1.The Advantages of Computed Tomogram in Diagnosis of Pelvic Fracture
The Journal of the Korean Orthopaedic Association 1985;20(3):461-469
Computed tomography is helpful in delineating the extent and configuration of pelvic fracture. These injuries are frequently complex, and the precise pathologic anatomy is not easily demonstrated by conventional radiographs. In some case CT will reveal a fracture which may not be seen on the radiograph. In addition, the extent of soft tissue damage and joint involvement is precisely demonstrated with CT. The twenty-three patients admitted to our Inchon Christian Hospital with pelvic fracture with or without hip dislocation from October 1981 to October 1984. We could assess the applicability of C-T scan in pelvic fracture and the following conclusions were obtained. 1. The axial plane of CT was shown to be the most suitable for evaluation of pelvic fracture. 2. C-T could detect the pattern of hip fracture including degree of fracture fragment displacement, and rotation, hip joint stability, intra-articular osseous fragment and interposed soft tissues in hip joint. 2. C-T permitted better evaluation of associated injuries in soft tissue and viscera on the pelvic and retroperitoneal cavity, and also gave information about other associate fractures. 4. C-T was more sensitive than plain radiography in detecting fracture involving the sacrum, quadrilateral surface, acetabular roof, and posterior acetabular hip.
Acetabulum
;
Diagnosis
;
Hip
;
Hip Dislocation
;
Hip Joint
;
Humans
;
Incheon
;
Joints
;
Pelvis
;
Radiography
;
Sacrum
;
Viscera
2.Muscle Transposition and Skin Graft for the Coverage of Exposed Bone
The Journal of the Korean Orthopaedic Association 1979;14(3):513-518
The technique of muscle transposition has gained an accepted place in treating the wide skin defect with bony exposure in which conventional palliative care has rarely been successful. The principle of this procedure, popularized by Ralph Ger and significantly contributed by Bakajian, has been approved by many and now been adapted in the care of similar lesion throughout the entire body regions. This report comprises the results of muscle transposition experienced in 28 patients. The results were as follows: 1. Twenty-four cases of antetibial skin defect with bony exposure, resulted from chronic osteomyelitis, open fracture, chronic ulcer, and burn scar, were successfully managed with the transposition of single muscle or combination of them: medial head of the gastroenemius, the soleus, the flexor digitorum longus and the abductor hallucis. The extent and the level of the defect in each case were the sole indication of selection of the appropriate muscle and the number. 2. Four patients with decubitus ulcer in the sacral region were also managed by transposing the upper half of the gluteus maximus. 3. Subsequent skin coverage over the transposed muscle were uniformly successful in all cases and this technique seemed to afford a definite favorable influence upon the healing of fracture and the eradication of infection.
Body Regions
;
Burns
;
Cicatrix
;
Fractures, Open
;
Head
;
Humans
;
Osteomyelitis
;
Palliative Care
;
Pressure Ulcer
;
Sacrococcygeal Region
;
Skin
;
Transplants
;
Ulcer
3.Clinical and Angiographic Findings in Patients with Toxoplasmic Retinochroiditis.
In Taek KIM ; Sung Dong JANG ; Sung Bin PARK
Journal of the Korean Ophthalmological Society 2000;41(12):2741-2749
No Abstract Available.
Humans
4.Is Immunoglobulin Increased in Perthes' Disease?
Sung Man ROWE ; Taek Rim YOON ; Sung Taek JUNG ; Jong Uk KIM
The Journal of the Korean Orthopaedic Association 1996;31(6):1283-1287
There have been a few repots that serum immunoglobulins are increased in Perthes' disease suggesting possible immunological involvement in the pathophysiology of the disease. Joseph(1991) suggested that the raised IgM concentrations might be related to complications of Perthes' disease such as striking reduction of movement, fixed deformities and striking reduction of movement, fixed deformities and chondrolysis and that immunological mechanisms might be implicated in the mediation of some of the changes in Perthes' disease. More studies are necessary to prove the results. The purpose of this study is to detect if there is a true increase of serum immunoglobulins in Perthes' disease.
