• Title/Summary/Keyword: 외과

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Medical charges and the cold reality of surgeons of Korea (외과 수가와 외과의사의 현실)

  • Jung, Soo-Min
    • Journal of the Korean Medical Association
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    • v.61 no.11
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    • pp.638-642
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    • 2018
  • Surgery is a very hands-on area of medical care, in that surgeons identify problems in patients' bodies and directly change them through operations. Therefore, it is not only necessary for surgeons to have a high level of expertise, but also to take considerable responsibility for the outcomes of each operation. However, surgery, which was once an object of envy, has long been a process to avoid, due to various circumstances, such as abnormal medical expenses in the medical field and social phenomena that avoids difficult work. It is unfortunate that medical professionals do not receive sympathy from others within the same medical field because of the general difficulties of the profession. The fundamental problem in this situation is the abnormal profit structure of the Korean medical system. Efforts by various related organizations will be needed to objectively evaluate the problems of the current medical insurance system and to make reasonable adjustments considering the difficulty, frequency, and resource-intensiveness of medical care.

Non-osseous Coalition of the Third Metatarsal-Lateral Cuneiform Joint: A Case Report (제 3중족-외측 설상 관절에서 발생한 비골성 족근골 결합: 증례 보고)

  • Seo, Jae-Seong;Min, Hak-Jin;Kim, Ki Chun;Roh, Young Ju;Shin, Seong Kee
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.177-180
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    • 2018
  • This paper reports a rare case of the symptomatic third metatarsal (MT3) - lateral cuneiform (LC) in a 55-year-old male who presented with complaints of severe intermittent pain in his right foot. Plain radiographs and computed tomography scans revealed sclerosis and irregularity at this joint. The intraoperative findings demonstrated a fibrocartilaginous coalition. The pain had improved one year after removing the MT3-LC joint by en bloc and arthrodesis.

Avulsion Fracture of the Anterior Medial Meniscus Root (내측 반월상연골 전방 기시부 견열 골절)

  • Min, Kyoung-Dae;Cho, Whi-Je;Kim, Kyoung-Bum
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.450-455
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    • 2020
  • Posterior root tear of the medial meniscus are well known. Although very rare, there are reports of anterior root tears of the medial meniscus but no reports on traumatic bony avulsion of the anterior medial meniscus root. This paper reports a case of an isolated bony avulsion of the anterior medial meniscus root, which was successfully repaired arthroscopically.

Functional Recovery Program after Lumbar Spinal Fusion (요추 유합술 후 기능 회복 치료법)

  • Kang, Taewook;Park, Si Young;Lee, Soon Hyuck
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.222-228
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    • 2020
  • As the elderly population increases, the incidence of lumbar fusion is increasing, and there has been increasing interest in rapid rehabilitation and functional recovery after surgery. Enhanced recovery after surgery program and multimodal pain control methods can reduce the complications and allow rapid recovery. Various methods have been used to increase the fusion.

Reverse Total Shoulder Arthroplasty: Clinical Results and Prevention of Complications (역행성 견관절 전치환술: 임상 결과와 합병증 예방)

  • Rhee, Yong Girl;Youn, Seung-Min;Rhee, Sung-Min
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.5
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    • pp.367-376
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    • 2021
  • An increasing number of reverse total shoulder arthroplasty procedures has been performed since its introduction to South Korea in 2007. This review discusses the biomechanical rationale behind the development of reverse total shoulder arthroplasty and its outcomes over time. In addition, this paper mentions ways to minimize the risk of complications that may occur and how to manage those complications.

Tenosynovial Bilateral Lipoma Arborescens of the Ankle in Adults (성인에게 발생한 양측 발목의 건활막 지방종 아보레센스)

  • Gwak, Heui-Chul;Kim, Duck-Hee;Roh, Sang-myung;Choo, Hye-Jung;Kim, Young-Jun;Jeong, Jun-Woo;Jung, Soo-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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    • pp.35-38
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    • 2019
  • Lipoma arborescens or synovial lipomatosis is a rare disorder that is characterized by mature fat infiltration of the hypertrophic synovial villi, most frequently affecting the supra-patellar pouch of the knee. This paper presents a case of lipoma arborescens of the ankle joint bilaterally in an adult patient with involvement of both the intra-articular synovium and the synovial sheath of the tendons around the ankle.

Subcutaneous emphysema after uncommon traumatic and iatrogenic events: a report of two cases

  • Kim, Min-Su;Kim, Gyu-Tae;Kim, Choong-Nam;Kim, Soo-Ho;Lee, Eui-Seok;Lim, Ho-Kyung
    • The Journal of the Korean dental association
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    • v.56 no.11
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    • pp.598-604
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    • 2018
  • Cervicofacial subcutaneous emphysema is defined as the abnormal introduction of air into the subcutaneous tissues of the head and neck. It is mainly iatrogenic and traumatic in origin. Our two case reports are also due to the same cause, but the features of the trauma and the site of the dental treatment are different from the existing reports. A 29-year-old man visited our hospital with facial swelling and pain after experiencing facial trauma in a soccer game. Another 55-year-old woman visited with similar symptoms after replacement of her maxillary anterior fixed prosthesis. In the two cases presented, subcutaneous emphysema was gradually treated with no complications during antibiotic prophylaxis and supportive care. In this paper, we report two cases of traumatic and iatrogenic subcutaneous emphysema and their diagnoses, etiologies, complications, and treatments based on a literature review.

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Death due to Postoperative Ileus after Total Knee Arthroplasty (슬관절 전 치환술 후 장폐색으로 인한 사망)

  • Kim, Hee-June;Choi, Young-Seo;Jung, Chul-Hee;Kyung, Hee-Soo
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.357-360
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    • 2021
  • The incidence of postoperative ileus (POI) after colonic and abdominal surgery is high. On the other hand, the reported incidence after lower extremity reconstruction ranges from 0.3% to 4.0%. This paper reports an 81-year-old woman who expired due to POI at six days after primary total knee arthroplasty. The risk factors, diagnosis, preventive methods, and treatment of POI were also investigated through literature reviews.