1.A Clinical Analysis of Suparacondylar Fracture of the Femur in Adult
Chang Ju LEE ; Seung Rim PARK ; Jung Soo PARK ; Won Chang PARK ; Dong Sung OH ; Hyung Kyun OH
The Journal of the Korean Orthopaedic Association 1984;19(5):864-872
The treatment of supracondylar fracture of the femur remains a difficult problem because of the wide range of portential complications. In the past, authors thought conservative treatment was superior to operative treatment of supracondylar fracture of the femur. In addition, the advent of the Cast-Brace introduced the change in concept of the conservative treatment. Recently, however, the advances in the techniques and in the devices used in intemal fixation have encouraged the operative treatment. Tibiofemoral angle, gap or stepping of the articular surface of the distal femur, range of motion of the knee, and pains in the knee were used to evaluate the following results investigated by statistical study(T-test). These clinical results were shown by analyzing 49 cases of supracondylar fracture of the femur trea ted in the Department of Orthopedic Surgery, Hallym College of Medicine, from Jan. 1980 to Dec. 1983 1. We end result of each patient was evaluated by scaled score value calculated from above mentioned criteria. 2. The mean value of the operative treatment(35 cases) was 31.03±5.52, while that of the conservative treatment(14 cases) was 27.71±4.56. 3. The mean value of the group which began the exercise of the knee joint within 2 weeks (33 cases) was 32.24±4.43. The mean value of the other group which began the exercise of the knee joint after 2 weeks(16 cases) was 25.78±4.56. This difference of means between two groups was statistically significant. Beginning the knee joint exercise within 2 weeks has large effect on the result of the treatment. 4.The results of treatment in patient over age of 50 were graded as fair irrespective of methods of treatment. 5. Various devices were used in intemal fixation but there was no difference in the results. 6. We mean value of the Tibiofemoral angle(difference from normal angle) in the operative treatment was 2.37±6.25 and that of the conservative treatment was 8.04±4.62. Both of the above method of treatment showed a varus trend, especially in the conservative treatment. In statistical study, through, there was no significance in two methods.
Adult
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Femur
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Humans
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Knee
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Knee Joint
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Methods
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Orthopedics
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Range of Motion, Articular
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Statistics as Topic
2.A rare goblet cell adenocarcinoma arising from Barrett’s esophagus: the first reported case in the esophagus
Chi Eun OH ; Sung Eun KIM ; Sun-Ju OH
Journal of Pathology and Translational Medicine 2024;58(2):81-86
Goblet cell adenocarcinoma (GCA) is a rare and distinctive amphicrine tumor comprised of goblet-like mucinous cells and neuroendocrine cells. It is believed to originate from pluripotent stem cells located at the base of crypts. GCA predominantly arises from the appendix, with a few reported cases in extra-appendiceal locations such as the colorectum, small intestine, and stomach. In this case report, we present a unique instance of a 64-year-old male who initially received a diagnosis of neuroendocrine carcinoma in the distal esophagus based on biopsy but, following resection, was subsequently re-diagnosed with GCA arising from Barrett’s esophagus.
3.CT Findings of Small Bowel Rupture after Abdominal Trauma.
Young Ju KIM ; Ki Joon SUNG ; Jin Hwan OH ; Joong Wha PARK ; Soo Yeun SHIM
Journal of the Korean Radiological Society 1995;32(5):757-761
PURPOSE: The accuracy of CT in the detection of injuries of the solid visceral organ is well established, but the value of CT in diagnosing small bowel rupture after abdominal trauma is controversal. This study was conducted to ascertain CT finding of small bowel rupture result from abdominal trauma. MATERIALS AND METHODS: A retrospective analysis of preoperative abdominal CT findings in 40 patients was performed. Small bowel rupture was confirmed by surgery. Precontrast and postcontrast enhanced CT images were obtained in all patients. RESULTS: Diagnostic findings of small bowel rupture including pneumoperitoneum or retroperitoneal air, discontinuity of the bowel wall and extravasation of oral contrast materials were observed in 33 cases(83%). Intraperitoneal or retroperitoneal free air was seen in 31 cases(78%) and intraperitoneal or retroperitoneal free fluid collection was seen in 38 patients(95%). Small bowel wall was thickened in 31 cases(78%), bowel wall was enhanced in 12 cases(30%) and bowel wall discontinuity and extravasation of oral contrast material was seen in 5 cases, respectively. CONCLUSION: The CT scan is sensitive and effective modality for evaluation of small bowel rupture after abdominal trauma, because of high detectability of diagnostic and suggestive CT findings.
