Cauda equina syndrome has been described as a complex of low back psin, bilateral sciatica, saddle anesthessia and motor weakness in the lower extremity that progress to paraplegia with bladder and bowel incontinence. The syndrome is uncommon, accouting spproximately 1–16% of reported cases of lumbar disc herniation, but needs urgent diagnosis and surgical treatment. Clinical observations were carried out on 8 cases of cauda equina syndrome in the Department of Orthopaedic Surgery, Yonsei University College of Medicine from June 1980 through June 1986 and the following results were obtained. 1. The highest incidence, 5 cases(63%), occured in 40 49 year old age group and the sex distribution was 5 males and 3 females. 2. Eight cases fell into two clinical groups. group 1(3 cases) presented with a sudden onset without any previous history of low back pain and group 2(5 cases) presented with a incidious onset with history of recurrent low back pain. 3. Preoperative myelogram revealed a totsl block to the flow of the contrsst medium in all cases. 4. Wide laminectomy and discectomy were performed in all cases within 2 weeks after the onset of bladder symptom and 3 cases with two levels of disc prolapse were found. 5. Among total 11 levels of disc prolapse, there was 5 levels of L5-S1, 4 levels of L4-5 and 2 levels of L3-4. 6. The duration of the preoperative bladder symptom was 3.3 days in group 1 and 6.4 days in group 2. 7. With a minimum of 6 months follow up, motor power wss fully recovered in 5 cases, sensory in 6 cases and bladder function in 4 cases.
Cauda Equina ; Diagnosis ; Diskectomy ; Female ; Follow-Up Studies ; Humans ; Incidence ; Laminectomy ; Low Back Pain ; Lower Extremity ; Male ; Paraplegia ; Polyradiculopathy ; Prolapse ; Sciatica ; Sex Distribution ; Urinary Bladder

As a variety of the industrial accidents, we have experienced the paint-gun injuries at ship yard. Authors have experienced 17 patients (18 cases) of the paint-gun injuries at Okpo Daewoo Hospital, Daewoo Medical Foundation, Kyungnam from January, 1986 to September, 1992. After clinical and roentgenographical analysis, the clinical results were summarized as follows: The hand was the most common site (83.3%) among the upper extremity injuries, espicially right hand and we have had good results from the extensive debridement, curettage, prophylactic antibiotics and the penrose drain insertion in extensive injury cases, compared with minimal injury cases. However, we concluded that most of the cases in Paint-injures were preventalbe.
Accidents, Occupational ; Anti-Bacterial Agents ; Curettage ; Debridement ; Gyeongsangnam-do ; Hand ; Humans ; Ships ; Upper Extremity

No abstract available.
Epigastric Arteries* ; Rectus Abdominis* ; Skin*

No abstract available.
Nose* ; Replantation*

Mutation of p53 tumor suppressor gene is now recognized as the most frequent genetic alteration in human neoplasms. Although meningiomas are common intracranial tumors, little is known about the clinical significance of p53 abnormalities in meningiomas. We studied 31 cases of meningioma to investigate the significance of p53 protein expression in meningiomas and its relationships with histological and clinical parameters and proliferative activity. Classical and atypical meningiomas were 16 (51.6%) and 15 cases (43.4%), respectively. p53 protein expression was detected in 4 (25.0%) of 16 classical, and 12 (80.0%) of 15 atypical meningiomas. p53 protein expression was correlated with Ki-67 staining index, atypical type, high histologic score, sheet pattern of the neoplastic cells, vascular proliferation, and male patient (p<0.05). In conclusion, immunohistochemical evaluation of p53 protein and histologic score of meningiomas are useful in assessing the prognosis.
Genes, Tumor Suppressor ; Humans ; Male ; Meningioma* ; Prognosis

