No abstract available.
Colorectal Neoplasms*

A clinical analysis on the 33 cases of the collateral ligament injuries of the knee joint was made. Those cases were classified in three groups depend upon the width of the joint space by means of stress-radiogram as one plue (less than 5 mm), two plus(5~10 mm), and three plus(more than 10 mm). Twenty one cases were three plus group and were treated operatively and remaining had conservative treatment. This injury is more prevalent in male with the peak in male with the peak incidence of 21~30 years old age group. The most common site of injury of medial collateral ligament is the mid-portion of the ligament where cross the joint line by the 42.3% on operated cases. The lateral collateral ligament has no specific location of injury but more even on its whole length of femoral or fibullar attachment and mid-portion of the ligament. Results were evaluated in three groups of excellent, good and poor. Six out of 12 cases of conservative treatment and nine out of 21 cases of operative group were excellent in result without joint instability, pain and muscle weakness on walking and flexion was available more than 120 degress. Four cases of conservative treatment group and ten of operative group were good in result with occasional pain on walking, mild degree of instability and range of joint motion between 100 to 120 degrees. Four cases had poor result with pain on walking, marked joint instability and less than 100 degrees of joint motion. Overall result of more than good were 90.5% in operative group and 83.3% in conservative treatment group.
Clinical Study ; Collateral Ligaments ; Humans ; Incidence ; Joint Instability ; Joints ; Knee Joint ; Knee ; Lateral Ligament, Ankle ; Ligaments ; Male ; Muscle Weakness ; Walking

Calcaneus is very important in weight bearing and maintaining the normal contour of the foot. Many diseases can cause the cyst-like destructive changes of the calcaneus. In most cases, histological confirmation and bacteriological examination are necessary for the final diagnosis. In recent years, four cases of the cyst-like destructive lesions of the calcaneus were treated and had satisfactory results. They were confirmed with biopsy and bacterial culture as followings; acute osteomyelitis, chronic osteomyelitis, tuberculous osteomyelitis and simple bone cyst. Operations on the osteomyelitis were curettage with or without sequestrectomy and the simple bone cyst the curettage and bone graft. After operations, proper antibiotics and plaster immobilization followed routinely.
Anti-Bacterial Agents ; Biopsy ; Bone Cysts ; Calcaneus ; Curettage ; Diagnosis ; Foot ; Immobilization ; Osteomyelitis ; Transplants ; Weight-Bearing

A statistical analysis was made on 59 patients of bone tumors who were treated at medical center from March, 1971 to February, 1978. The results were as follows. 1. Thirty nine cases(66%) were benign and twenty cases (34%) were malignant 2. Osteochondroma was the most common benign bone tumor (38.5%) and followed by simple bone cyst(17.9%), enchondroma(10.3%), osteoid osteoma(10.3%) and giant cell tumor(7.7%). 3. The knee joint area was the most common site of osteochondroma(95%) and its peak incidence was in the second decade. 4. Two of three cases of giant cell tumor were recurred at six months and three years after surgical intervention. 5. 11 cases(55%) out of 20 malignant bone tumor were primary tumors of osteogenic sarcoma(9 cases), Ewing's sarcoma(1 case) and multiple myeloma(1 case). Rest of 9 cases(45%) were metastatic bone tumors. 6. The primary organs of the metastatic bone tumor were kidney(2 cases), thyroid and lung(each 1 case), but the 5 cases were undetectable. The most common site of metastasis were spine and pelvis.
Giant Cell Tumors ; Giant Cells ; Humans ; Incidence ; Knee Joint ; Neoplasm Metastasis ; Osteochondroma ; Pelvis ; Spine ; Statistics as Topic ; Thyroid Gland

No abstract available.
Colon, Descending* ; Leiomyosarcoma*

BACKGROUND: It is well known that cardiac output increases the greatest after a normal vaginal delivery. This study was to demonstrate the change of cardiac output after delivery by a cesarean section. METHODS: Eighty three women who underwent an elective cesarean section were involved in this study. They were anesthetized with enflurane, O2 and N2O (1:1) after injection of glycopyrrolate IM as a premedicant. Hemodynamic variables (CO, CI, SVR, SVRI, SI, EF, MAP and HR) were measured at three different time points; preoperation, 10 and 30 minutes after delivery by using a thoracic bioimpedence. RESULTS: The values of CO, CI, SI, and EF at 10 and 30 minutes after delivery were increased significantly (P< 0.05) compared to those of preoperation. The CO of 10 and 30 min after delivery increased 35.4% and 30.7% retrospectively. However, the values of SVR and SVRI were decreased significantly (P< 0.05) and the values of MAP and HR were not changed at 10 and 30 minutes after delivery when compared to those of preoperation. CONCLUSIONS: From these result, the CO after delivery during a cesarean section under enflurane anesthesia increased significantly. Therefore, decompensation in the early postpartum period is a risk in patients with compromised cardiac status.
Anesthesia ; Anesthesia, General* ; Cardiac Output* ; Cesarean Section* ; Enflurane* ; Female ; Glycopyrrolate ; Hemodynamics ; Humans ; Postpartum Period ; Pregnancy ; Retrospective Studies

