1.A Benign Chondroblastoma in the Greater Trochanter of Femur: A Case Report
Key Yong KIM ; Duk Yun CHO ; Young Tae KIM
The Journal of the Korean Orthopaedic Association 1976;11(1):123-126
Benign chondroblastoma of bone is a relatively rare primary bone tumor which develops in the 2nd to 3rd decade involving the epiphysis of the long bone. The over-all reported cases of the world have been lesser than 400 after determining the entity as benign chondroblastoma in 1942 by Jaffe and Lichtenstein. A case of the benign chondroblastoma with involvement of the greater trochanter of the femur of a 19 years old boy is presented. The conclusive diagaosis was led by histological examination. Considerable new bone formation and bony spicules which might be derived from previous multiple puncture made us to confuse with osteogenic sarcoma. The specimen was composed of reddish brown hemorrhagic and fragile tissue with scattered either yellowish gritty calcified material or bluish translucent ones. The postoperative course has been smooth and there has been no evidence of recurrence for postoperative 15 months.
Chondroblastoma
;
Epiphyses
;
Femur
;
Humans
;
Male
;
Osteogenesis
;
Osteosarcoma
;
Punctures
;
Recurrence
2.Metastatic Carcinoma of the Talus from Breast Carcinoma
Key Yong KIM ; Duk Yun CHO ; Tae Whan KIM
The Journal of the Korean Orthopaedic Association 1977;12(4):811-815
A rare case of a metastatic lesion of breast carcinoma in the talus of the left foot, approximately 14 months after simple mastectomy including resection of axillary lymph node is reported. The operation was undertaken 14 months prior to this admission and gradual onset of pain, swelling and redness were noticed about the left ankle. X-ray showed irregular osteolytic changes on the superolateral aspect of the body and the superior aspect of the neck of the left talus without periosteal reaction, Metastasis was confirmed by biopsy and pathological findings were also submitted.
Ankle
;
Biopsy
;
Breast Neoplasms
;
Breast
;
Foot
;
Lymph Nodes
;
Mastectomy, Simple
;
Neck
;
Neoplasm Metastasis
;
Talus
3.Compression Hip Screw for Fracture of the Neck of the Femur: 22 Cases
Key Yong KIM ; Duk Yun CHO ; Young Tae KIM ; Jong Yun OH
The Journal of the Korean Orthopaedic Association 1982;17(2):376-384
The displaced femoral neck fracture continues to be a difficult problems such as high percentage of avascular necrosis and non-union. Compression hip screw was designed to aliow firm impaction at the time of operation and secondarily, for continued impaction if resorption occurs at the fracture line during healing. 22 cases of femoral neck fracture treated by compression hip screw in the department of orthopaedic surgery at National Medical Center were analyzed, and results were as follow. 1. The average of patient was fifty-three years, and man was predominant. 2. Average 8.9 days was elapsed from initial injury to hospital, and good results were observed in the cases of operation within 3 days. 3. The end results were good when the fragment was reduced within 165°–180° of Garden's angle in A-P film and 20° of anterior and posterior angulation in lateral film. 4. The good results were observed in the position of the screw center and low in A-P film, and center and posterior in lateral film. 5. The positive findings of the intraosseous-venogram was observed in 6 weeks from operation and apparent in all cases done after 6 months. 6. Bony union was obtained within 5.9 months, and avascular necrosis was established in 29 months. 7. Developed 3 avascular necrosis, 1 non-union, and 2 degenerative arthritis of 22 cases.
Femoral Neck Fractures
;
Femur
;
Hip
;
Humans
;
Neck
;
Necrosis
;
Osteoarthritis
4.Screening tests in early detection of proximal deep venous thrombosis(DVT): prospective study.
Duk Yun CHO ; Jae Gon SEO ; Byung Yong YU ; Sung Churl LEE ; Tae Hoon KIM
The Journal of the Korean Orthopaedic Association 1992;27(5):1273-1283
No abstract available.
