2.Ilizarov Method for Knee Arthrodesis in Septic Knee Joint.
Soon Taek JEONG ; Hyung Bin PARK ; Hae Ryong SONG ; Young June PARK ; Yong Chan HA
The Journal of the Korean Orthopaedic Association 1997;32(7):1668-1674
Although joint infection with severe destruction remains a serious problem and severe bone loss is relative contraindication of arthrodesis, knee arthrodesis is most commonly a salvage procedure. Its goals are to relieve pain and restore the patient to functional level of activity. The purpose of this study is to evaluate the results and complications of Ilizarov method for knee arthrodesis in the presence of infection. We retrospectively reviewed the records of twelve patients who had managed with knee arthrodesis with Ilizarov method. Indications for the operation included a infected skeletal defect secondary severe open trauma in four patients, an infection at the site of an arthroplasty in three (with failure of previous arthrodesis with monofixator in one), an infected charcot joint in four and one pyogenic arthritis spreading from osteomyelitis of proximal tibia. The average age of the patients at the time of operation was fifty-three years (range twenty-two to eighty years). Follow-up averaged 17 months. The minimum follow up periods was 9 months. Average duration of Ilizarov fixator application was 7.2 months. In 3 cases we performed corticotomy and internal bone transport to treat large bone defect (17cm, 8cm, 6.5cm). Autoiliac bone graft was done in fusion site in two cases, and in three cases we performed bone graft at the docking site. Solid osseous union occured in each patient. There was no reinfection and nonunion. Average shortening was 3.4 cm. Complications were related to pin tract. When last seen, all patients were free of pain and could walk without cruthes or cane. Despite its pin tract problems, bulky cumbersome and expensive apparatus, the Ilizarov method is one of effective method for knee arthrodesis in the presence of infection and large bone loss especially.
Arthritis
;
Arthrodesis*
;
Arthropathy, Neurogenic
;
Arthroplasty
;
Canes
;
Follow-Up Studies
;
Humans
;
Ilizarov Technique*
;
Joints
;
Knee Joint*
;
Knee*
;
Osteomyelitis
;
Retrospective Studies
;
Tibia
;
Transplants
3.A clinical analysis of surgical mortality.
Young Jun LEE ; Woo Song HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;43(5):732-738
No abstract available.
Mortality*
4.A clinical review of central venous catheterization.
Won Han YOON ; Woo Song HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;43(5):725-731
No abstract available.
Catheterization, Central Venous*
;
Central Venous Catheters*
5.Therapeutic experience of double-cuff tenckhoff catheter in surgical patients.
Jong Yeon JANG ; Woo Song HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;42(6):825-830
No abstract available.
Catheters*
;
Humans
6.Surgical experience of benign pancreatic diseases.
Beong Kwon HWANG ; Soon Tae PARK ; Woo Song HA ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;42(6):805-817
No abstract available.
Pancreatic Diseases*
7.A clinical analysis of intestinal obstruction.
Young Hyun CHO ; Woo Song HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;43(3):399-406
No abstract available.
Intestinal Obstruction*
8.A clinical study of colostomy.
Young Jun LEE ; Woo Sung HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;43(4):600-605
No abstract available.
Colostomy*
9.The effect of delayed wound closure in acute perforative appendicitis.
Young Jae LEE ; Woo Sung HA ; Soon Tae PARK ; Sang Kyung CHOI ; Soon Chan HONG ; Ho Seong HAN
Journal of the Korean Surgical Society 1992;43(4):585-590
No abstract available.
Appendicitis*
;
Wounds and Injuries*
10.Clinical Studies on Idiopathic Myocardiopathy.
Chung Ha LEE ; Hong Kyu SUH ; Hee Moon PARK ; Hee Sung SONG ; Soon Kyu SUH
Korean Circulation Journal 1972;2(1):21-27
Twenty-two cases of idiopathic myocardiopathy were observed during the period of 1962 to 1971 and follow up clinical study was made in 5 cases. The criteria of diagnosis was based mainly on exclusive diagnosis in etiology unknown marked cardiomegaly. 1) Male and female ratio of idiopathic myocardiopathy was 1.1:1 and age of onset were distributed from first decade to fifth decade with similar number of cases. 2) Cardinal symptoms were dyspnea, palpitation, chest pain and cough. Common physical findings were protodiastolic gallop (in 2 cases), moist rales (in 3 cases) and hepatomegaly(in 3 cases). 3) Laboratory findings were normal except elevated T.T.T. in one case. 4) Electrocardiogram were abnormal in all cases. There were 3 cases of left ventricular hypertrophy, 3 cases of non-specific ST-T changes and one case of first degree A-V block, intraventricular conduction defect, abnormal Q wave and low valtage, respectively. 5) After medical treatment, symptoms were improved in 4 cases but heart size was reduced in only one case and E.C.G. abnormalities were unchanged in all cases.
Age of Onset
;
Cardiomegaly
;
Cardiomyopathies*
;
Chest Pain
;
Cough
;
Diagnosis
;
Dyspnea
;
Electrocardiography
;
Female
;
Follow-Up Studies
;
Heart
;
Humans
;
Hypertrophy, Left Ventricular
;
Male
;
Respiratory Sounds