1.Median sternotomy for bilateral resection or plication of bullae.
Hee Chul PARK ; Suck Jun KONG ; Ho Seung SHIN ; Bung Joo KIM ; Ki Woo HONG
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(2):182-189
No abstract available.
Sternotomy*
2.Clinical and Radiologic Results Comparing the Periarticular Proximal Humerus Locking Plate and Polarus Nail for Displaced Proximal Humerus Fractures.
Young Kyoung MIN ; Seung Jun LEE ; Heui Chul GWAK ; Sang Woo KANG ; Kuen Tak SUH
Clinics in Shoulder and Elbow 2017;20(4):208-216
BACKGROUND: This study compared the clinical and radiological outcomes of the single calcar screw plate and Polarus nail techniques for the treatment of the proximal humerus fractures. METHODS: Seventy-two patients diagnosed with displaced proximal humerus fracture were enrolled for the study. Of these, 50 patients underwent the locking plate surgery with a single calcar screw (plate group), whereas 22 patients underwent the Polarus nail surgery (nail group). The plate group was further divided into plate 1 group (with medial support), and plate 2 group (without medial support). The radiological and functional results of both groups were compared to the nail group. RESULTS: The α angle 1 year after surgery was significantly different between plate 1 and plate 2, and plate 2 and nail groups (p=0.041, p=0.043, respectively). The ratio that does not satisfy the reference value of γ angle was 2.8% in plate 1, 7.1% in plate 2 and 22.7% in nail group (p=0.007); there was a significant difference between plate 1 and nail group, and plate 2 and nail group (p=0.014, p=0.033, respectively). CONCLUSIONS: No significant differences were observed in the clinical results between locking plate and Polarus nail. However, in the plate 2 group and nail group, the rate of failure to maintain reduction during the 1-year period after surgery was statistically and significantly higher than the plate 1 group (level of evidence: level IV, case series, treatment study).
Humans
;
Humeral Fractures
;
Humerus*
;
Reference Values
3.An Anterior Approach to Entire Length of Humerus and to Distal Shaft for Fracture Fixation.
Chul Hyung LEE ; Hyun CHOI ; Tae In KIM ; Jun Beom KIM ; Sang Yeop SHIN ; Seung Koo RHEE
Clinics in Shoulder and Elbow 2016;19(4):223-228
BACKGROUND: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for fractures occurring along length of humerus. METHODS: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single incision. Postoperatively, we measured the Mayo elbow performance index (MEPI). RESULTS: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an average 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final follow-up (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site. CONCLUSIONS: Our whole humerus with a single incision was effective for the treatment of segmental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation.
Elbow
;
Follow-Up Studies
;
Fracture Fixation*
;
Humans
;
Humeral Fractures
;
Humerus*
;
Muscles
;
Peripheral Nervous System Diseases
;
Traction
;
Transplants
;
Treatment Outcome
4.Atlantoaxial Rotatory Fixation: Report of 3 Cases.
Moon Jun SOHN ; Seung Chul RHIM ; Sung Woo ROH ; Hyung Chun PARK
Journal of Korean Neurosurgical Society 2000;29(4):580-585
No abstract available.
5.Is Pancapsular Release More Effective than Selective Capsular Release for the Treatment of Adhesive Capsulitis?.
Nam Hoon MOON ; Seung Jun LEE ; Won Chul SHIN ; Sang Min LEE ; Kuen Tak SUH
Clinics in Shoulder and Elbow 2015;18(1):28-35
BACKGROUND: We assessed the effectiveness of arthroscopic capsular release for the treatment of adhesive capsulitis. Further, we tried to ascertain the clinical benefits, if any, of pancapsular release over selective capsular release, where the two differ by performing or not performing a posterior capsular release, respectively. METHODS: Thirty-five consecutive patients with either primary or secondary adhesive capsulitis who failed conservative treatment for more than 6 months were enrolled in the study. A total of 16 patients allocated in group 1 received a pancapsular release that comprises the release of the rotator interval, anteroinferior capsular, and the posterior capsular release, whereas 19 patients in group 2 received a selective capsular release that comprises only the release of the rotator interval release and anteroinferior capsular release. The clinical outcomes, visual analogue scale (VAS) score, Constant score, and range of motion, were assessed preoperative and postoperatively. RESULTS: In both groups, the preoperative VAS score, Constant score, and ROM showed a significant improvement by the 6-month follow-up. We found that the immediate postoperative internal rotation was significantly higher in group 1 than group 2. Despite significant differences seen between the two groups at the initial postoperative period, there were no significant differences in Constant score, VAS score, and the ROM at all the subsequent follow-ups between the two groups. CONCLUSIONS: Arthroscopic capsular release for the treatment of adhesive capsulitis is very effective. However, pancapsular release did not show any advantage over selective capsular release in terms of overall clinical outcome.
Bursitis*
;
Follow-Up Studies
;
Humans
;
Joint Capsule Release*
;
Postoperative Period
;
Range of Motion, Articular
6.A case of aplasia cutis congenita associated with epidermolysis bullosa.