Mass Screening*
;
Prospective Studies*
5.The correction of spinal deformities due to Tuberculous Spondylitis: 6 cases Report
Key Yong KIM ; Duk Yun CHO ; Young Tae KIM ; Sang Yo HAN
The Journal of the Korean Orthopaedic Association 1980;15(4):793-798
The Halo-pelvic traction has been considered as a powerful and strong method for correction of the severely deformed rigid spine whether it is kyphotic or scoliotic. It also affords firm stabilization during the operation and postoperative management with immobilization for a long time. Ambulation with this instrument enhances the usefulness. We have succeeded in treating and correcting 6 cases of Tuberculous Kyphosis, and 3 of which accompanied paraplegia. Especially one case of severe kyphosis, 78 was corrected to 20 and anterior strut graft was accomplished with vascuiarized free fibular graft with aid of microvascular technique. The correction rate was 38% in average. No significant complications have developed except osteoporosis of the spine.
Congenital Abnormalities
;
Immobilization
;
Kyphosis
;
Methods
;
Osteoporosis
;
Paraplegia
;
Spine
;
Spondylitis
;
Traction
;
Transplants
;
Walking
6.Intraosseous Venography for the Early Union Detection of the Femoral Neck Fracture
Key Yong KIM ; Duk Yun CHO ; Young Tae KIM ; Seong Cheol MOON
The Journal of the Korean Orthopaedic Association 1982;17(6):1062-1070
In spite of highly advanced technology in orthopaedic field, management of femoral neck fracture presents difficult problems due to frequent non-union or avascular necrosis of femoral head even with adequate treatments. Intracapsular fracture of the femoral neck heals in the same way as other intra-articular fractures only by endosteal and not by periosteal repair. Avascular necrosis occurred in one-third of displaced fractures with more than a two-year follow-up and is the most serious remaining factor affecting the result. Many attempts have been made to achieve early diagnosis of nonunion and avascular necrosis of the femoral head. Yet, there is still no reliable clinical method of early detection of the union of femoral neck fracture and the viability of the femoral head. For the early detection of union and viability of femoral head, we performed femoral trochanteric intra-osseous venographic technique. Intraosseous venography was performed in 19 cases of femoral neck fractures in the orthopaedic department of National Medical Center during the period from Jan. 1979 to Dec. 1981. The results were as follows: l. 19 patients of femoral neck fracture were performed osteomedullography. Intra-osseous venous flow across the fracture line was seen in 11 cases from 19 patients. 2. Intra-osseous venous flow across the fracture line was seen between the 6th and 12th week following fracture treatment in rigid fixation and adequate reduction. 3. Osteomedullography is considered as very important study for the early diagnosis of the fracture healing and non-union.
Early Diagnosis
;
Femoral Neck Fractures
;
Femur
;
Femur Neck
;
Follow-Up Studies
;
Fracture Healing
;
Head
;
Humans
;
Intra-Articular Fractures
;
Methods
;
Necrosis
;
Phlebography
7.Total Hip Replacement in the Treatment of Steroid-induced Osteonecrosis of the Femoral Head
Seong Do CHO ; Sang Yo HAN ; Young Tae KIM ; Duk Yun CHO ; Key Yong KIM
The Journal of the Korean Orthopaedic Association 1983;18(1):153-160
Since 1957, multiple possible mechanisms have been suggested to explain the production of the osteonecrosis of the femoral head and it is now accepted that steroid medication is one of the etiologic factors producing osteonecrosis of the femoral head. Among the surgical procedures in ischemic osteonercrosis of the femoral head are bone grafting, core decom-pression, rotational osteotomy, angulation osteotomy, hemiarthroplasty and total hip replacement. The choice of surgical procedures in the management of idiopathic osteonecrosis of the femoral head is dependent on several factors. Most important are the etiology and stage of the lesion. Other considerations are the patients age, lifestyle, and demands on his hip, and the surgeons preference and expertise. We reviewed 32 total hip replacements in 22 patients, which had been performed to treat steroid-induced osteonecrosis of the femoral head at Department of Orthopaedic Surgery, National Medical Center from Jan. 1975 to Dec. 1981. The longest follow-up was 7 years and 6 months and the shortest, 1 year, the average being 2 years and 6 months. The results were as follows: 1. There were 13 males and 9 females and more than half were in 5th decade. 2. Principal causes to use oral corticosteroids were rheumatoid arthritis, arthralgia, and low back pain in the order of frequency. 3. Duration of corticosteroid medication was between 2 months and 12 years and 18 patients took more than 12 months. 4. Of 18 patients who had the bilateral involvement, the two also had osteonecrosis of the humeral head. 5. Roentgenographically, 30 hips were in stage IV and 2, in stage III according to the classification of Arlet and Ficat. 6. Types of the implants used were Charnely (28 cases), MQller (2 cases) and Trapezoidal-28 (3 cases). 7. The function of the each hip was evaluated preoperatively and postoperatively by the method of Wilson and Salvati and all improved from average poor to average good.