Congenital Abnormalities
;
Immunoglobulin M
;
Immunoglobulins
;
Negotiating
;
Strikes, Employee
5.A case of intraperitoneal hemorrhage of round ligament pregnancy.
Heung Yeol KIM ; Taek Hoon KIM ; Sung Do YOON
Korean Journal of Obstetrics and Gynecology 1992;35(7):1092-1095
No abstract available.
Hemorrhage*
;
Pregnancy*
;
Round Ligament of Uterus*
6.A Study of Old Ligament Injuries of the Knee: Introduction of Walton's Method
Sung Taek KIM ; Myung Joo KIM ; Chang Hee LEE
The Journal of the Korean Orthopaedic Association 1973;8(3):212-216
The Waltons method-a method of dynamic reconstruction of old ligament injuries of the knee and a combination procedure of O'Donoghue, Bosworth, and Slocum-was introduced with one case experience. This method seemed to be better than other reconstructive procedures, especially in the aspect of rotatory and valgus instability of the knee.
Knee
;
Ligaments
;
Methods
7.Arthroscopic Synovectomy on Knee Joint.
Sung Keun SOHN ; Kyung Taek KIM ; Jin Gu KIM
Journal of the Korean Knee Society 1997;9(1):67-74
The results of arthroscopic synovectomy of the knee joints were reviewd in 23 joints of 21 patients hetween May 1992 and June 1996. The results were as follows: 1. Pain, tenderness, swelling, ROM of synovitis syrnpknns were much nsiproved postoperatively. 2. The degrees of articular cartilage damage were closely related to posto-perative functional recovery. 3. Preoperative and postoperative ESR changes were not ditferent signihcantly, 4. Recurrence rate was 17%, 4 cases. Of them, 2 cases were rheumatoid arthritis, 1 case was pigmented villonodular synovitis, I case was nonspecipic synovitis 5. Complicatior of arthrosc:opic synovectomy was nol found. We concluded that arthroscopic synovectoiny was very useful method of early diagnosis and treatment of synovial memhrane diseases.
Arthritis, Rheumatoid
;
Arthroscopy
;
Cartilage, Articular
;
Early Diagnosis
;
Humans
;
Joints
;
Knee Joint*
;
Knee*
;
Recurrence
;
Synovitis
;
Synovitis, Pigmented Villonodular
8.Meniscus Repair using Meniscus Arrow: Preliminary Report.
Kyung Taek KIM ; Sung Keun SOHN ; Dal Hee KIM
Journal of the Korean Knee Society 1998;10(1):73-77
No abstract available.
10.Acetabular Erosion after Peplacement of Femoral Head
Sung Man ROWE ; Taek Rim YOON ; Hyung Soon KIM
The Journal of the Korean Orthopaedic Association 1987;22(3):687-695
Acetabular erosion, intrusion of the prosthesis into the pelvis, is the most serious late complication of hemiarthroplasty. For the detailed observation on this lesion, the authors reviewed 55 patients who underwent femoral head replacement and were followed up to at least 1 year after operation. The acetabular erosion were present in 18 patients(32.7%) out of the total 55 patients. Based on the results of this study, the authors presented a new classification of acetabular eorsion: Stage I(erosion of the cartilage only) was seen in 11 patients, stage II (evidence of the initial bony erosion) in 4 patients,and stage III(intraosseous intrusion of the metallic head) in 3 patients. Revision arthroplasty was obligatory in two of the three stage III patients. The severity of symptoms did not always correspond with the radiological changes. The acetabular erosion was more common in younger patients, in male patients and in patients with avascular necrosis of femoral head than in older patients, in female patients, and in patients with femoral neck fracture. The tendency of acetabular erosion occurring mainly in younger and male patients is probably attributed to their better survival and greater activity.
Acetabulum
;
Arthroplasty
;
Cartilage
;
Classification
;
Female
;
Femoral Neck Fractures
;
Head
;
Hemiarthroplasty
;
Humans
;
Male
;
Necrosis
;
Pelvis
;
Prostheses and Implants