2.The Significance of Bone Scan in Trauma in Orthopaedic Field
Han Koo LEE ; Soo Yong LEE ; Soo Ho LEE
The Journal of the Korean Orthopaedic Association 1985;20(1):32-40
Clinical experience with 99mTc-methylenediphosphonate was presented in 115 patients with trauma, who were treated at Seoul University Hospital from Jan. 1980 to Dec. 1983. The results were summarized as followings: 1. Bone scan exhibited increased uptake in all cases examined within 1 year of trauma and the frequency of scan positivity was diminished as the interval between trauma and the scan increased. 2. The possible factors associated with positive scans in cases more than 2 years after trauma were malunion and post-traumatic arthritis, but the age, general condition of the patient were not appeared to be significantly related to persistent positive scan. 3. Bone scan was thought to be sensitive enough to detect early stress fracture ot accompanied by radiographic abnormali ty. 4. It seemed to be reasonable to judge that the fracture was old when the bone scan of vertebral compression fracture in the young age group was negative except very early stage of trauina. 5. Bone scan was very sensitive to find early post-traumatic avascuhr necrosis in femoral neck fracture when the roentgenographic finding was equivocal.
Arthritis
;
Femoral Neck Fractures
;
Fractures, Compression
;
Fractures, Stress
;
Humans
;
Necrosis
;
Seoul
3.Treatment of Large-gap Non-union in Long Bone Using a Tibial Cortico-cancellous Bone Graft and Heavy Duty Plate Fixation
In KIM ; Jung Man KIM ; Seung Koo LEE ; Han Yong LEE
The Journal of the Korean Orthopaedic Association 1987;22(2):389-398
When the non-union gap in a long bone is more than half of the diameter of the bone at that level, it presents a significant challenge to traditional bone grafting technique. Even if there are several good ways for this problem, such as shortening, traditional various bone grafting, electrical stimulation and free vascularized bone graft, most of these techniques have some difficulties to maintain the stability of fracture post-operatively, and we have to keep their extremities into a cast or external fixator so long. So we have attempted to treat the large osseus gap non-union in long bone with fixation of heavy duty or condylar plate on one side of fracture for fracture stability, a long tibial corticocancellous strut graft on the other side of fracture for fracture stability and rapid bony union, and extensive cancellous chip bone graft between the plate and tibial graft to enhance the bony union. We have experienced 9 cases of large osseus gap non-union in long bone with this technique from March 1981 to September 1986 at the department of orthopaedic surgery, St. Mary's hospital, Catholic University Medical College. 1. Their, 7 males and 2 females, average age was 38 years old, with a range of 24 to 53 years old. The distribution of the involved bone was 6 femur, 2 humerus, 1 radius and ulna with 1.4 years of average duration of non-union, ranged from 7 months to 2.4 years. The average gap from normal bone to normal bone was 4.8cm, with a range of 2.7cm to 7.4cm. The average number of previous surgical procedures was 4, with a range of 2 to 7. Four of the nine patients had quiescent osteomyelitis. 2. Post-operative immobilization with splint or cast was applied for 6 weeks for upper extremity and 8 weeks for lower extremity followed by active R.O.M. exercise and non-weight bearing crutch walking. 3. Five of the nine cases(55.6%) had completely bony union. This occured on an average 8 months post-operatively and was faster in the forearm bones and femur than in the humerus. An additional cancellous bone graft was done in two. But other two of the patients had subsequent amputation because of recurrent and uneontrollable osteomyelitis stirred up by the surgery. 4. This procedures was proved to be one of valuable adjuvant method in treatmqnt of large osseous gap non-union of long bones.
Amputation
;
Bone Transplantation
;
Electric Stimulation
;
External Fixators
;
Extremities
;
Female
;
Femur
;
Forearm
;
Humans
;
Humerus
;
Immobilization
;
Lower Extremity
;
Male
;
Methods
;
Osteomyelitis
;
Radius
;
Splints
;
Transplants
;
Ulna
;
Upper Extremity
;
Walking
4.A Case report of Bird-headed Dwarfism(Seckel's Syndrome).
Yong Soon KIM ; Sang Bum LEE ; Ja Hoon KOO
Journal of the Korean Pediatric Society 1981;24(11):1116-1120
No abstract available.
5.Cytological Study of the Introduction of Agrobacterium tumefaciens Spheroplasts into Nicotiana tabacum Protoplasts.
Jung Hye KIM ; Yong Bum KOO ; Ki Yung LEE
Yeungnam University Journal of Medicine 1985;2(1):175-181
Agrobacterium tumefaciens induces cancerous growths called crown galls at wound sites on dicotyledonous plants. A large plasmid called T1 plasmid is responsible for virulence. Upon tumor induction, part of the plasmid, termed T-DNA, becomes integrated into plant genome and its genetic sequences are expressed. These properties allow T1 plasmids to be used as gene vectors in plants. Several in vitro methods for the transfer of T1 plasmid into plant cell have been developed. One of them is the treatment of bacterial spheroplasts and plant protoplasts mixture with polyethylene glycol that is generally used as fusogen in cell-to-cell fusion. Several workers investigated the interaction of bacterial spheroplasts with plant protoplasts in the presence of polyethylene glycol and suggested that the interaction is not fusion but endocytosis. In this report we observed the interaction of Agrobacterium tumefaciens spheroplasts with Nicotiana tabacum protoplasts by electron microscope. Agrobacterium tumefaciens spheroplasts with Nicotiana tabacum protoplasts were prepared and mixed in the presence of polyethylene glycol and high pH-high Ca²⁺ buffer. Then the interaction of the spheroplasts with the protoplasts was examined by transmission electron microscope. After the treatment of polyethylene glycol the spheroplasts adhered to the surface of the protoplasts and then they were engulfed by the protoplasts. After the high pH-high Ca²⁺ buffer treatment the engulfed spheroplasts lost their cell integrity. No fusion process was observed. Thus all these observation suggest that the introduction process of Agrobacterium tumefaciens spheroplasts into Nicotiana tabacum protoplasts with the aid of polyethylene glycol is endocytosis.
