No abstract available.
Debridement* ; Knee* ; Osteoarthritis*

No abstract available.
Free Tissue Flaps* ; Lower Extremity*

No abstract available.
Gallbladder*

The anterior cruciate ligament integrity is critical to the mechanics, stability, and protection of the joint and its periarticular structure. The insufficiency of the anterior cruciate ligament leads to a disintegration of the rolling/gliding movement, and followed by degenerative changes of the joint cartilage. Numerous surgical procedures have been designed to control the anterior cruciate ligament insufficiency. None has yet been generally accepted as the best procedure. Arthroscopy has added a new dimension to knee surgery and earned a rightful place in the diagnosis and mansgement of the anterior cruciate ligsment problems. In this article, we present the results in twenty two patients who were treated with staple by arthroscopic surgery from January, 1984 to December, 1985. The results obtained were as follows : 1. Type of surgery were 2 cases of primsry repair, 12 cases of pedicle graft, and 8 cases of semitendinosus graft. 2. Associated lesions were 17 cases(77.3%) of meniscal injuries and 3 cases(13.6%) of the injury to the articular cartilage. 3. Clinical results were excellent and good in 12 cases(54.5%) and fair in 8 cases(36.4%) by the Hospital for Special Surgery knee follow up score. 4. Advantages of using the Ligamentous and Cagsular Repair system for anterior cruciate ligament insufficiency were A) Minimal surgical exposure and trauma. B) Less painful. C) Utilized the patients own collagen tissue with vascularity and synovial covering. D) Close approximation of normal anterior cruciate attachment. E) Excellent bony fixation. F) Rapid rehabilitation. G) Minimal morbidity and few complications. On the basis of our findings, we advocate the arthroscopic repair % reconstruction with staple as a reliable and effective method of treating anterior cruciate ligament insufficiency.
Anterior Cruciate Ligament ; Arthroscopy ; Cartilage ; Cartilage, Articular ; Collagen ; Diagnosis ; Follow-Up Studies ; Humans ; Joints ; Knee ; Ligaments ; Mechanics ; Methods ; Rehabilitation ; Transplants

Various methods have been described for sugical management of patients who have recurrent anterior shoulder dislocation. In recent years, great advancements have been made in arthroscopic surgery of anterior shoulder dislocation. From June, 1987 to December, 1989, 10 shoulders in 10 patients who experienced recurrent traumatic anterior dislocation were repaired with the arthroscopic stapling technique. Among them, 6 cases which could be followed for more than 1 year were analyzed. Postoperstive follow-up averaged 21 months (range 1 year to 3 years). The results were summarized as follows: l. Average patient age was 24 years with an age range from 20 to 31 years. All 6 cases were male. 2. The orighinal dislocation involved an injury in all cases. It had occurred between 18 months and 6 years before surgery. Every patients had had 4 or more recurrences. 3. Among the 6 cases, 5 cases were found to have a Bankart lesion and 3 cases, a Hill-Sachs lesion at surgery. 4. There have been no postoperative recurrence up to date. 5. 7 and 10 degrees restriction in external rotation, as compared to the contralateral shoulder, was noted in 2 patients. 6. Clinical results of 6 cases, based on the Rowe shoulder rationg system, were 4 excellent and 2 good. 7. No instances of infection, instrument failure, or major neurovascular complications occurred in this series.
Arthroscopy ; Dislocations ; Follow-Up Studies ; Humans ; Male ; Recurrence ; Shoulder Dislocation ; Shoulder

Unilateral absence of the articular process at a lumbar vertebra is a rare anomaly. The etiology of the congenital absence of articular process is not precisely determined yet, but it was explained as some of the possible embryologic bases. Absence of the articular process at the level of L5-Sl have been reported a few, but anomaly above L4 is rare. We are reporting a case of absence of articular process at the level of the 4th lumbar vertebra.
Spine

No abstract available.
Pleasure*

No abstract available.
Glomerulonephritis*

Benign epiepsy of childhood with centrotemporal spikes (BECCT) is an electroclinical syndrome characterized by noctural seizure that remit spontaneoully before adulthood, and belong to idiopathic age and location related epilepsies. We reviewed the medical records to analyse the seizure the seizure pattern, and also inspect the EEG recording to identify topography of the epileptiform discharge of 24 patient who met the following criteria: 1) presence of nocturnal seizure or partial seizure confined to the face, 2) normal intecual and development, 3) normal background EEG feature, 4) monomormhic spikes or sharp wave that increase in the frequency during sleep if those state were achieved. The result as follow: 1) The age of seizure onset were 3 to 11 years old (7.08 1.89) and male to female ratio was 1, 4:1. 2) Past history of birth trauma, CNS infection and other diseases involving CNS, were not found. There was past history of febrile convulsoin 33.3% of patient and epilepsy in 8.3%. One of paient's sister had childhood abscence epilepsy and never a nocturnal partial seizure, also and had centrotemporal spikes in EEG. 3) In 91.7% of Seizures occurred during sleep, especially short after sleep onset and the symptomatology of seizure was shown 66.7% of oropharyngeal sign, such as hypersalivation and gargle sound, and 54.2% of hemifacial involvement, 33.3% of speech arrest, 25.5% of upper limb involement, 18.3% of lower limb involvement, and 45.8% of general seizure. 4) In 91.5% of patients had on location of epileptiform discharge that located central (37.5%) midtemporal (33.3%), parietal and frontal. We could observe tangental dipole in 16.7% of patients.
Child ; Electroencephalography ; Epilepsy ; Epilepsy, Rolandic* ; Female ; Humans ; Lower Extremity ; Male ; Medical Records ; Parturition ; Rabeprazole ; Seizures ; Sialorrhea ; Siblings ; Upper Extremity

We rep a case of vulvar syringoma in a 32-year-old woman who had pruritus vulvae for 2 years. An examination of both the labia major revealed slightly thickened hyperpigmented or hypopigmented patches without yellow papules. A skin punch biopsy revealed characteristic histological findings of syringoma. Syringoma of the vulva is a rare disorder and is usually asymptomatic. Five cases of vulvar syringoma preriously reported in the Korean literature all had asymptomatic yellow or brown colored papules, but this case presented here was clinically considered as pruritus vulvae.
Adult ; Biopsy ; Female ; Humans ; Pruritus Vulvae* ; Pruritus* ; Skin ; Syringoma* ; Vulva