Contrast Media
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Humans
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Pneumoperitoneum
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Retrospective Studies
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Rupture*
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Tomography, X-Ray Computed
5.The Effect of Phacoemulsification on the Corneal Endothelium in Diabetic Patients.
Sung Lee PARK ; Tae Hwa OH ; Narn Ju MOON
Journal of the Korean Ophthalmological Society 1998;39(5):918-924
We compared the structural and functional corneal endothelial changes between patients with non-proliferative retinopathy and age-matched nondiabetic patients after phacoemulsification with posterior chamber lens implantation. Endothelial cell density was calculated preoperatively, and postoperative 4, 8 weeks by specular microscopy. Fluorophotometry to check corneal endothelial barrier function was underwent preoperatively and at postoperative 4 days. Preoperatively, no significant difference in corneal endothelial cell density and corneal endothelial permeability coefficient was noted between diabetic patients and age-matched non-diabetic patients. But the mean increase of corneal endothelial permeability coefficient at 4 days after surgery was 118.13% in diabetic patients and 61.88% in nondiabetic patients (P<0.05). The mean endothelial cell loss at 4 and 8 weeks after surgery were 10. 29%, 12.55% in diabetic patients and 7.05%, 9.39% in non-diabetic patients.(P<0.05)
Endothelial Cells
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Endothelium, Corneal*
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Fluorophotometry
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Humans
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Microscopy
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Permeability
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Phacoemulsification*
6.The Incidence of Deep Vein Thrombosis in the Lower Extremity
Chang Ju LEE ; Seung Rim PARK ; Ik Yull CHANG ; Dong Sung OH ; Tae Woo KIM
The Journal of the Korean Orthopaedic Association 1985;20(1):95-102
Deep vein thrombosis is a frequently lethal complication following musculoskeletal surgery and skeletal trauma. For this study on incidence of deep vein thrombosis, we examined the data on 40 patients with contrast venography. Thrombosis limited to the veins in the calf of the leg was shown in 10 patients by venography. None of these patients had clinical symptoms of deep vein thrombosis or indicating embolism. We therefore concluded that the incidence of deep vein thrombosis of the lower extremity after injury or operation in Korea is not so rare as was considered before.
Embolism
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Humans
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Incidence
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Korea
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Leg
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Lower Extremity
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Phlebography
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Thrombosis
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Veins
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Venous Thrombosis
7.Further Increase in the Angulation after Clinical Union of the Conservatively Treated Tibial Shaft Fractures
Chang Ju LEE ; Seung Rim PARK ; Sung Kee CHANG ; Jeong Hwan OH ; Jong Dae CHANG
The Journal of the Korean Orthopaedic Association 1986;21(5):864-868
Fracture of the tibial shaft is one of the most common fractures of the long bones and frequently followed by malunion, delayed union and nonunion. We experienced the cases of further increase in the angulation after clinical union of the tibial shaft fractures treated by conservative method. So we analyzed 39 cases of tibial shaft fractures which were followed up from 12 weeks to 37 weeks after clinical union in adults. The results were as follows; l. 7 of the 39 cases(18%) showed the increase in the angulation, and all of them were male. 2. Increase in the angulation occurred more frequenlty in the comminuted fractures than simple fractures. 3. The increment of angulation was more marked in group of patients with higher angulation at the time of clinical union. 4. Increase in the angulation occurred more commonly in the cases not associated with fibula fracture than in the cases associated with fibula fracture. 5. Further increase in the angulation was less common in the cases in whom early weight bearing with PTB cast was started.
