1.A Study on the Intertrochanteric Fracture
Se Il SUK ; Jea Whan AHN ; Sung Kee KIM
The Journal of the Korean Orthopaedic Association 1976;11(2):180-186
As trochanteric fractures frequently occur in the elderly patients and complications such as pneumonia, thrombo-embolic disease, decubitus ulcer, and urinary tract infection are common, early mobilization after open reduction and internal fixation with hip nail are the standard treatment. Since 1931 when Smith-Peterson first introduced a tri-flanged nail, further more, since 1941 when Jewett pioneered the one-piece nail by adding a solid plate to a Smith-Peterson nail, numorous implants including threaded pins, screws, nails, and plates have been modified and desiged for fractured hips till now to achieve early ambulation and to maintain stable reduction. In 1955 Pugh and Ken introduced a sliding nail-plate and Schumpelick described the use of sliding screw-plate, which was modified further by Callender and Holt pioneered the concept of heavy nail in 1963. Recently compression sliding screw-plate is popular. Also many surgeons such as Evans, Dimon and Hughston, Sarmiento, and Boyd and Anderson have attempted to provide stable fixation of fracture by altering the position of fracture fragments to improve the mechanical resistances of bone to disruptive forces of weight-bearing. The surgical procedures of open reduction and internal fixation were carried out and followed for more than 6 months on 45 intertrochanteric fractures at Department of Orthopedic Surgery, Seoul National University Hospital, from Jan. 1968 to June. 1975 and the results were observed as follows. 1. Of 45 cases of inter-trochanteric fractures 28 cases occurred in man, 17 cases in woman and each mean age was 54 years in man, 74 years in woman. 2. Of fixation devices, Smith-Peterson nail-plates were used in 19 cases, Jewett nails in 15 cases, compression sliding screw-plates in 9 cases, Smith-Peterson nail in 1 case, and Ken sliding nail-plate in 1 case. 3. Stable fractures occurred in 10 cases were fixed internaly after anatomical reduction. 4. Dimon-Hughston reductions and Jewett Nailing were achieved in 11 cases of 12 unstabIe fractures and had disadvantages such as some limitation of R.O.M. of the affected hip, shortening, and valgus deformity. 5. Of 9 unstable fractures treated by compression sliding screw-plate 7 cases were reduced as anatomicaly as possible and 2 cases were reduced non-anatomicaly because of impossible anatomical reduction but good results were obtained except one failed nailing. 6. Of 7 failures, 6 cases resuIted from failures of nailing during operation and only 1 failure resulted in varus defermity after Dimen-Hughston reduction with Jewett nail.
Aged
;
Congenital Abnormalities
;
Early Ambulation
;
Female
;
Hip
;
Hip Fractures
;
Humans
;
Orthopedics
;
Pneumonia
;
Pressure Ulcer
;
Seoul
;
Surgeons
;
Urinary Tract Infections
;
Weight-Bearing
2.Acting mechanisms of extracellular Ca2+ and Ca2+-antagonists on endothelium-derived relaxing factor in rabbit aorta.
Sung Hoon JIN ; Kyung Phill SUH ; Suk Hyo SUH ; Ki Whan KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(3):229-244
No abstract available.
Aorta*
;
Endothelium-Dependent Relaxing Factors*
3.An experimental study on the effect of intraoperative irradiation on the healing of anastomosed small intestine
Heung Suk SEO ; Ik Won KANG ; Sung Whan HA ; Man Chung HAN
Journal of the Korean Radiological Society 1983;19(1):15-22
To evaluate the influence of intraoperative irradiation on the healing of jejunal anastomosis, an experimentalstudy was undertaken using a total of 150 rats. The bursting pressure of the normal jejunum was obtained in groupI. Group II was subjected to resection and anastomosis, and group III was irradiated on the anastomosed jejunumwith a single dose of 1,000 rads. Healing process was evaluated by measuring bursting pressure of the anastomosedjejunum on each postoperative day from 2nd to 14th, and on 21 th day. Bursting pressure was tested by inflatingthe loop of gut with water, and bursting sites were observed. The resuls obtained are summarized as follows; 1.The bursting pressure of the anastomosed jejunum retained normal strength by the 7th postoperative day in thenonirradiated group, whereas by the 11th postoperative day in the irradiated group. 2. Irradiation caused delay inthe healing of anastomosis of the jejunum until the 10th postoperative day; but after then, there was nosignificant difference in bursting pressure between both groups. 3. In the jejunal segments with normal strength,bursting occurred exclusively at the non-anastomotic site in both groups; Bursting started along the mesentericborder in the non-irradiated group, whereas rupture usually occurred on the antimesenteric border in theirradiated group. in the jejunal segments with subnormal strength, bursting usually started on the mesentericborder of the anastomotic site in both groups. The results indicate that intraoperative irradiation with a singledose of 1,000 rads causes no harmful effect on the healing of anastomosis of the jejunum in rats. Therefore, thisstudy suggests the possibility of more effective clinical application of intraoperative irradiation.
