1.A Clinical Analysis of Collateral Ligament Injuries to Fingers
The Journal of the Korean Orthopaedic Association 1987;22(5):1147-1156
There are many controversies concerning diagnostic and therapeutic guidlines for injuries to the collateral ligaments of the fingers, which improperly treated, may develop serious late sequale of joint function. Eleven cases of collateral ligament injuries to fingers which occured between June 1976 and June 1986 were reviewed and the following results were obtained. 1. There were 8 males and 3 females, and eight of the 11 cases (73%) were younger than 30 years of age. 2. In 5 cases, the injury was a sports related injury, while slipped down injury caused the injury in 5 other cases. 3. The ratio of acute to chronic injury was 7:4. 4. There were 6 cases of proximal interphalangeal joint of the fifth finger, 3 cases of metacarpophalangeal joint of the first finger and 2 cases of proximal interphalangeal joint of the third finger. 5. The ratio of ulnar collateral ligament to radial collateral ligament was 7:4. 6. Preoperatively, stress X-rays of the both the involved and the contralateral sound joints taken in all cases and analysed. 7. The most common ruptured site of ligament was substance portion, which was found in 7 cases. 8. Primary repair were performed in 8 cases, reconstruction with tendon of palmaris longus muscle in 2 cases and reconstruction with tendon of flexor digitorum superficialis in 1 case. 9. All patients were followed for at least 6 months, and the average was 3 years. 10. Normal range of motion and stable joints were observed in 10 of the 11 cases at the final follow up.
Collateral Ligaments
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Female
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Fingers
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Follow-Up Studies
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Humans
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Joints
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Ligaments
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Male
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Metacarpophalangeal Joint
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Reference Values
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Sports
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Tendons
2.Vascularized Bone Graft for Spine and Limb Reconstruction
Soo Bong HAHN ; Ye Yeon WON ; Eung Shick KANG
The Journal of the Korean Orthopaedic Association 1994;29(1):176-184
We analysed the thirty three cases of the free vascularized bone graft performed in the Department of Orthopaedic Surgery, Yonsei University College of Medicine from February 1982 to December 1989 and would like to report the results as follows. 1. There were 27 cases in men and 6 cases in women and the mean age was 27.3 years. 2. We have performed the procedure for the reconstruction of the large bony defects developed after massive trauma in 13 cases, core decompression of the avascular necrosis of the femoral head in 8 cases, tumoral resection in 6 cases, treatment of congenital pseudoarthrosis in 3 cases, and bone infection in 3 cases. 3. The most common recipient site was tibial shaft (18 cases, 54%) and the most common donor site was fibular shaft (23 cases, 69%). 4. The average length of bone defect (or grafted bone) in 23 cases of vascularized fibular graft was 9.8 cm and in 9 cases of vascularized osteocutaneous iliac bone graft, it was 5.8 cm. 5. The follow-up period was ranged from 13 months to 5 years 8 months (mean, 2 years 2 months). 6. All patients were evaluated clinically and roentgenographycally on the basis of fuctional recovery and bony union. Of the 33 cases, 31 cases (93%) showed satisfactory functional recovery with sound bony union. 7. It is highly expected that the vascularized bone graft is a one of the better alternatives for the reconstruction of the large bone defect and prevention of the early state of the avascular necrosis of the femoral head from progession.
Decompression
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Extremities
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Female
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Follow-Up Studies
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Head
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Humans
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Male
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Necrosis
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Pseudarthrosis
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Spine
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Tissue Donors
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Transplants
3.Foot Tumor
Ye Yeon WON ; Eung Shick KANG ; Tae Yong KOO
The Journal of the Korean Orthopaedic Association 1994;29(3):1040-1048
Benign tumors and tumor like lesions in the foot are uncommon and those that are malignant are rare. Metastatic cancer of bone distal to the knee and elbow is unusual. By contrast, non-tumorous lisions that cause swelling, pretuberance, or deformity are common. Fifty two cases of tumors on foot were treated at our department from Jan. 1970 to Dec. 1991, we have treated fifty two cases of foot tumor and analysed their clinical characteristics. Bone tumors were more frequent than soft tissue tumors (2:1). Among soft tissue tumors benign tumors were frequent than malignant(1.4:1), and fibroma was the most frequent tumor(30%). Benign soft tissue tumors occured frequently at Edward and Michael's Zone 3(57%). Benign bone tumors has higher incidence than malignant(20:1). Osteochondroma was the most frequent tumor (48%). Predilection sites for osteochondroma and enchondroma of foot was distal phalanges and mitatarsal bone, respectively.