Adult
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Fibula
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Fractures, Comminuted
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Humans
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Male
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Methods
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Tibia
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Weight-Bearing
8.Subperiosteal Composite Xenograft(Kiel bone) with Autologous Red Marrow for a Fibrous Dysplasia
Chang Ju LEE ; Seung Rim PARK ; Sung Kee CHANG ; Jeong Hwan OH ; Seong Soo PARK
The Journal of the Korean Orthopaedic Association 1987;22(2):559-563
The courses of the progression in the fibrous dysplasia are characterized by asymptomatic progression or spontaneous regression in some cases after the growth has ceased and the aims of treatment for a fibrous dysplasia are prevention of the pathologic fractures and correction of the deformities. The osteogenic potentiality of the cambium layer in the periosteum and the beneficial effect on the osteogenesis of the impregnating bone graft with autologous red marrow are well documented. We experienced an extensive fibrous dysplasia with cortical thinning and pathologic fracture and it was managed with subperiosteal combined xenograft of Kiel bone with autologous red marrow for the induction of cortical thickening and prevention of the pathologic fractures because of the inoperability of curettage due to extensive lesion over the entire femur, limitations in obtaining large amount of autogenous cancellous bone for the graft and lack of the facilities of the bone bank. This subperiosteal composite xenograft with autologous red marrow for a fibrous dysplasia gave an excellent result of a remarkable cortical thickening and we think this can be a type of management for a entensive fibrous dysplasia. So we are reporting this case with bibliographic reviews.
Bone Banks
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Bone Marrow
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Cambium
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Congenital Abnormalities
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Curettage
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Femur
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Fractures, Spontaneous
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Heterografts
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Osteogenesis
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Periosteum
;
Transplants
9.Segmental Resection and Reimplantation with an Autoclaved Bone for Treatment of Malignant Disease
Kee Chang SUNG ; Chang Ju LEE ; Seung Rim PARK ; Jeong Hwan OH ; Soo Jung CHOI
The Journal of the Korean Orthopaedic Association 1987;22(3):825-829
Wide resection is an acceptable alternative to amputation for the management of primary sarcomas of the long bones or pelvis. The resected bone can be debrided of gross tumor tissue, autoclaved, and than replaced to reconstruct the limb anatomically. The procedure can be combined with prosthetic reconstruction of adjacent joints with sufficient strength to allow early unprotected weight-bearing. We had an experience of a large segmental defect in the shaft of the humerus after wide resection due to.a low grade malignant chondrosarcoma without extension to the surrounding soft tissues and this case had been managed by reimplantation after autoclaving the locally resected segment and autogenous iliac bone graft with a sound union and the favorable functional outcomes. So we are reporting this case with bibliographic reviews as a possible method of reconstruction for the management of the segmental defect which was produced by a local resection for a low grade malignancy.
Amputation
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Chondrosarcoma
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Extremities
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Humerus
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Joints
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Methods
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Pelvis
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Replantation
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Sarcoma
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Transplants
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Weight-Bearing
10.Shortening of the Femoral Neck During Healing Period of the Femoral Neck Fracture
Sung Kee CHANG ; Chang Ju LEE ; Seung Rim PARK ; Jeong Hwan OH ; Dong Shin AHN
The Journal of the Korean Orthopaedic Association 1987;22(3):680-686
Since osseous healing in the fracture of the femoral neck is carried out by endosteal bone formation, the size of contact area of the fracture fragments and impaction are of prime importance. It is not uncommon to be faced with the problem of back out of the internal fixation devices during healing period. It seems unnecessary to emphasize the benefit of sliding to close the gap between the fracture fragments. We report a retrospective study of 25 cases of the femoral neck fractures treated by closed reduction and fixation with multiple Knowles pins, paying particular attention to the amount and duration of sliding back out of the fixation devices and relating these to the final results of fracture union. Our clinical study led us to the following conclusions; 1. The shortoning of the femoral neck over 3mm occurred in 16 cases(64%) out of 25 cases. The average amount of back out of Knowles pin is 6mm. 2. Most of the shortening occurred during the first 8 weeks after surgery and extrusion of the nail is frequent findings in unstable fractures and osteoporoses. 3. Backing out over 12 weeks after surgery was associated frequently with delayed union and non-union. 4. Collapse or shortening is nceessary to promote a bone to bone contact and bone healing.
Clinical Study
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Femoral Neck Fractures
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Femur Neck
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Internal Fixators
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Osteogenesis
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Osteoporosis
;
Retrospective Studies