No abstract available.
Spine*

Morphologically, kyphosis is devided into two groups, pure kyphosis and kyphoscoliosis, according to whether or not scoiiosis is combined. Or kyphosis can be devided into round kyphosis or angular kyphosis. The examples of round kyphosis are Scheuermanns kyphosis or ankylosing spondylitis. Acute angular kyphosis are of congenital kyphosis or old healed tuberculosis. The purpose of surgical correction of fixed kyphosis is to correct deformity as well as to prevent or to recover from paraplegia. The operation also improve respiratory and digestive function by diminishing compression of abdomen. However, the correction of this deformity is more dangerous in eliciting paraplegia than any other spinal deformity. In considering surgical correction of kyphosis we have to decide which approach is the best for that particular patient at that particular time. Usually majority of patient need combined anterior and posterior approach. The extent of fusion depends upon the flexibility of the kyphosis. Anterior fusion should encompass at least the rigid and inflexible portion of the kyphosis as determined by the hyperextension x-ray of the spine. Posterior fusion should encompass the full extent of the kyphosis. The purpose of this study is to report our results for surgical correction and to find the operative procedure which shows the best result. We hereby report surgically corrected 14 cases of fixed kyphosis who were hospitalized here from April 1988 to February 1995.
Abdomen ; Congenital Abnormalities ; Humans ; Kyphosis* ; Paraplegia ; Pliability ; Scheuermann Disease ; Spine ; Spondylitis, Ankylosing ; Surgical Procedures, Operative ; Tuberculosis

No abstract available.
Forearm*

Giant cell tumor is an uncommon primary bone tumor of young adults with the highest incidence in patients 20 to 40 years of age. These tumors are most frequently found in the metaphyseal-epiphyseal region of the long bones, especially around the knee joint and the distal end of the radius. So the normal life expectancy and an active life style of the patient necessitate a reliable and durable surgical remedy for eradicating the tumor and preserving joint function. Furthermore, these have an unpredictable clinical behavior. Although almost always benign, these tumors are locally agressive and tend to have a high rate of rerurrence, and malignant transfomation is well known to be 6 15%. Thus the lesions produce a practically difficult therapeutic problem for the orthopaedic surgeon, and a satisfactory method of treatment has not yet been found. Clinical observations were carried out on 33 cases of giant cell tumor of bone in the Department of Orthopaedic Surgery, Yonsei University College of Medicine from May 1975 through May 1985, and the following results were obtained. 1. The highest incidence, 23 cases (70%), accurred in the 21 40 year old age group, and the sex distribution was 18 males and 15 females. 2. The most frequent locations were the distal feuiur, proximal tibia and distal radius. Twenty four cases(73%) occurred around the knee joint. 3. The pathologic grading according to Jaffes criteria showed 10 cases(30.3%) in grade I, 20 cases (60.6%) in grade II and 3 cases(9.1%) in grade III. 4. As the primary treatment modality, currettage and bone graft were performed in 9 cases, currettage and bone cementing in 9 cases, amputation or disarticulation in 7 cases, enbloc excision with or without other procedures in 6 cases and currettage and radiotherpy in 2 cases. 5. Eight cases(24.2%) recurred after primary treatment and 6 cases of the 8 recurrences appeared within 2 years after primary treatment. 6. Four of the 9 tumors treated by currettage and bone graft recurred, as did two of the 9 tumors treated by currettage and bone cementing. No recurrence occurred in the 7 tumors treated by amputation or disarticulation. 7. As the secondary treatment modality for 8 recurrences, amputation or disarticulation was performed in 5 cases.
Amputation ; Disarticulation ; Female ; Giant Cell Tumor of Bone ; Giant Cell Tumors ; Giant Cells ; Humans ; Incidence ; Joints ; Knee Joint ; Life Expectancy ; Life Style ; Male ; Methods ; Radius ; Recurrence ; Sex Distribution ; Tibia ; Transplants ; Young Adult

The purpose of this retrospective study was to evaluate the efficacy of arthroscopic repair of Bankart lesion using the biodegradable polyglyconate implant(Suretac) for the treatment of traumatic anterior shoulder instability. Although the arthroscopic procedure using the Suretac device has some technical advantages over others, there have been reports of the higher failure rate than open procedure. Eight shoulders in 8 patients who had traumatic anterior instability of the shoulder with Bankart lesion were managed with this procedure. They were followed up for average 2 years (range 1 year 4 months to 2 years 5 months). During the follow-up period, all the patients showed full range of motion of the shoulder without recurrence of instability. It was our impression that success rate of the procedure could be improved by careful selection of the patient, the accurate arthroscopic technique, and the good rehabilitation program.
Follow-Up Studies ; Humans ; Range of Motion, Articular ; Recurrence ; Rehabilitation ; Retrospective Studies ; Shoulder*