1.Clinical comparative study between flexible intramedullary nail and rigid intramedullary nail in the treatment of the tibial shaft fracture.
Myung Ku KIM ; Kang Hyun LEE ; Chan Soo PARK ; Ye Yeon WON ; Geon Woo LEE
The Journal of the Korean Orthopaedic Association 1993;28(6):2122-2130
No abstract available.
2.Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography.
Do Hoon KIM ; Do Yeon KIM ; Hye Yeon CHOI ; Ji Soon PARK ; Ye Hyun LEE ; Joo Han OH
Clinics in Shoulder and Elbow 2016;19(3):155-162
BACKGROUND: The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. METHODS: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. RESULTS: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. CONCLUSIONS: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability.
Arthrography*
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Dislocations
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Follow-Up Studies
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Humans
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Incidence
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Joint Instability
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Recurrence
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Retrospective Studies
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Shoulder*
3.Result of Intraarticular Fracture of the Calcaneus by Open Reduction
Chan Soo PARK ; Kang Hyun LEE ; Myung Ku KIM ; Ye Yeon WON ; Byung Moo CHOI
The Journal of the Korean Orthopaedic Association 1994;29(2):674-682
The Fracture of the os calcis is quite common in relation to fracture in other tarsal bone, and fractures involving the subtalar joint may cause serious and persistant disabilities. The treatment of these calcaneal fractures remains controversial So there is no universal agreement in the treatment of these fractures, especially involving the subtalar joint. Twenty displaced intraarticular fractures of calcaneus in 15 patients were treated by open reduction and internal fixation with a plate and screws and bone graft through a lateral approach to elevate the depressed lateral portion of the posterior facet at the Inchon Chritian Hospital from Jan., 1990 to Dec, 1991. Twenty feet in 15 patients of calcaneal fractures involving the subtalal joint were treated and were clinically analysed and following result were obtained. 1. The 20 cases were classified according to the Sanders classification, 9 in type II, 9 in type III and 2 in type IV. 2. The 20 cases were treated by open reduction andinteranl fixation with plate and screws and iliac bone graft through an Sanders lateral approach. The bone graft is packed under the elevated posterior to prevent late collapse of the central fragment and to supply structral stability. 3. The preoperative average Böhler's angle was 0.4°. The post operative average Böhler's angle was 23.4° which was increased significantly. 4. Based on assessment of result of Salama, excellenwas 6, good was 7, fair was 4 and poor was 3. 5. The most common complication after treatment was persistant pain, especially beneath the lateral malleolus.
Calcaneus
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Classification
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Foot
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Humans
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Incheon
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Intra-Articular Fractures
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Joints
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Subtalar Joint
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Tarsal Bones
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Transplants
4.Acute Gluteal Compartment Syndrome without Gluteal Hematoma: A Case Report.
Kwang Kyoun KIM ; Ye Yeon WON ; Jin Woong YI ; Jung Bum LEE ; Do Yeon KIM ; In Ho JO
Hip & Pelvis 2012;24(2):160-163
Acute gluteal compartment syndrome (AGCS) is a rare condition associated with trauma, drug abuse, alcohol intoxication, prolonged immobilization, hip arthroplasty and epidural anesthesia. We report the case of a 42-year-old woman presenting severe buttock pain following decreased lower extremity motor function after an incident whereby she rolled down a flight of stairs. We performed fasciotomy of the gluteal fascia in order to provide relief from acute gluteal compartment syndrome. At the 2 month follow up visit her sensory and motor function had improved. Acute gluteal compartment syndrome is a rare condition which can result in misdiagnosis or delayed diagnosis. Careful consideration is needed for patients suffering severe buttock pain.
Adult
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Anesthesia, Epidural
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Arthroplasty
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Buttocks
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Compartment Syndromes
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Delayed Diagnosis
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Diagnostic Errors
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Fascia
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Female
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Follow-Up Studies
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Hip
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Humans
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Immobilization
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Lower Extremity
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Sciatic Nerve
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Stress, Psychological
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Substance-Related Disorders
5.Acute Gluteal Compartment Syndrome without Gluteal Hematoma: A Case Report.