Animals
;
Intestine, Small
;
Jejunum
;
Rats
;
Rupture
;
Water
4.Rectal Leiomyoma Diagnosed by Endoscopic Ultrasonography and Endoscopic Polypectomy.
Sung Whan CHO ; Hyung Yook KIM ; Ung Suk YANG
Korean Journal of Gastrointestinal Endoscopy 2009;38(3):151-155
Leiomyoma of the rectum is a rare tumor and it usually present in 40 to 60 year-old individuals, and it is more frequent in men. It originates from either the muscularis mucosa or muscularis externa and those arising from the muscularis mucosa are typically small and they are identified incidentally in patients who are undergoing sigmoidoscopy. In contrast, the larger leiomyomas arising from the muscularis externa generally present symptoms that are consistent with rectal stenosis or a rectal mass. Endoscopic ultrasonography can help to define the tumor location, extension and size. Surgical resection is the treatment for most leiomyomas of the rectum, but endoscopic electroexcision is a safe and appropriate treatment for small polypoid rectal leiomyoma. We report here on a case of a semipedunculated rectal leiomyoma in a 59 year-old female patient. It was found incidentally during a colonoscopic examination and it was diagnosed by endoscopic ultrasonography. We performed endoscopic mucosal resection with colonoscopic snare electrocoagulation.
Constriction, Pathologic
;
Electrocoagulation
;
Endosonography
;
Female
;
Humans
;
Leiomyoma
;
Male
;
Mucous Membrane
;
Rectum
;
Sigmoidoscopy
;
SNARE Proteins
5.Intestinal Total IgA and Rotavirus - specific IgA Detection in ICR Mouse Model.
Chang Nam AN ; Hun KIM ; Hae Jung HAN ; Suk Whan KIM ; Jin Yong PARK ; Sung Min KIM ; Song Yong PARK
Journal of the Korean Society for Microbiology 1998;33(2):175-185
In a murine model system, enhancement of the total IgA and rotavirus-specific IgA of suckling mice was measured by ELISA with the intestinal fluid following oral administration of murine rotavirus EC (EDIM-Cambridge) strain. In the EC strain-administered group, the geometric mean titers (GMT) of total IgAs were 512 and 91 at 1 and 2 week postinfection, respectively. On the other hand, the GMTs of the rotavirus-specific IgAs were 108 and 3 at the same periods, respectively. Thus increase in the total IgAs was 64 folds and that in the rotavirus-specific IgAs was 43 folds compared with the negative control group. As the maximal titers of both the total and rotavirus-specific IgAs were observed at 1 week decreasing until 2 weeks after infection, it is evident that the GMT of the total IgA implies that of rotavirus-specific IgA. In our ELISA system, whose specificity was verified by Western blot analysis, the total IgA in the administered group was determined to be 40-400 ng per 1 ml of the intestinal fluid. Therefore it is concluded that determination of the rotavirus-specific IgA in murine models can be a sensitive indication of rotavirus infection, and will be another promising tool in viral challenge experiments in vaccine development.
