1.Primary Cutaneous T Cell Lymphoma (Gamma Delta subtype)
Yong Khee Guan ; Chye Chung Gan
The Medical Journal of Malaysia 2016;71(5):296-297
Primary cutaneous T-cell lymphoma gamma-delta subtype is
an extremely rare entity of all the cutaneous T-cell
lymphomas. Our case provides an insight on clinical
behavior and treatment response with feasible effective
combination chemotherapy. We believe this will be of great
interest to clinicians when facing this difficult clinical entity.
We present a case of a 66-year-old Malay man with a threeweek
history of rapidly growing skin nodules and plaques
which spread throughout his body. He was commenced on
combination chemotherapy gemcitabine, etoposide, and
carboplatin with near complete remission on completion of
second cycle but he defaulted. He relapsed within a month
and he progressed despite treatment with the same regime.
He was salvaged with fludarabine, cytarabine, and
vinblastine combination chemotherapy but progressed with
brain metastasis and died. However, more investigations
and studies need to be done in this relatively unknown rare
entity. A rare lymphoma registry might be of help to better
understand and treat similar conditions.
2.Chronic Recurrent Multifocal Osteomyelitis: A Case Report
Yung Khee CHUNG ; Baek Yong SONG ; Byung Eun CHUNG
The Journal of the Korean Orthopaedic Association 1990;25(5):1576-1579
Chronic recurrent multifocal osteomyelitis is rare, its etiology is unknown, and it most commonly occurs during childhood or adolescence. It is characterized by an insidious onset of fever, local swelling and pain in affected bones, and radiological abnormalities suggestive of osteomyelitis. We experienced one case of chronic recurrent multifocal osteomylitis. The lesions were in tibia, radius.
Adolescent
;
Fever
;
Humans
;
Osteomyelitis
;
Radius
;
Tibia
3.A Clinical Study of Tibial Plateau Fracture
Yung Khee CHUNG ; Jung Han YOO ; Yong Hwan WOO
The Journal of the Korean Orthopaedic Association 1989;24(5):1330-1336
Tibial Plateau fracture is relatively common injury which often produce major disability, and their treatment has been in controversy. Recent studies suggest that early knee motion and perhaps better surgical techniques have improved clinical end results. Protection from weight bearing and length of immobilization have varied among authors and variable treatment methods. Thirty-eight tibial plateau fractures treated at Kangnam Sacred Heart Hospital from March in 1984 to December in 1988 were analized and the followings were obtained. l. Of 38 patients, 29 patients were male and 9 female. 2. The most common associated injury was an ipsilateral fibular fracture. 3. Average duration of immobilization was 4 to 6 weeks in conservative treatment and 2 to 4 weeks in operative treatment. 4. We started partial weight bearing in 24 patients within 6 weeks and full weight bearing in 28 patients between 8 and 12 weeks, and good end results were obtained.
Clinical Study
;
Female
;
Heart
;
Humans
;
Immobilization
;
Knee
;
Male
;
Weight-Bearing
4.Treatment of the mallet finger of bony origin using tension wire fixation technique.
Yung Khee CHUNG ; Myung Ryool PARK ; Joon Yong SUNG
The Journal of the Korean Orthopaedic Association 1992;27(5):1434-1440
No abstract available.
Fingers*
5.Traumatic bilateral hip dislocation associated with unilateral femoral fracture: A case report.
Yong Khee CHUNG ; Myung Ryool PARK ; Baek Yong SONG ; Yong Wook PARK ; Suk Moon SON
The Journal of the Korean Orthopaedic Association 1993;28(4):1461-1468
No abstract available.