Kwang Kyoun KIM ; Ye Yeon WON ; Jin Woong YI ; Jung Bum LEE ; Do Yeon KIM ; In Ho JO
Hip & Pelvis 2012;24(2):160-163
Acute gluteal compartment syndrome (AGCS) is a rare condition associated with trauma, drug abuse, alcohol intoxication, prolonged immobilization, hip arthroplasty and epidural anesthesia. We report the case of a 42-year-old woman presenting severe buttock pain following decreased lower extremity motor function after an incident whereby she rolled down a flight of stairs. We performed fasciotomy of the gluteal fascia in order to provide relief from acute gluteal compartment syndrome. At the 2 month follow up visit her sensory and motor function had improved. Acute gluteal compartment syndrome is a rare condition which can result in misdiagnosis or delayed diagnosis. Careful consideration is needed for patients suffering severe buttock pain.
Adult
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Anesthesia, Epidural
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Arthroplasty
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Buttocks
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Compartment Syndromes
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Delayed Diagnosis
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Diagnostic Errors
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Fascia
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Female
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Follow-Up Studies
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Hip
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Humans
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Immobilization
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Lower Extremity
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Sciatic Nerve
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Stress, Psychological
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Substance-Related Disorders
6.Colonic Intussusceptions Caused by a Giant Lipoma.
The Korean Journal of Gastroenterology 2012;60(3):186-189
7.Re-evaluation of Association between Thrombotic Diasthesis and Legg-Calve-Perthes Disease.
Jae In AHN ; Won Ik LEE ; Ye Yeon WON ; Myeong Ryeol SONG ; Young Ae LIM ; Yun Sik KWAK
The Journal of the Korean Orthopaedic Association 1999;34(1):189-194
Legg-Calve-Perthes disease (LCP) has been reported to be associated with hypofibrinolysis and a deficiency in coagulation. The goal of this prospective study was to confirm or refute these findings and to establish a guide for a screening test. The coagulation systems of twenty-three patients with Legg-Calve-Perthes disease were evaluated by means of the tests which included prothrombin time, activated partial thromboplastin time, antithrombin-III (AT-III), protein C, protein S, lipoprotein(a), and anticardiolipin antibody (ACA). Study subjects were 21 males and 2 females. Mean age was 8.7 years. No abnormal results were found for Antithrombin-III and Protein S, but 2 patients had low Protein C level. Two of 23 patients had Lipoprotein(a) values greater than 30 mg/dl. Another two patients had positive finding for Anticardiolipin antibody. There were no statistical differences in all parameters between Catterall group stage in the patients with Legg-Calve-Perthes disease. We were unable to establish an association between thrombotic tendency and Legg-Calve-Perthes disease based on this prospective study. So, routine screening of patients with Legg-Calve-Perthes disease for abnormalities of antithrombotic factors would be not warranted.
Antibodies, Anticardiolipin
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Female
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Humans
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Legg-Calve-Perthes Disease*
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Lipoprotein(a)
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Male
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Mass Screening
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Partial Thromboplastin Time
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Prospective Studies
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Protein C
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Protein S
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Prothrombin Time
8.The Effect of Teriparatide on the Hip: A Literature Review
Kwangkyoun KIM ; Ye-yeon WON ; Seok-won LEE ; Kyung-deok SEO
Hip & Pelvis 2021;33(2):45-52
Teriparatide (TPTD) is a bone-forming agent used to treat postmenopausal osteoporosis. Since hip fractures are related to higher morbidity and mortality rates than other fractures, efficacious osteoporosis drugs for the hip are critical. We reviewed research articles reporting the efficacy of TPTD in terms of bone mineral density (BMD), fractures prevention, changes in the outer diameter, cortical thickness and porosity, post-operative periprosthetic BMD loss, and healing of typical and atypical fractures of the hip. Data meta-analyses indicated that TPTD not only increased the BMD of the proximal femur but also decreased the risk of hip fractures. Even though TPTD increases the cortical bone porosity of the proximal femur, the bone strength does not decrease as the majority of the porosity is located at the endocortex; further, it increases the outer diameter and thickens the cortical bone.TPTD stimulates bone remodeling and facilitates callus maturity and fracture healing. There have been many reports on improving the effect of TPTD on the healing of atypical fractures; therefore it is advisable to use TPTD considering the increase benefit compared to the risk.