Agrobacterium tumefaciens*
;
Agrobacterium*
;
Endocytosis
;
Genome, Plant
;
In Vitro Techniques
;
Plant Cells
;
Plant Tumors
;
Plants
;
Plasmids
;
Polyethylene Glycols
;
Protoplasts*
;
Spheroplasts*
;
Tobacco*
;
Virulence
;
Wounds and Injuries
6.Femoral Osteotomy for Residual Subluxation of Hip after Reduction of Congenital Dislocation
Yong Koo KANG ; Myung Sang MOON ; Jong Chan LEE
The Journal of the Korean Orthopaedic Association 1983;18(4):691-701
It is well known that early diagnosis and early treatment is very important for the patient with congenital dislocation of the hip joint to provide a favorable function in the whole life. The goal of treatment, which is either conservative or operative, is to replace the dislocated hip into the socketand restore its anatomical position. If the head is reduced lately, it may subluxate or redislocate. As a result, secondary osteoarthritis will be complicated in such hips at a laterdate The most cases of congenital dislocation of hip have a increased anteversion and vaglus deformity. It is known that these deformity are cause of redislocation or subluxation, and should be corrected by varus or derotational varus osteotomy to restore for normal cephalocotyloid relationship. We analized 18 residual subluxation of hips which had been treated by derotational varus osteotomy. The results obtained are as follows. 1. Regardless of the age at the time of osteotomy and the amount of varization, the neck-shaft angle corrected to nearly normal in all cases within 3 years after the osteotomy. 2. Acetabular development, indicated by acetabular index, was satisfactory when the osteotomy was done before 4 years, but unsatisfactory in the cases after 4 years of age. 3. Coxa valga epiphysialis of the subluxated head corrected spontaenously after osteotomy in all cases. 4. Subluxated head, indicated by C-E angle and migration percentage, reduced in the cases who had by the derotational varus osteotomy in patients below age of 4 years, but it persisted without further luxation in the cases over 4 years of age.
Acetabulum
;
Congenital Abnormalities
;
Coxa Valga
;
Dislocations
;
Early Diagnosis
;
Head
;
Hip Joint
;
Hip
;
Humans
;
Osteoarthritis
;
Osteotomy
7.A Clinical Study of the Diabetic Foot
Woo Koo CHUNG ; Yong Girl LEE ; Tae Hong KO
The Journal of the Korean Orthopaedic Association 1988;23(2):549-556
With the advancement of modern medicine, diabatic foot gangrene rather than acute metabolic complications are eneountered as serious problem. The diabetic gangrene, one of the angiopathic and neuropathic complications, is difficult in treatment because of wound infection and delayed healing. The authors reviewed a series of 47 cases in 40 patient of diabetic gangrene that treated in orthopedic department of Eulji General Hospitsl, Seoul, from January 1982 to December 1987. We summarized the obtained results as following. 1. The overall incidence of diabetic gangrene was 0.42%, and 77.5% of patients with gangrene were in over 50 year age group. 2. 72.5% of patients with gangrene were 5–14 years in duration of diabetes. 3. The most common predisposing factor was local pressure(45%), and the most common site of lesions was big toe(34%). 4. Bacterial infections were shown in 90% of cases, and the most common organism wasstaphylococcus(56%).5. Diabetic retinopathy was the most common associated complication and neuropathy, nephropsthy in order. 6. According to the Wagner's classification, grade 4 lesion was most common(47%). 7. There was no correlation between primary healing and the lowest palpable pulse. 8. The overall rate of primary healing was 57%.
Bacterial Infections
;
Causality
;
Classification
;
Clinical Study
;
Diabetic Foot
;
Diabetic Retinopathy
;
Foot
;
Gangrene
;
History, Modern 1601-
;
Humans
;
Incidence
;
Orthopedics
;
Seoul
;
Wound Infection
8.The 1 Case Report of the Transient Osteoporosis of the Hip
Yong Ju KIM ; Bum Koo LEE ; Tae Sung HWANG
The Journal of the Korean Orthopaedic Association 1994;29(5):1400-1405
Transient osteoporosis of the hip is a self-limited condition of uncertain etiology and pathogenesis that affects young and middle aged adults. Even its clinical features are similar to the features of osteonecrosis the prognosis and clinical end result are quite different. So differential diagnosis between the two is very important. We present a case of transient osteoporosis of the hip in middle aged man, which was completely reeovered after conservative treatment.
Adult
;
Diagnosis, Differential
;
Hip
;
Humans
;
Middle Aged
;
Osteonecrosis
;
Osteoporosis
;
Prognosis
9.A biomechanical study on diaphyseal defect filled with polymethylmethacrylate.
Han Koo LEE ; Jin Soo HAN ; Yong Min KIM
The Journal of the Korean Orthopaedic Association 1991;26(3):957-962
No abstract available.
Polymethyl Methacrylate*
10.The effect of several nerve conduit on peripheral nerve regeneration in rabbits.
Seung Koo RHEE ; Soon Yong KWON ; Hwa Sung LEE
The Journal of the Korean Orthopaedic Association 1993;28(2):876-886
No abstract available.
Peripheral Nerves*
;
Rabbits*
;
Regeneration*