Femoral Fractures*
;
Hip Dislocation*
;
Hip*
6.Surgical Treatment of Spondyloisthesis Utilizing Variable Spine Plate(VSP) with Pedicle Screw Fixation
Yung Khee CHUNG ; Jung Han YOO ; Baek Yong SONG ; Yong Hwan WOO
The Journal of the Korean Orthopaedic Association 1989;24(5):1296-1306
Thirty-two consecutive patients with spondylolisthesis associated with displacement in varying degrees were operated by the Steffee procedure. Slippings more than Meyerding Grade III were reduced by modified Schollner technique:destabilization of the slipped segement, local distraction with spinal elevator and completion of reduction with a cork screw force pulling backward. Autogenous bone and Pyrost were added to get solid fusion. The authors reviewed thrity-two cases of symptomatic lumbar spondylolisthesis which were operated since March in 1987 at Kangnam Sacred Heart Hospital, Hallym University and the followings were obtained. 1. There were 17 males and 15 females, and the age of the patients was 44.2 years in average ranging from 19 to 66 years. 2. The types of spondylolisthesis were isthmic defect at 19 levels in 18 cases and degenerative in 14 cases. The level of the lesion was L5-Sl in 17 cases, L4-5 in 15 cases and L2-3 in 1 cases. 3. The clinical symptoms were low back pain, radiating pain, intermittent claudication, and motorsensory deficit in order of incidence. 4. Preoperatively, the degree of slinpping was Meyerding Grade I in 18, Grade III in 12 and Grade Ill in 3 cases. The slipping was reduced to nearly anatomic position in 13 cases and Grade I in 20 cases. The average slipping measured by Taillard method was changed from 23.4% preoperatively to 5% postoperatively. 5. Clinically, the results were judged as excellent in 13(13%) cases, good in 16(50%) cases and fair in 3(9%) cases according to Kim's criteria. 6. Postoperative complications were leg pain in 3 cases and "stress transfer" in 1 cases.
Elevators and Escalators
;
Female
;
Heart
;
Humans
;
Incidence
;
Intermittent Claudication
;
Leg
;
Low Back Pain
;
Male
;
Methods
;
Pedicle Screws
;
Postoperative Complications
;
Spine
;
Spondylolisthesis
7.Closed Intramedullary Nailing of Diaphyseal Forearm Fracture in Adolescence
Yung Khee CHUNG ; Jung Han YOO ; Baek Yong SONG ; Yong Wook PARK ; Sang Cheol BAIK
The Journal of the Korean Orthopaedic Association 1995;30(5):1416-1422
Fractures of the shaft of the radius and ulna occur commonly in children and are usually treated by closed reduction and plaster cast immobilization. Anatomic reduction is seldom necessary because of the remodelling potential in the child under 10 years of age, whereas the bones of children older than 10 years of age have less capacity to remodel and the diaphyseal fracture is unstable. In case of either unacceptable reduction or unstable fractures in adolescent patients, an operative treatment is required. In five children older than 12 years of age for whom conservative treatment had hailed, we treated a closed intramedullary nailing using a distal radial and proximal ulnar approach, and followed up for 1 year or more. All fractures healed within 6 weeks. No nonunion, cross-union or refrature occured. Another advantages of this method are negliable cosmestic defect and easy removal of the internal fixation device under local anesthesia. We think that closed intramedullary nailing with rush pin is a safe and reliable method to treat unstable forearm fracture in children older than 12 years of age.
Adolescent
;
Anesthesia, Local
;
Casts, Surgical
;
Child
;
Forearm
;
Fracture Fixation, Intramedullary
;
Humans
;
Immobilization
;
Internal Fixators
;
Methods
;
Radius
;
Ulna
8.Spontaneous Correction of the Angular Deformity after Femoral Shaft Fractures in Children: Preliminery Report
Yung Khee CHUNG ; Jung Han YOO ; Baek Yong SONG ; Yong Wook PARK ; Gyu Cheol ROH
The Journal of the Korean Orthopaedic Association 1995;30(5):1382-1388
We reviewed 14 children with unilateral fractures of femoral shaft who had an angular deformity after union of 10° to 25°. At an average follow-up of 32 months(15 to 65), we measured remodelling of the proximal physis, the distal physis and the femoral shaft. The average correction was 83% of the initial deformity and there was no relation between the remodelling rate and degrees of malunion. Of the correction of angulation, only 27% had occurred at the fracture site and 73% at physis. The ability of physis to remodel better than that of fracture site. In children under 13 years of age, malunion as much as 25° in flexion deformity will remodel enough to get normal alignment of the joint surfaces.
Child
;
Congenital Abnormalities
;
Follow-Up Studies
;
Humans
;
Joints