9.Comparison of the Radiologic Outcomes following the Kinds of Implants in Treating Unstable Osteoporotic Intertrochanteric Fracture
Kwang Kyoun KIM ; Ye Yeon WON ; Woo Suk LEE ; In Ho JO
Journal of Korean Society of Osteoporosis 2013;11(1):19-25
OBJECTIVES: To determine whether kinds of implants would influence on the radiologic outcomes in the treatment of unstable osteoporotic intertrochanteric fractures. MATERIALS AND METHODS: In this retrospective study, radiologic outcomes of 151 patients with unstable osteoporotic intertrochanteric fractures undergoing surgical treatments were compared based on the types of fixation implants as follows : PFNA (53 cases, group I), gamma nail 3(31 cases, group II), CHS with TSP (43 cases, group III), and helical blade type LCP-DHS with TSP (24 cases, group IV). On the follow-up radiographs after operations, we assessed differences of bone union durations, neck-shaft ankle changes, lag screw or helical blade slippages, and varus alpha angle changes among the study groups. RESULTS: All the radiologic outcomes evaluated in this study were not significantly different among the study groups. The average bone union durations of the group I, II, III and IV were 17.7, 18.0, 18.2, and 17.8 weeks, respectively (P=0.429). The average variation of neck-shaft angle of the group I, II, III and IV were 3.6degrees, 3.1degrees, 3.7degrees and 2.9degrees, respectively (P=0.273). The average lag screw or blade slippage of the group I, II, III and IV were 5.1 mm, 3.3 mm, 3.6 mm and 2.7 mm, respectively (P=0.154). The average variation of varus alpha of the group I, II, III and IV were 5.3degrees, 4.7degrees, 4.1degrees and 4.6masculine, respectively (P=0.894). CONCLUSIONS: This study indicates that four typical types of fixation implants for treating unstable osteoporotic intertrochanteric fractures would not lead to differences in postoperative radiological outcomes.
Animals
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Ankle
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Follow-Up Studies
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Hip Fractures
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Humans
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Nails
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Retrospective Studies
10.Buschke-Ollendorff Syndrome: A Case Report
Byoung Suck KIM ; Eun So LEE ; Ye Yeon WON ; Hyon Ju KIM ; Hee Jae JOO ; Kyeong Jin HAN ; Jae In AHN
The Journal of the Korean Orthopaedic Association 1996;31(4):942-948
The osteopoikilosis is commonly known as harmatoma in which metaphyseal and epiphyseal area of long bones and the bone of pelvis, hands, feet and et al, contain islands of dense cortical bone with normal Harversian system without any symptoms. The radiologic findings of the osteopoikilosis is multitude of oval or well-circumscribed areas of increased density, 2 to 10 mm in size, in symmetrical distribution and normal uptake in bone scan. Buschke-Ollendorff syndrome, which is transmitted by autosomal dominant, is characterized by the association of osteopoikilosis and connective tissue nevi which are popular and symmetrically distributed lesions on chest, back, buttock, thigh or arm. Authors report three Buschke-Ollendorff syndrome, studied by CT scan, MRI, bone scan and bone and skin biopsy, among five patients associated with osteopoikilosis found by simple radiologic study from ten members in one family with their pedigree.
Arm
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Biopsy
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Buttocks
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Connective Tissue
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Foot
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Hand
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Humans
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Islands
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Magnetic Resonance Imaging
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Nevus
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Osteopoikilosis
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Pedigree
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Pelvis
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Skin
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Thigh
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Thorax
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Tomography, X-Ray Computed