Administration, Oral
;
Animals
;
Blotting, Western
;
Enzyme-Linked Immunosorbent Assay
;
Hand
;
Immunoglobulin A*
;
Mice
;
Mice, Inbred ICR*
;
Rotavirus Infections
;
Rotavirus*
;
Sensitivity and Specificity
6.The Larsen Procedure for Chronic Ankle Lateral Instability
Jae Ik SHIM ; Taik Sun KIM ; Sung Jong LEE ; Suk Ha LEE ; Chang Moo YOU ; Hyeong Kon JAE ; In Whan CHUNG
The Journal of the Korean Orthopaedic Association 1996;31(3):590-597
Injury of the ankle ligaments is one of the most common sports-related injuries. Although there are some debates as to the best initial treatment for an acute tear of a lateral ligament, persistent functional instability of the ankle develops in approximately 20% of patients regardless of the type of initial treatment. In these patients, late reconstruction of the lateral ankle ligaments may become necessary. Among 13 cases which have been operated with Larsen procedure using peroneus brevis tendon from March 1991 to February 1993, the 11 cases followed up over 1 year were examined clinically and radiologically. We introduced the clinical analysis and results with the brief review of the literatures. 1. The indication of surgical treatment was the ankle instability which had differences over 10° in talar tilting angle or over 3mm in anterior displacement compared wit the uninjured site. 2. The postoperative results were 5 cases in excellent and 4 in good. 3. The Larsen procedure was considered a good method to anatomically and simply stabilize both the ankle and subtalar joint and to fix tendon depending on the type of instability.
Ankle
;
Collateral Ligaments
;
Humans
;
Ligaments
;
Methods
;
Subtalar Joint
;
Tears
;
Tendons
7.The Histologic type of lung cancer in idiopathic pulmonary fibrosis : the difference according to the presence of fibrosis at cancer location.
Sung Youn KWON ; Deog Kyeom KIM ; Suk Young LEE ; Chul Gyu YOO ; Choon Taek LEE ; Young Whan KIM ; Jung Gi IM ; Young Soo SHIM ; Sung Koo HAN
Tuberculosis and Respiratory Diseases 2000;49(4):441-452
BACKGROUND: It is well known that the prevalence of lung cancer is higher in idiopathic pulmonary fibrosis(IPF) patients than in the general population. This high prevalence is explained by the concept of 'scar carcinoma'. There have been several reports on the prevalence of histologic type of lung cancer in IPF with conflicting results. Despite of the high smoker rate in almost all previous reports, none considered the smoking history of patients. Therefore we performed a separate studies on fibrosis associated lung cancer and smoking associated lung cancer. The purpose of this study is to investigate the proportion of lung cancer in IPF that is fibrosis assiciated and to determine the most common histologic type in fibrosis associated lung cancer in IPF. METHODS: A retrospective review of medical records and radilolgic studies was performed for cases of lung cancer with IPF. We investigated smoking history, sequence of diagnosis of lung cancer and IPF, histologic type of lung cancer and the cancer location, especially whether the location is associated with fibrosis. To evaluate the proportion of fibrous associated lung cancer, the lung cancer in IPF were categorized according to the presence of fibrosis at cancer location. RESULTS: Fifty seven patients were subjects for this analysis. Six(11%) cases were diagnosed as lung cancer during follow-up for IPF, and both diseases were diagnosed simultaneously in the others. Ninety four percent of patients were smokers and the average smoking amount was 47.1±21.9 pack-year. Among the patients with IPF and lung cancer, 42(80.8%) cases were considered as 'fibrosis associated'. The remainder was 'not fibrosis associated' and probably was due to smoking etc. Although the most frequent histologic type was squamous cell carcinoma as a whole, adenocarcinoma was the prominent histologic type in 'fibrosis associated lung cancer.' CONCLUSION: Considering the proportion of 'fibrosis not associated lung cancer' in the patients with IPF and lung cancer, significant proportion of lung cancer in IPF may not be fibrosis induced. This may influence the distribution of histologic type of lung cancer in IPF.
Adenocarcinoma
;
Carcinoma, Squamous Cell
;
Diagnosis
;
Fibrosis*
;
Follow-Up Studies
;
Humans
;
Idiopathic Pulmonary Fibrosis*
;
Lung Neoplasms*
;
Lung*
;
Medical Records
;
Prevalence
;
Retrospective Studies
;
Smoke
;
Smoking
8.A Case of Unilateral Nevoid Telangiectasia.
