Fractures of the patella are predominantly intra-articular fractures of a sesamoid bone. The options of treatment vary from closed treatment to total patellectomy, in the middle of the spectrum are osteosynthesis and partial patellectomy. In this series, we experienced 59 cases of patellar fractures from October 1974 to October 1983 at the Department of the Orthopedic Surgery, College of Medicine, Kyungpook National University. The results were as follows:1. Most fractures were encountered in man from twenties to forties. 2. The most common cause of fractures was traffic accident(34 cases, 59.7%), followed by slip down or falling down(15 cases, 26.3% ). 3. The most frequent configuration of fractures was the comminuted. 4. 36 cases were treated with osteosynthesis (32 cases), partial excision (1 case) or total excision (3 cases). Of the 32 cases treated with osteosynthesis, most were treated by modified tension band wiring (16 cases). And as compared with other fixation techniques, the best results were obtained by this method. 5. Modified tension band wire fixation has given accepatable results even in severely comminuted, displaced patellar fractures. Excision was sometimes unavoidable.
Accidental Falls ; Clinical Study ; Gyeongsangbuk-do ; Intra-Articular Fractures ; Methods ; Orthopedics ; Patella ; Sesamoid Bones

To observe the role of oxygen free radical and enzymatic scavengers in cerebral ischemia, an infarction model was made using transorbital occlusion of the middle cerebral artery in cats. The changes of the superoxide radical production and the activities of superoxide dismutase and catalase were measured. The results were as follows ; 1) The infarction of the left middle cerebral artery(MCA) territory was identified with intracardiac perfusion of a TTC solution after transorbital occlusion. 2) The superoxide radical activities after occlusion of the left MCA were not changed in all groups except for the decrease in 6 hours group of the right side compared to the control group(p<0.05). 3) The Mn-superoxide dismutase activities of the left side in the 12 hours group were significantly higher than those of the right side(p<0.01) and those in the control group(p<0.05). 4) The Cu, Zn-superoxide dismutase activities of the left side in the 3 hours group after occlusion of the left MCA were significantly higher than those in the control group(p<0.05). 5) The catalase activities of the left side in the 3 hours, 6 hours and 12 hours groups after occlusion of the left MCA were significantly higher than those of the right side(p<0.05). 6) The catalase activities of the left side in the 12 hours group after occlusion of the left MCA were significantly higher than those in the control group(p<0.05). The authors suggest that the enzymatic scavangers such as Mn-SOD, Cu, Zn-SOD and catalase increased in the infarcted brain, which means an involvement of free radicals in cerebral infarction.
Animals ; Brain ; Brain Ischemia ; Catalase* ; Cats ; Cerebral Infarction* ; Free Radicals ; Infarction ; Middle Cerebral Artery ; Oxygen ; Perfusion ; Superoxide Dismutase* ; Superoxides*

A retrospective study 40 patients with moderate or severe diffuse axonal injury which is defined as posttraumatic coma for over 24 hours without mass lesions or ischemic insults was conducted in order to identify prognostic parameters. The sign of hypothalamic damage and motor reactivities of 40 patients were reviewed and compared to the outcome. The results were as follows ; 1) The ratio of male to female was about 3 to 1 and the peak incidence was at the first decade. 2) Of abnormal brain stem signs, fever of central origin was observed at the early posttraumatic phase and correlated with nonrecovery of consciousness(P<0.05). 3) Of abnormal brain stem signs, abnormal ADH secretion was significantly correlated with nonrecovery of consciousness(P<0.005). 4) Abnormal motor reactivity to pain was significantly correlated with nonrecovery of consciousness(P<0.005). 5) In the group of recovery of consciousness, initial Glasgow coma scale in 40 patients with moderate or severe DAI was significantly correlated with their outcome(P<0.005).
Brain Stem ; Coma ; Consciousness ; Diffuse Axonal Injury* ; Female ; Fever ; Glasgow Coma Scale ; Humans ; Incidence ; Male ; Retrospective Studies

Authors studied 73 patients(91 eyes) of the congenital blepharoptosis who were received the levator resection at Busan National University Hospital during recent 4 years and could do follow up studies for at least 6 months(average 9.7 months). Results obtained as follows; 1. Success rate of the levator resection was 67 percents. 2. Causes of the levator resection were poor levator function of 2 to 4 mm or combined anomalies, such as superior rectus weakness, epicanthus, and blepharophimosis. 3. Average amount of the levator resection per 1 mm difference of levator function was 1. 85 mm. 4. It was concluded that the primary surgical indication for the congenital blepbaroptosis of simple type with the levator function of 5 mm or more was resection of the levator muscle.
Blepharophimosis ; Blepharoptosis ; Busan ; Follow-Up Studies