Adrenal Cortex Hormones
;
Arthralgia
;
Arthritis, Rheumatoid
;
Arthroplasty, Replacement, Hip
;
Bone Transplantation
;
Classification
;
Female
;
Follow-Up Studies
;
Head
;
Hemiarthroplasty
;
Hip
;
Humans
;
Humeral Head
;
Life Style
;
Low Back Pain
;
Male
;
Methods
;
Osteonecrosis
;
Osteotomy
;
Surgeons
8.A Study of Influencing Factors Causing Peripheral Vascular Occlusions in Diabetes Mellitus Patients by Doppler Flow Meter
Key Yong KIM ; Duk Yun CHO ; Young Tae KIM ; Jae Gon SEO ; Myung Joon KIM
The Journal of the Korean Orthopaedic Association 1985;20(2):267-273
The peripheral vascular occlusion in the diabetes was studied in fifty-nine male and forty-six female diabetic patients by means of doppler flow meter performed on the dorsalis pedis arteries & post. tibial arteries of the both lower limbs. Patients were divided into two groups, one with occlusion and the other without occlusion. Various predisposing factors causing peripheral vascular occlusions were examined. The results are summerized as follows: 1. Peripheral vascular occlusions were more prevalent in male than in female (male: 25.4%, female: 17.4%). 2. In male patients age, plasma cholesterol level & smoking were statically significant among the various predisposing factors between occlusion & nonocclusion groups. 3. In female patients, duration of diabetes mellitus and the sugar levels of fasting blood and post prandial 2 hours were statiscally significant.
Arteries
;
Causality
;
Cholesterol
;
Diabetes Mellitus
;
Fasting
;
Female
;
Foot
;
Humans
;
Lower Extremity
;
Male
;
Open Bite
;
Plasma
;
Smoke
;
Smoking
;
Tibial Arteries
9.A Case of Primary Jejunal Adenocarcinoma.
Young Jin KANG ; Hee Ug PARK ; Jong Han OK ; Tae Duk YUN ; Dall Duk SUH ; Mi Kyoung KIM ; Jin Youn LEE
Korean Journal of Gastrointestinal Endoscopy 1996;16(3):505-509
The occurrence of the small intestinal adenocarcinoma is infrequent and the primary adenocarcinoma of the jejunum is rare. The survival of adenocarcinoma of the small bowel does not improve over the past three decades. Although symptoms appeared to be of long duration, most patients were diagnosed with advanced disease. All reports agree that these tumors are difficult to achieve good examination of the small bowel by both clinician and radiologist, so it cause a significant delay in diagnosis. The survival of these tumors appear to correlate with stage at presentation, and therefore early and aggressive diagnostic intervention seems to improve the outlook. We report a case of primary jejunal adenocarcinoma assoeiated with iron deficiency anemia with literatures review.
Adenocarcinoma*
;
Anemia, Iron-Deficiency
;
Diagnosis
;
Humans
;
Jejunum
10.A Case of Generalized Meconium Peritonitis without Peritoneal Calcification.
Kyung Tae HWANG ; Jung Hyun KIM ; Kyong Og KO ; Yun Duk YOO
Journal of the Korean Society of Neonatology 1998;5(2):232-236
Neonatal ascites is an uncommon problem with many etiologies. The common causes include hematologic diseases, bowel perforation, obstructive uropathy, cardiovascular diseases, chylous ascites, intrauterine infection, and meconium peritonitis. Recently, the wide application of sonography has greatly narrowed the list of differential diagnosis of neonatal ascites. Meconium peritonitis is readily diagnosed if calcification in the abdomen or scrotum can be seen radiologically or sonographically in a neonate with abdominal distension at birth. We report a case of generalized meconium peritonitis without intraabdominal calcification by radiologic and sonographic study and notable meconium hydrocele at birth.
Abdomen
;
Ascites
;
Cardiovascular Diseases
;
Chylous Ascites
;
Diagnosis, Differential
;
Hematologic Diseases
;
Humans
;
Infant, Newborn
;
Meconium*
;
Parturition
;
Peritonitis*
;
Scrotum
;
Ultrasonography