1.Surgical Treatment of Rheumatoid Arthritis
The Journal of the Korean Orthopaedic Association 1988;23(3):832-840
The result of forty cases of rheumatoid arthritis according to New York criterion, who underwent multiple operations(up to 10) in multiple joints hetween 1983 and 1986 were evaluated in 3 years and 8 months in average(range; 18 months to 5 years 2 months)postoperatively. The joints operated upon were knee, ankle, shoulder, elbow, wrist and finger joints. The surgery performed were 65 arthroscopic synovectomies, 17 total joint replacement(16 knees and 1 elbow) and 7 arthrodesis(1 knee, 1 ankle and 5 wrists). There were 10 males and 30 females, 27 “clsssic” and 13 “definite” rheumatoid arthritis according to the classification of American Rheumatism Association.Functional capacity of the patient was graded as I, II,III and IV according to the ARA. The final clinical results were graded as “excellent”, “good”, “fair” and “poor” according to the modified citeria of Sledge et al(20). The relationship between number of cases of recurred synovitis and various factors such as sex, classification according to the ARA, number of joints involoved and extent of synovectomy in the knee joint was analyzed statistically with chi-square test of the contingency table.The results are as follows; 1. The final results were 22 “excellent”(55.0%), 16 “good”(40.0%) (altogether 95% of cases were satisfactory) and 2 fair (5.2%), but there was no “poor” result. 2. All cases showed functional improvement, the commonest mode of improvement being from preoperative grade II to postoperative grade I(19 out of 40 cases, 47.5%). 3. There were 9 cases of recurrence of synovitis following arthroscopic synovectomy(22.5 %). They were controlled by medication in 2 cases, and by reoperation in 5 cases (resynovectomy ; 3, joint replacement; 1, arthrodesis ; 1). 4. The factors such as sex, classification and number of joints involved were not significantly correlated c the recurrence rate although there was a tendency of frequent recurrences in cases of female, classic RA and multiple joint involovement (P>0.05). 5. In the knee joint there was significantly less recurrence rate in total synovectomy cases (1/20, S.0%) than in anterior synovectomy cases (7/22, 31.8%) (P<0.01). 6. There was no recurrence following total joint replacment or arthrodesis. In conclusion the combined surgery of arthroscopic synovectomy, joint replacement and arthrodesis in the multiple joints was effective in relief of pain and effusion and improvement of functional capcity of the rheumatoid patient if proper medical treatment was given postoperatively.
Ankle
;
Arthritis, Rheumatoid
;
Arthrodesis
;
Classification
;
Elbow
;
Female
;
Finger Joint
;
Humans
;
Joints
;
Knee
;
Knee Joint
;
Male
;
Recurrence
;
Reoperation
;
Rheumatic Diseases
;
Shoulder
;
Synovitis
;
Wrist
2.Use of quadruple bags for pediatric transfusion.
Nam Yong LEE ; Suk Woon KWON ; Sang In KIM
Korean Journal of Blood Transfusion 1992;3(1):9-13
No abstract available.
4.Accuracy of 18F FDG PET after Surgery and Radiotherapy in Head and Neck Cancers.
Weon Il YANG ; Chang Woon CHOI ; Yong Sik LEE ; Byeung Il KIM ; Jae Sung LEE ; Sang Moo LIM ; Yoon Sang SHIM ; Sung Woon HONG
Korean Journal of Nuclear Medicine 1999;33(6):466-474
PURPOSE: The purpose of this study was to evaluate the diagnostic accuracy of [18F]FDG PET in the diagnosis of recurrent head and neck cancer after the completion of surgery and radiotherapy in patients with head and neck cancers. MATERIALS AND METHODS: In fifty-nine patients with head and neck cancers, whole body [18F]FDG PET studies were performed. According to the different therapeutic modalities, patients were divided into four groups (Group I; pre-treatment, Group II; surgery, Group III; radiotherapy, Group IV; both surgery and radiotherapy). [18F]FDG PET images were compared with clinical, CT and histopathologic findings. RESULTS: For detection of metastatic lymph nodes in 14 patients of pre-treatment group (group I), the sensitivity and specificity of PET were 100% (10/10) and 75% (3/4), and those of CT were 80% (8/10) and 100% (4/4). For detection of recurrence in 45 patients of post-treatment group, overall sensitivity and specificity of PET were 96.2% (25/26) and 78.9% (15/19) [(100% and 75% in group II, 80% and 50% in group III, and 100% and 100% in group IV)] without significant difference from pre-treatment group (p>0.1). In detecting recurrence, the sensitivity and specificity of [18F]FDG PET were 90.9% (10/11) and 20% (1/5) in 16 patients who underwent [18F]FDG PET within 2 months after the completion of treatment. The specificity of these patients was significantly lower than that of 29 patients (100% of sensitivity and specificity) who underwent [18F]FDG PET 2 months after treatment (p<0.05). CONCLUSION: [18F]FDG PET is an accurate diagnostic modality for the detection of recurrence in head and neck cancer. Post-therapy [18F]FDG PET should be obtained at least 2 months after the completion of surgery or radiotherapy.
Diagnosis
;
Head and Neck Neoplasms
;
Head*
;
Humans
;
Lymph Nodes
;
Neck*
;
Radiotherapy*
;
Recurrence
;
Sensitivity and Specificity
5.A Case of Neuro-Behcet's Disease: Comparison of Neurological Symptoms with PET, SPECT, and MRI Findings.