Seung Jun YOUN ; Gang Youl BAE ; Woo Sik CHUNG ; Kil Seo KIM ; Chul Hyon ANN
Journal of the Korean Pediatric Society 1993;36(8):1171-1177
Alpasia cutis congenita is an anomaly characterized by absence of localized areas of the integument. The most common type of aplasia cutis congenita is Aplasia cutis congenita limited to the scalp, although other areas of the body may also be involved. We experienced a case of aplasia cutis congenita in a male newborn infant. The skin defects were extensive with symmetrical involvement of lower extremities. The multiple bullae were found on the both fingers and toes. No similar conditions and other associated congeital anomalies were found in the family membes of this particular case. The light microscopic examinaton of the denuded skin areas how absence of epidemis and the demis contain atrophic and hypoplastic adnexa. The bullae have a split within the dermis below lamina densa on electron microscopy. The skin defects were healed by supportive therapy for 4weeks.
Dermis
;
Ectodermal Dysplasia*
;
Epidermolysis Bullosa*
;
Fingers
;
Humans
;
Infant, Newborn
;
Lower Extremity
;
Male
;
Microscopy, Electron
;
Scalp
;
Skin
;
Toes
7.Results of Biopolar Hemiarthroplasty for Femur Neck Fracture
Won Yong SHON ; Hong Chul LIM ; Seung Woo SUH ; Sung Jun HON
The Journal of the Korean Orthopaedic Association 1995;30(6):1708-1712
The 35 patients of femur neck fracture treated with bipolar hemiarthroplasty were followed up for an average of 18 months with the range of 12 months to 5 years after bipolar hemiarthroplasty from Jan. 1986 to Dec. 1992. 1. Mean age of the patient was 68 years old(25-93) and mean hospitalization period was 55 days. 2. Associated medical problems were diabetes mellitus in 6 cases, cerebrovascular disease in 5 cases, rectal cancer in 1 case and pulmonary tuberculosis in 1 case. 3. An anterior dislocation, one of the early complication occured in 1 case, and superficial infection in 3 cases(8.5%), a deep infection, one of the late complication occured in 1 case. 4. The clinical result was focus on the functional hip assessment of bipolar hemiarthroplasty after femur neck fracture, and the functional results evaluated by Lunceford's Method were excellent in 22 cases(63%), good in 5 cases(14.3%), fair in 5 cases(14.3%), poor in 3 cases(8.6%). 5. The bipolar hemiarthroplasty was satisfactory method for the displaced femur neck fracture in the elderly patients, but to return the patient's preinjury activity level, more active postoperative rehabilitation should be required.
Aged
;
Cerebrovascular Disorders
;
Diabetes Mellitus
;
Dislocations
;
Femoral Neck Fractures
;
Femur Neck
;
Femur
;
Hemiarthroplasty
;
Hip
;
Hospitalization
;
Humans
;
Methods
;
Rectal Neoplasms
;
Rehabilitation
;
Tuberculosis, Pulmonary
8.A clinical study upon avascular necrosis of femoral head following treatment of congenital dislocation of the hip.
Seok Hyun LEE ; Hong Chul LIM ; Jun Seop LEE ; Seung Woo SUH
The Journal of the Korean Orthopaedic Association 1991;26(2):434-442
No abstract available.
Dislocations*
;
Head*
;
Hip*
;
Necrosis*
10.Outcome of Potentially Curative Gastrectomy in Patients with Stage IV Stomach Cancer: Based on the 5th Edition of AJCC/UICC Classification (1997).
In Mok JUNG ; Jun Suk SUH ; Young Chul KIM ; Seung Chul HEO ; Young Joon AHN ; Jung Kee CHUNG
Journal of the Korean Surgical Society 2003;64(5):383-389
PURPOSE: The prognosis after potentially curative resection for stage IV gastric cancer, according to the 5th edition of AJCC/UICC classification, is poorly understood. The aim of this study was to evaluate the feasibility of the curative resection in patients with stage IV gastric cancer, which were considered potentially curable cases. METHODS: From November 1991 to June 1996, 91 patients were confirmed as having stage IV gastric cancer at Seoul Boramae Municipal Hospital. Of these 91 patients, 30 who were potentially curative resected including at least D2 type lymph node dissections were reviewed retrospectively. The average numbers of totally dissected and positive lymph nodes were 43.0 (range: 26~74) and 23.1 (range: 2~47), respectively. RESULTS: The overall 1-, 2-, and 5-year survival rates of patients were 60.0%, 36.7%, 13.3%, respectively. In comparison with stage IIIb (N=20), no significant difference in survival rate was observed (P=0.1178). In univariate analysis, we found that the presence of a recurrence (P=0.0121) and a P (positive lymph nodes)/R (total dissected lymph nodes) >0.6 were correlated with poor survival rates. Long- survivors (N=12, more than 24 months postoperatively) had a tendency to be younger, less recurrent (P=0.017) and less involvement of histological perineural invasion (P=0.028). CONCLUSION: The results of the present study indicate that stage IV patients without distant metastasis may indeed be cured by potentially curative surgery.
Classification*
;
Gastrectomy*
;
Hospitals, Municipal
;
Humans
;
Lymph Node Excision
;
Lymph Nodes
;
Neoplasm Metastasis
;
Prognosis
;
Recurrence
;
Retrospective Studies
;
Seoul
;
Stomach Neoplasms*
;
Stomach*
;
Survival Rate
;
Survivors