No abstract available.
Forearm*

The case is presented a 49-year-old man had several year history with chronic renal failure with hyperlipidemia due to diabetes mellitus. Treatment of hyperlipidemia was started by oral bezafibrate intake 600 mg per day. Several days later, patient noticed muscle weakness and myalgia. The serum CK, LDH, AST levels were remarkably elevated, myoglobulinuria was also noticed The symptoms of the patient were resolved after the drug was discontinued, thus the diagnosis was established as having bezafibrate induced rhabdomyolysis. On the basis of the above description, bezafibrate may induce muscle damage if dose is excess over the renal capacity. Extreme caution is warranted when the patient is placed on bezafibrate and has renal dysfunction.Strict dose adjustment is necessary in taking account of renal function to avoid muscle damage including rhabdomyolysis.
Bezafibrate ; Diabetes Mellitus ; Diagnosis ; Humans ; Hyperlipidemias ; Kidney Failure, Chronic ; Middle Aged ; Muscle Weakness ; Myalgia ; Rhabdomyolysis

The principle in the treatment of an elderly patient with an intertrochanteric fracture has swung from traction to internal fixation due to complication such as pneumonia, skin ulcer, and throm-boembolic disease, etc. Since the introduction of the Smith-Peterson nail, numerous internal fixation devices such as I-beam nail, Thornton plate, Jewett nail and Holt nail have been developed by gadgeteers and instrument companies. Recently Compression Hip Screw is popular because of rigid internal fixation. The operative management of intertrochanteric fractures of the hip using Compression Hip Screwplate was performed in thirty-three patients who were followed more than 5 months after operation at Department of Orthopedic Surgery, Kyung Hee University Hospital, from Feb. 1974 to 1978. The results were as follows. 1. Of 33 cases of intertrochanteric fractures, 3 cases were stable fracture and 30 cases were unstable fracture. The commonest type was Tronzo type III with 42 percentage. 2. Dimon-Hughston reduction in 13 cases with unstable fracture and anatomical reduction in 20 cases with stable and unstable fracture were achieved. 3. The average time to fracture union was 12 weeks, minimum in 8 weeks (maximum 20 weeks). The average union time in age group over 50 years was 14 weeks and 11 weeks in age group under 50 years. 4. The average union time was 13 weeks in medial displased group and 10 weeks in anatomical reduction group. 5. Complication after internal fixation were 4 cases e.g., two cases of varus deformity, one case of genitourinary tract infection and one transient peroneal nerve palsy. 6. Compression Hip Screw is a good internal fixation device to treat intertrochanteric fracture.
Aged ; Congenital Abnormalities ; Hip Fractures ; Hip ; Humans ; Internal Fixators ; Orthopedics ; Paralysis ; Peroneal Nerve ; Pneumonia ; Skin Ulcer ; Traction

PURPOSE: The Singh index which is based on a plain radiograph has commonly used in assessing the grade of osteoporosis. We studied value of the Singh index in assessing the grade of osteoporosis by obtaining reliability of the Singh index and correlation between the Singh index and bone mineral density. MATERIALS AND METHODS: Six observers assessed radiographs of 60 patients suspected osteoporosis. The interobserver and intraobserver agreement of the Singh index were obtained by using kappa statistics. The bone mineral density of proximal femur was measured by dual energy X-ray absorptiometry in all patients, and then the results of bone mineral density were compared with those of Singh index by using percentage of variance. RESULTS: The kappa values of interobserver agreement ranged from 0.28 to 0.76 (mean value: 0.45) and the strength of the agreement was moderate. The percentage of variance of BMD which was explained by Singh index was 7.1%. CONCLUSIONS: The results of this study suggest that the Singh index has low clinical value in assessing the grade of osteoporosis
Absorptiometry, Photon ; Bone Density ; Femur ; Humans ; Osteoporosis*