1.Study on Recovery of Range of Motion Following Arthroscopic Anterior Cruciate Ligament Reconstruction using Autologous Bone
Sung Il BIN ; Woo Shin CHO ; Seung Ki BAEK
The Journal of the Korean Orthopaedic Association 1995;30(6):1702-1707
For prevention of limitation of range of motion due to arthrofibrosis of the knee joint after anterior cruciate ligament reconstruction, it is accepted in general that the operation should be delayed for about three weeks after injury. We studied the duration form operation to time of full range of motion, and analized the results in forty-eight patients who had undergone arthroscopic anterior cruciate ligament recostruction using the autologous bone-patella tendon-bone graft and early CPM, range of motion exercise during Feb. 1991 and June 1994. The results were as follows: 1. The average interval from injury to operation were 1.3 weeks in acute injury group, 6 weeks in subacute injury group and 20.7 months in chronic group. The average interval from operation to full range of motion were 7.1 weeks in acute injury group, 5.7 weeks in subacute injury group and 3.0 weeks in chronic group. 2. In acute injury group, 14(93.3%) of 15 cases showed full extesion and only 1 case(6.7%) showed the limitation of extension less than 5 degrees. In subacute injury group, 6(85.7%) of 7 cases showed full extension but1 case(14.3%) showed the limitation of extension less than 5 degrees. On the other hand in the chronic injury group, all the 26 cases(100%) of the patients showed full extension. 3. In acute injury group, 14(93.3%) of 15 cases showed full flexion and only 1 cases(6.7%) showed the limitatin of flexion less than 5 degrees. In subacute injury group, 6(85.7%) of 7 cases showed full flexion but 1 case(14.3%) showed the limitation of flexion less than 5 degrees. On the other hand in the chronic injury group, 23(88.5%) of 26 cases could flex to full range of flexion, and 3 cases(11.5%) revealed limitation of flexion less than 5 degrees. 4. The limitation of ROM mainly due to arthrofibrosis can be prevented by early range of motion execise and active rehabilitation in the acute or chronic anterior cruciate ligament reconstruction using the autograft bone-patella-bone graft. Although in acute patients the interval from operation to full ROM can be prolonged, the full ROM can be achieved after all.
Anterior Cruciate Ligament Reconstruction
;
Anterior Cruciate Ligament
;
Autografts
;
Hand
;
Humans
;
Knee Joint
;
Patella
;
Patellar Ligament
;
Range of Motion, Articular
;
Rehabilitation
;
Transplants
2.The Occult Osseous Lesions on Magnetic Resonance Imaging Associated with Acute Anterior Cruciate Ligament Tears
Seung Ki BAEK ; Sung Il BIN ; Key Yong KIM ; Woo Shin CHO ; Myung Jin SHIN
The Journal of the Korean Orthopaedic Association 1995;30(1):70-76
Magnetic resonance imaging(MRI) is accepted as a useful tool for the diagnosis of injury of the knee recently. The anterior cruciate ligament tear is accompanied by the damage of the osseous and soft tissue of the knee. The occult osseous lesion is found on magnetic resonance imaging as bone density change that is not found on the simple radiograph. From Jan. 1992 to Apr. 1994, magnetic resonance imaging was performed on 44 patients with acute anterior cruciate ligament tears. MRI was done within 6 weeks of the index anterior cruciate ligament injury. The criteria of decreased signal intensity on the Tl weighted image and increased signal intensity on the T2 weighted image was applied for the incidence assessment of the occult osseous lesion. After arthroscopy with or without ACL reconstruction, follow-up simple radiograph was checked every 3 months. Occult osseous lesions were documented in 32(73%) of the 44 patients. Of the 32 patients with bony lesion, 81% had lesions of the lateral compartment. Lateral femoral condyle was involved in 15 cases(46.9%), and lateral tibial plateau in 22 cases (68.8%). Follow-up X-ray revealed no joint deperession in all of the 32 patients with the occult osseous lesion. This result suggests that there is a high correlation between the occult osseous lesion of lateral compartment of the knee on magnetic resonance imaging and anterior cruciate ligament tear. The presence of the occult osseous lesion in the patient with acute anterior cruciate ligament tear did not affect rehabilitation and weight bearing.
Anterior Cruciate Ligament
;
Arthroscopy
;
Bone Density
;
Diagnosis
;
Follow-Up Studies
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Humans
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Incidence
;
Joints
;
Knee
;
Magnetic Resonance Imaging
;
Rehabilitation
;
Tears
;
Weight-Bearing
4.The surgical correction for pectus excavatum.
Woo Chul SONG ; Ho Seung SHIN ; Byung Joo KIM ; Hee Chul PARK ; Ki Woo HONG
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(7):712-718
No abstract available.
Funnel Chest*
5.A Case of Lactobezoar After Operation for Ileal Atresia.
Ock Seung JEONG ; Ai Sunn CHOY ; Mi Sun KIM ; Toung Shin KWARK ; Jeong Woo YANG
Journal of the Korean Pediatric Society 1981;24(4):407-409
No abstract available.
6.A case of combined pregnancy in term pregnant woman.
Chang Hee LEE ; Tae Seung CHO ; Young Woo SHIN ; Soo Hyoung SEO ; Dong Han BAE
Korean Journal of Obstetrics and Gynecology 1993;36(3):420-424
No abstract available.
Female
;
Humans
;
Pregnancy*
;
Pregnant Women*
7.A Case of Angiosarcoma of the Face and Scalp.
Kwang Hyun CHO ; Seung Joo KANG ; Yoo Shin LEE ; Chul Woo KIM
Korean Journal of Dermatology 1986;24(6):882-886
We report a case of angiosarcoma of the face and scalp in a 76-year-old man. Immunochemical staining with factor 8-related antigen and ultrastructural find ings confirm that this tumor was origined from endothelium. The patient had a good initial response to treatment with radiotherapy.
Aged
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Endothelium
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Factor VIII
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Hemangiosarcoma*
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Humans
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Radiotherapy
;
Scalp*
8.A Case of Subacute Cutaneous Lupus Erythematosus.
Seung Joo KANG ; Kwang Hyun CHO ; Yoo Shin LEE ; Chang Woo LEE
Korean Journal of Dermatology 1986;24(6):848-852
Subacute cutaneous lupus erythematosus is a recently recognized distinct subset of lupus erythematosus, having characteristics of clinical, pathologic, serologic, irnrnunologic features. We present a case of subacute cutaneous lupus erythematosus in a 29-year-old woman with symmetric, superficial, nonscarring papulosquamous lesion on the face, scalp, and the extensor surface of the upper extremities. She has a mild systemic illness of musculoskeletal complaints. Serologic abnormalities of the patients are positive rheumatoid factor and anti-Ro antibody test, but fluorescent antinuclear antibody test is negative, which is done by the conventional methods uaing rodent tissue for the substrate. The histopathologic finding of the lesion show the sarne general pattern of the cutaneous lupus erythematosus, and lupus band test is positive.
Adult
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Female
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Fluorescent Antibody Technique
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Humans
;
Lupus Erythematosus, Cutaneous*
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Rheumatoid Factor
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Rodentia
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Scalp
;
Upper Extremity
10.Median sternotomy for bilateral resection or plication of bullae.
Hee Chul PARK ; Suck Jun KONG ; Ho Seung SHIN ; Bung Joo KIM ; Ki Woo HONG
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(2):182-189
No abstract available.
Sternotomy*