Whan Soo KIM ; Young Tae KIM ; Young Lip PARK ; Sung Yul LEE ; Joung Suk LEE ; Kyu Uang WHANG
Korean Journal of Dermatology 2002;40(7):847-848
Unilateral nevoid telangiectasia was first described by Blaschko in 1899. Since then there have been fewer than 100 reported cases. This rarely reported disorder consists of multiple telangiectasias primarily located unilaterally in the C3-T1 dermatomes. We describe unilateral nevoid telangiectasia in 13-year-old boy with association with increased estrogen level in puberty.
Adolescent
;
Estrogens
;
Humans
;
Male
;
Puberty
;
Telangiectasis*
9.Efficacy and Optimal Condition of Radiotherapy for Metastatic Epidural Cord Compression.
Il Han KIM ; Suk Won PARK ; Eui Kyu CHIE ; Sung Whan HA ; Charn Il PARK
Journal of the Korean Cancer Association 1999;31(5):1074-1080
PURPOSE: This study was performed to evaluate the radiotherapy effects on metastatic epidural cord compressions. MATERIALS AND METHODS: One hundred and thirty eight cases received palliative radio- therapy (30 Gy/10 fractions) with (15) or without (123) surgical decompression. Only 36% of cases were ambulatory before treatment and 34% of cases started treatment within 3 days after symptom onset. RESULTS: Ambulation was possible after radiotherapy in 38% of all patients and in 73% of cases who was ambulatory before treatment. But the treatment made ambulation possible for 18% of cases who was paraplegic before treatment. Complete response rate, partial response rate, minimal response rate, and progression after treatment were as follows; 7%, 37%, 53%, and 3% respectively for the motor function, 8%, 32%, 58%, and 2% respectively for the sensory function, and 17%, 17%, 65%, and 1% respectively for the autonomic function. Responses were not influenced by the primary tumor site, histology, or involved level of the spine. Good responses were associated with starting treatment within 3 days after symptom onset. CONCLUSION: Radiotherapy gave optimal palliative effects on metastatic epidural cord compression syndrome. Maximum responses or quality of life could be obtained from prompt treatment with awareness of this syndrome in cancer patients.
Decompression, Surgical
;
Humans
;
Quality of Life
;
Radiotherapy*
;
Sensation
;
Spine
;
Walking
10.Stool White-cell Count as a Predictor of Long-term Admission in Healthy Patients with Acute Diarrhea.
Hoon KIM ; Suk Woo LEE ; Sung Pil CHUNG ; Seung Whan KIM ; In Sool YOO ; Young Rock HA
Journal of the Korean Society of Emergency Medicine 2002;13(4):381-384
PURPOSE: This study was designed to investigate the predictors of long-term admission in patients with acute diarrhea at an early stage of their emergency department (ED) visit. METHODS: We retrospectively analyzed clinical data of 125 patients who visited our ED with complaints of acute diarrhea and abdominal pain and underwent a stool test during one year (Jan. to Dec. 2001). We excluded patients who were transferred out or were self-discharged and those with another illness. We checked the numbers of cases of diarrhea, the presence of fever and abdominal pain, the stool cell counts, the blood cell counts, platelets, blood urea nitrogen, and creatinine on admission. We also counted the length of stay and defined a stay of over 4 days in the hospital as a long-term admission. We tried to find parameters that could predict long-term admission at an early stage. RESULTS: A total of 125 patients were enrolled (men : 56 ; women : 69), and their mean age was 44 +/- 0.25 years. The mean length of stay was 3.0 +/- 0.02 days. The length of stay had a statistically significant correlation with the stool WBC (p<0.01, R=0.361). Only the stool WBC a the discriminative variable for long-term admission (p<0.01). CONCLUSION: The stool WBC was a statistically significant predictive variable to determinate the long-term admission and the severity of acute diarrhea, and we think it could be used to make an early decision for the close medical attention.
Abdominal Pain
;
Blood Cell Count
;
Blood Platelets
;
Cell Count
;
Creatinine
;
Diarrhea*
;
Emergency Service, Hospital
;
Female
;
Fever
;
Humans
;
Length of Stay
;
Nitrogen
;
Retrospective Studies
;
Urea