Bone Neoplasms
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Chondroma
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Congenital Abnormalities
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Elbow
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Fibroma
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Foot
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Incidence
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Knee
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Osteochondroma
4.A Clinical Study of Dupuytren's Contracture
Ye Yeon WON ; Eung Shick KANG ; H K KOOK
The Journal of the Korean Orthopaedic Association 1994;29(5):1382-1387
Dupuytren's contracture is caused by a proliferative fibroplasia of the subcutaneous palmar tissue. It is most common in those of Scandinavian and Celtic origin, although it has rarely been reported in Orientals. Many types of surgery are advocated, all with apparent success. Then operative result of 23 cases of Dupuytren's contracture including seven bilateral involvment was analyzed partial fasciectomy was performed in all cases by one surgeon. Average follow-up period was 18 months. We analyzed the results of the operation, to Honner s classification. Excellent result was obtained in 6 cases(26%), good in 14(61%) fair in 3(13%), and poor in 0(0%). The complication were 8(34%) case as followshematoma 4(17%), stiffness 3(13%), skin necrnsis 1(4%). All patrents were not performed that skin graft and total fasciectomy. The partial fasciectomy is suggested as one of the successful method for the treatment of Dupuytren's contracture.
Classification
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Clinical Study
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Dupuytren Contracture
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Follow-Up Studies
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Methods
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Skin
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Transplants
5.Triscaphe Fusion in Kienbock's Disease
Eung Shick KANG ; Ho Jung KANG ; Ye Yeon WON ; Ji Ma YOO
The Journal of the Korean Orthopaedic Association 1995;30(5):1335-1341
There are many controversies concerning therapeutic guidelines for the treatment of Kienbock's disease. We experienced 17 cases of stage II or III Kienbock's disease(Lichtman's classification), which were treated with triscaphe fusion from March 1983 to March 1992. The mean Follow-up peri- od was 25 months. The purpose of this study is to evaluate the clinical and radiological result of triscaphe fusion of 17 cases of Kienbock's disease. 1. The pain was relieved in all cases, but range of motion was not improved after operation. 2. The postoperative results of triscaphe fusion were evaluated by Licthman's method. 9 cases (53%) were rated as satisfactory and 8 cases as unsatisfactory. 75%(3 cases of 4) were rated sat isfactory in IIIA a group and 22%(2 casaes of 9) were rated satisfactory in IIIB group. 3. The psudoarthrosis was noted in 2 cases of 17.
Follow-Up Studies
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Methods
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Osteonecrosis
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Range of Motion, Articular
6.The Arthroscopic Treatment of Lipoma Arborescens of Knee: A Case Report.
Byoung Hyun MIN ; Ye Yeun WON ; Hyoung Won KIM ; Kyi Beom LEE ; Sin Young KANG
Journal of the Korean Knee Society 1998;10(1):125-129
Lipoma arborescens is a rare intra-articular lesion consisting of a villous lipomatous proliferation of the synovial lining. We experienced one case of lipoma arborescens of knee which was associated with avascular necrosis of femoral head. This case report draws the attention to history, physical findings, MR images, pathologic findings and arthroscopic appearance of this rare lesion. Arthro;copically, the lesion appears as a synovial lesion with numerous fatty-appearing globules and villous projections. Although the etiology is unknown, lipoma arborescens has been described in association with osteoarthritis, rheumatoid arthritis and diabetes mellitus. MR imaging is diagnostic choice to differentiate the lesion from rheumatoid arthritis, pigmented villonodular synovitis and synovial chondromatosis in those patients who present with chronic, swollen and painfui joint. Arthroscopic removal was effective in this case and we think that treatment choice of this lesion is arthroscopic removal.
Arthritis, Rheumatoid
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Chondromatosis, Synovial
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Diabetes Mellitus
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Head
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Humans
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Joints
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Knee*
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Lipoma*
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Magnetic Resonance Imaging
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Necrosis
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Osteoarthritis
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Synovitis, Pigmented Villonodular
7.A case of Sertoli-Leydig cell tumor, poorly differentiated.
Eui Yeul LEE ; Ye Gyo LEE ; Keun Young LEE ; Sung Won KANG
Korean Journal of Obstetrics and Gynecology 1991;34(6):892-899
No abstract available.
Sertoli-Leydig Cell Tumor*
8.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.
9.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
10.Two cases of cervical pregnancy treated with MIX chemotherapy.
Ye Gyo LEE ; Keun Whan SUNG ; Su Hyung JIN ; Chang Hwang HAN ; Keun Young LEE ; Sung Won KANG
Korean Journal of Obstetrics and Gynecology 1993;36(7):2471-2478
No abstract available.
Drug Therapy*
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Pregnancy*