Neurovascular Tendocutaneous Free Flap Transplantation by Microsurgical Technique: Case Report / 대한정형외과학회잡지

Microsurgical compoeite tissue transplantation to date has contributed to reconstructive surgery by expediting transfer of large blocks of tissue. We have performed the first successful transplantation of microneurovascular tendocutaneous free flap from the dorsum foot to the defect of dorsum hand including extensor tendons. We considered the free flap with extensor tendons from the dorsum foot was the best donor site for functional recovery of the defect of dorsum hand. Two cases of tendocutaneous free flap transplantation were performed at the Department of Orthopedic Surgery of Hanyang University Hospital, and satisfactory results were obtained.

A Clinical Study on Trochanteric Fractures of the Femur / 대한정형외과학회잡지

The increased incidence of the trochanteric fracture of the femur was accompanied by the development of the vehicle and the prolongation of the average life-span. Recently it has been also increased in an active person from thirties to forties. 87 cases of the trochanteric fracture of the femur in 86 patients who have been admitted and treated at the Department of Orthopedic Surgery of Hanyang University Hospital during 8 years and 10 months, from May, 1972 to February, 1981, were reviewed. The results of this study were as follows: 1. The trochanteric fracture of the femur was more common in male and was frequent in a person who was from thirties to forties and who had vigorous social activity. 2. An injury from traffic accident was the most common cause of the fracture from thirties to forties and an injury from slip down was most common in seventies. 3. The unstable fracture which was classified by Evans' classification, Boyd and Griffin Type II Fx. and Tronzo Type III Fx. were most common in the intertrochanteric fracture and the Fielding Type II Fx. was most common in the subtrochanteric fracture of the femur. 4. Other injuries were accompanied by the trochanteric fracture of the femur in 38 patients (44.2%) and the pelvic bone fracture was the most common associated injury in these patients. 5. The weight bearing was allowed earlier in the patient who had been given the surgical Tx. than in the patient who had been given the conservative Tx. 6. In adults, there was no significant differences in the duration to achieve the bony union between the conservative treatment and surgical treatment performed. 7. We considered that the diminution of the probable complications by early weight bearing after accurate open reduction in accordance with the Type of the Fx. followed by secure internal fixation with devices is an ideal method of the Tx.

3 Cases of Orbital Tumor

3 cases of orbital tumors were presented, which were confined respectively as papillary adenocarcinoma, pseudotumor and mixed tumor in the histopathological findings. CASE 1: Papillary adenocarcinoma had been noticed in the left eye of a 66-year-old woman from about 4 months previously. Visual acuity was 0(O.D.), 0.3(1.2)(O.S.) and left eye ball was almost protruded out of the orbit. There was a coin-lesion, which was considered metastatic lesion from the eye, in the right upper lung field. Evisceration of the orbit which was almostly destroyed was performed successfully. No incidence of recurrence can be disclosed untill now, 16 months after surgery, and lost in follow up. CASE 2: Pseudotumor was developed in the left eye of a 33-year-old male. Visual acuity was 0.06(O.S), 1.2(O.D.). Severe choked disc and optic nerve atrophy were showed. Exophthalmometry: 24mm(0.5.), 18mm(0.D.). It was necessitated evisceration of the orbit because of the tumor was placed in the almost entire orbital space. Follow up study were impossibJe. CASE 3: In the left eye of a 51-year-old woman, mixed tumor had been developed from about 8 years previously. Visual acuity was 1.0(O.S.) and F.L.P.(O.D.), exophthalmometry: 13mm(O.U.). Surgical removal was successful and lost in follow up.

3 Cases of Orbital Tumor

3 cases of orbital tumors were presented, which were confined respectively as papillary adenocarcinoma, pseudotumor and mixed tumor in the histopathological findings. CASE 1: Papillary adenocarcinoma had been noticed in the left eye of a 66-year-old woman from about 4 months previously. Visual acuity was 0(O.D.), 0.3(1.2)(O.S.) and left eye ball was almost protruded out of the orbit. There was a coin-lesion, which was considered metastatic lesion from the eye, in the right upper lung field. Evisceration of the orbit which was almostly destroyed was performed successfully. No incidence of recurrence can be disclosed untill now, 16 months after surgery, and lost in follow up. CASE 2: Pseudotumor was developed in the left eye of a 33-year-old male. Visual acuity was 0.06(O.S), 1.2(O.D.). Severe choked disc and optic nerve atrophy were showed. Exophthalmometry: 24mm(0.5.), 18mm(0.D.). It was necessitated evisceration of the orbit because of the tumor was placed in the almost entire orbital space. Follow up study were impossibJe. CASE 3: In the left eye of a 51-year-old woman, mixed tumor had been developed from about 8 years previously. Visual acuity was 1.0(O.S.) and F.L.P.(O.D.), exophthalmometry: 13mm(O.U.). Surgical removal was successful and lost in follow up.