tumor Diagnosed by Lymph Node Biopsy: A case report.
Myung Jin JU ; Kwang Min LEE ; Hye Kyung LEE ; Dong Kyu CHUNG
Korean Journal of Pathology 1995;29(5):698-701
Intra-abdominal desmoplastic small round cell tumor has been described in the literature since 1989. It is characterized by the occurrence in ages less than 40 with male predominance, an intra-abdominal location, and small round to oval shaped tumor cells with divergent differentiation in the background of the desmoplastic stroma. We recently experienced this tumor in an inguinal lymph node of a 36-year-old man. It is suspected that it metastasized from a lower intra-abdominal tumor. Immunohistochemical stains for keratin, epithelial membrane antigen, vimentin, S-100 protein and neuron specific enolase were positive. This is the first documented case in Korea. Herein, we report on this tumor with a review of literature.
Male
;
Humans
7.Significance of temporal bone CT scan for exposure of the facial canal and the lateral semicircular canal in cholesteatoma.
Ki Joon SUNG ; Dong Jin KIM ; Myung Soon KIM ; Young Ju KIM ; Joon KWEON
Journal of the Korean Radiological Society 1991;27(5):603-606
No abstract available.
Cholesteatoma*
;
Semicircular Canals*
;
Temporal Bone*
;
Tomography, X-Ray Computed*
8.A family case of hereditary spherocytosis with simultaneous occurrence of hemolytic crisis in two family members.
Wonkeun SONG ; Myung Seo KANG ; Kap Jun YOON ; Young Hak SHIM ; Jin Ju KIM
Korean Journal of Clinical Pathology 1992;12(2):217-221
No abstract available.
Humans
9.A family case of hereditary spherocytosis with simultaneous occurrence of hemolytic crisis in two family members.
Wonkeun SONG ; Myung Seo KANG ; Kap Jun YOON ; Young Hak SHIM ; Jin Ju KIM
Korean Journal of Clinical Pathology 1992;12(2):217-221
No abstract available.
Humans
10.The Inhibition of Stress-Induced c-fos Expression by Superior Cervical Ganglion Block in Rat Brain.
Hyun Ju JUNG ; Chong Min PARK ; Dong Suk CHUNG ; Myung Ja AHN ; Hyung Jin BYUN
Korean Journal of Anesthesiology 1997;33(6):1029-1036
BACKGROUND: Using c-fos expression one of the immediate early gene, as a marker of altered neuronal response, we investigated the effect of superior cervical ganglion block (SCGB) exhibiting the same effect of SGB of human on the activity of several brain regions which are considered as located on autonomic neural pathway and neuroendocrine axis in rat. METHOD: The 48 Sprague-Dawley strain rats were divided into 4 groups, as saline/stress (control) group, SCGB/stress (tested) group, saline group, SCGB group. Superior cervical ganglion block was conducted in the SCGB/stress group and SCGB group while saline/stress and saline group were sham operated. After then restraint stress was imposed on the animals of SCGB/stress group and saline/stress group. And 2 hour after injection (saline, SCGB group) or restraint stress (saline/stress, SCGB/stress group), c-fos protein (Fos) was localized by immunocytochemistry. RESULTS: Much stronger Fos immunoreactivity was induced in the several brain region of control group rats compared to other three groups and the numbers of Fos positive cell count of tested group were significantly decreased in paraventricular hypothalamic nucleus (p<0.01), A5 (p<0.01), raphe pallidus (p<0.05), nucleus tractus solitaius (p<0.01) compared to control group. CONCLUSION: This study demonstrate that superior cervical ganglion block attenuates stress induced neuronal activities of paraventricular hypothalamic nucleus, A5, raphe pallidus, nucleus tractus solitarius.
Animals
;
Axis, Cervical Vertebra
;
Brain*
;
Cell Count
;
Genes, vif
;
Humans
;
Immunohistochemistry
;
Neural Pathways
;
Neurons
;
Paraventricular Hypothalamic Nucleus
;
Rats*
;
Rats, Sprague-Dawley
;
Solitary Nucleus
;
Superior Cervical Ganglion*