Chang Woon CHOI ; So Yon KIM ; Min Koo CHO ; Sang Moo LIM ; Gwon Jun LEE ; Young Jung KIM ; Sung Woon HONG ; Jin Wook KIM ; Min AN
Korean Journal of Nuclear Medicine 1998;32(6):534-541
We describe a 27-year-old man who developed gait disturbance and dysarthria 2 years after the onset of cardinal symptoms of Behcet's disease. Positron emission tomography with 18F-fluorodeoxyglucose revealed severe hypometabolism in the cerebellum, in accordance wih cerebellar symptoms and sign of the patient. However, single-photon emission tomography with Tc-99m-HMPAO and Tc-99m-ECD did not disclose significant perfusion abnormalities in the brain. Routine brain magnetic resonance imaging did not show signal abnormalities. The findings of imaging studies compared with neurological manifestations of the patient are discussed.
Adult
;
Brain
;
Cerebellum
;
Dysarthria
;
Gait
;
Humans
;
Magnetic Resonance Imaging*
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Neurologic Manifestations
;
Perfusion
;
Positron-Emission Tomography
;
Tomography, Emission-Computed, Single-Photon*
6.Microwave stimulated iron staining of plastic embedded bone marrow section.
Han Ik CHO ; Myong Ok SHIM ; Woon Heung SONG ; Sang In KIM
Korean Journal of Clinical Pathology 1991;11(1):79-81
No abstract available.
Bone Marrow*
;
Iron*
;
Microwaves*
;
Plastics*
7.Membranes for the Guided Bone Regeneration.
Maxillofacial Plastic and Reconstructive Surgery 2014;36(6):239-246
Many kinds of membrane have been used for the guided bone regeneration (GBR) technique. However, most membranes do not fulfill all requirements for the ideal membrane for the GBR technique. Among them, collagen membrane has been most widely used. However, its high price and weak tensile strength in wet condition are limitations for wide clinical application. Synthetic polymers have also been used for the GBR technique. Recently, silk based membrane has been considered as a membrane for the GBR technique. Despite many promising preclinical data for use of a silk membrane, clinical data regarding the silk membrane has been limited. However, silk based material has been used clinically as vessel-tie material and an electrospun silk membrane was applied successfully to patients. No adverse effect related to the silk suture has been reported. Considering that silk membrane can be provided to patients at a cheap price, its clinical application should be encouraged.
Bone Regeneration*
;
Collagen
;
Humans
;
Membranes*
;
Polymers
;
Silk
;
Sutures
;
Tensile Strength
8.Thallium-201 uptake and washout in T1-201 brain SPECT of various brain tumors.
Sang Moo LIM ; Sung Woon HONG ; Chang Hun RHEE ; Seung Hoon LEE ; Jong Hyun KIM
Korean Journal of Nuclear Medicine 1992;26(2):360-364
No abstract available.
Brain Neoplasms*
;
Brain*
;
Tomography, Emission-Computed, Single-Photon*
9.Characterization of acute leukemia through automatic assessment of peripheral blood cells by USE of Technicon H-1.
Yoon Sun YANG ; Hee Jung KANG ; Woon Hong SONG ; Han Ik CHO ; Sang In KIM
Korean Journal of Clinical Pathology 1991;11(3):567-573
No abstract available.
Blood Cells*
;
Leukemia*
10.Clinical Evaluation of the Pars Plana Vitrectomy.
Sang Wook RHEE ; Yong Woon KIM
Journal of the Korean Ophthalmological Society 1979;20(4):505-510
Operation on vitreous body has been almost forbidden till the past few years. However, after the report on pars plana vitrectomy in early 1970's, it has been received favorably as effective operation for treatment of many diseases of vitreous body. So, the clinical and statistical evaluation of the 60 pars plana vitrectomies using a device of VISC X which were operated at the Dept. of Ophth. St. Mary's Hospital, Catholic Medical College from July, 1977 to April 1979 was done. The follow up period ranged from 2 wks to 21 months. The results were as follows; 1. Among the four major causes requiring pars plana vitrectomy, the highest percentage was occupied by Trauma (33 cases-55.0%) followed by diabetic retinopathy (11 cases-18.3%), hypertensive retinopathy (3 cases-5.0%) and central retinal vein occlusion (3 cases-5.0%). 2. Postoperative improvement of visual acuity was seen in 26 cases (43.3%). There was no change in vision in 17 cases (28.3%) and decrease of visual acuity occured in 17 cases (28.3%). Vitreous opacity and hemorrhage patients without proliferative changes showed improvement in 55.2% where as patients with proliferative changes showed improvement in only 32.3% of cases. 3. The complications during operation were vitreous hemorrhage (7 cases-11.7%), hyphema (4 cases-6.7%), retinal detachment (3 cases-5.0%) and traumatic cataract (2 cases-3.3%). The postoperative complications were ocular hypotonY(11 cases-18.3%), vitreous hemorrhage (9 cases-15.0%) and retinal detachment (9-cases-13.3%). We found that pars plana vitrectomy using a device of VISC X is effective method in rarious cases of vitreous diseases with or without proliferative change which has not been able to treat effectively before.
Cataract
;
Diabetic Retinopathy
;
Follow-Up Studies
;
Hemorrhage
;
Humans
;
Hypertensive Retinopathy
;
Hyphema
;
Postoperative Complications
;
Retinal Detachment
;
Retinal Vein
;
Visual Acuity
;
Vitrectomy*
;
Vitreous Body
;
Vitreous Hemorrhage