Despite advertised health warnings regarding the deadly hazards of smoking, many people have not heeded recommendations to quit smoking. We examined factors that affect self-rated subjective health status (SRH) scores among lifestyle, nutrient intake and biochemical parameters, and the association of SRH scores and smoking status in a large Korean adult population. Adjusted odd ratios for SRH were calculated for smoking status, selected biochemical data, and food and nutrient intake obtained using the 24-hr recall method after covariate adjustment in the 2007-2012 Korean National Health and Nutrition Examination Survey (27,534 men and women aged > or = 20 yr). Age, sex, income, education, drinking, exercise and stress levels were associated with SRH scores, regardless of smoking status (P < 0.001). Interestingly, people in any smoking status groups considered the well-known indicators for metabolic diseases (HDL cholesterol, glucose, aspartate aminotransferase, and alanine aminotransferase in the circulation), and the intake of fiber, total vitamins A, and vitamin C as indicators of SRH. Especially in current smokers, higher intake of nutritious food groups such as grains (OR = 1.227), vegetables (OR = 1.944), and milk (OR = 2.26) significantly increased the adjusted odds ratio of SRH. However, smoking status was not associated with SRH scores. In conclusion, SRH is affected by the indices related to health but not smoking status in Korean adults. The development of a new indicator of the direct adverse effects of smoking at regular health check-ups might be required to modulate the SRH in smokers and a nutritional education should not include the possible attenuation of adverse effects of smoking by good nutrition.
Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Biomarkers/*blood ; Blood Glucose/*analysis ; *Diagnostic Self Evaluation ; Educational Status ; Female ; Health Behavior ; *Health Status ; Humans ; Income/statistics & numerical data ; *Life Style ; Male ; Middle Aged ; Nutrition Assessment ; Republic of Korea/epidemiology ; Sex Distribution ; Smoking/*epidemiology ; Socioeconomic Factors ; Young Adult

The CT digital radiography is a new accurate technique for measuring the long bone length. Authors performed acomparative study on accuracy, time and film consumption and radiation dose between conventional spot scanogramand CT scanogram. We used two femur and two tibia specimen for materials, the Somatom II(Siemens) for CTscanogram, and Rad Check(Voctoreen) for radiation dosimetery. There was no significant difference in accuracybetween direct measurement, conventional scanogram and CT scanogram(lesser than 1% difference). The examinationtime of conventional scanogram was about 35 minutes, CT was 15 minutes, and the film consumption of spot scanogramwas 3 of 14x17'' size, but the CT scanogram need only one 8x10'' film for completion of study. The radiation doseof hip, knee and ankle joint were 220 mRad, 365 mRad, respectively, in spot scanogram, but it was lesser than 5mRad in all joints in CT scanogram. The advantages of the CT scanogram are simple, rapid and reduced radiation.
Ankle Joint ; Femur ; Hip ; Joints ; Knee ; Radiographic Image Enhancement ; Tibia

It is generally agreed that CT is a good staging method of renal cell carcinoma. However, CT has its ownpitfalls. Herein we reviewed 31 patients with renal cell carcinoma whose CT and pathologic stages were available.CT accurately staged 12 of 14 patients with Robson's stage I (86%), 6 of 8 with stage II (75%), 4 of 4 with stageIIIa (100%), 2 of 3 with stage IIIb (67%), and 1 of 2 with stage IV (50%). Overall staging accuracy of CT was 81%(25 of 31). CT failed to differentiate stage I and stage II in 4 cases. CT also failed to diagnose the microscopiclymph node metastasis in 1 case, and invasion of Gerota's fascia in another case. However CT was satisfactory indifferentiating surgically curable stage I to III from surgically incurable stage IV, and high reliable in thediagnosis of inferior vena caval thrombosis. Therefore it is suggested that CT is highly useful in determining thetreatment plan of renal cell carcinoma.
Carcinoma, Renal Cell ; Fascia ; Humans ; Methods ; Neoplasm Metastasis ; Thrombosis

Injury to specific areas of the immature brain, in both the human and animals, can result in compensatory reorganization in undamaged adjacent or contralateral areas. The functional plasticity of such compensatory hypertrophy is not well known, but in some cases may be responsible for recovery of function. In order to investigate the effect of unilateral ischemic injury on the contralateral cerebral hemisphere in neonatal rats, early and late changes in various areas of both cerebral hemispheres were assessed. Seventy-seven seven-day-old Sprague-Dawley rats underwent unilateral carotid artery ligation and were then exposed to hypoxia(8% oxygen) for 3 hours. The animals were killed one week(Group I, 58 rats) and three months(Group II, 19 rats) later. Twelve rats, comprising Group III, were exposed to hypoxia for 3 hours without carotid artery ligation. The control group, consisting of 19 rats, did not undergo any of the above procedures. In each slice of brain tissue(4mm posterior to the bregma), the area of the whole brain, each hemisphere, and the frontoparietal, temporal and hippocampal regions in each hemisphere were measured, using the image analysis program(Optimas 5.2), and to assess which regions were affected, proportions of each hemisphere occupied by each region were compared. In Group II, the proportional areas of the frontoparietal(p<0.05) and temporal(p<0.01) regions in the contralateral hemisphere increased significantly, compared with the control group, but the hippocampal region showed no significant change. In Group I, there was no contralateral hypertrophy. The ipsilateral hemisphere showed significant atrophy and there was weight reduction in Groups I(p<0.001) and II(p<0.001). This study suggests that unilateral hypoxia-ischemia results in ipsilateral hemispheric atrophy and contralateral hypertrophy, especially in the frontoparietal and temporal areas, may contribute to some functional recovery and compensation in addition to uncrossed corticospinal or other descending motor systems.
Animals ; Anoxia ; Atrophy ; Brain* ; Carotid Arteries ; Cerebrum* ; Compensation and Redress ; Humans ; Hypertrophy ; Hypoxia-Ischemia, Brain* ; Ligation ; Plastics ; Rats* ; Rats, Sprague-Dawley ; Recovery of Function ; Weight Loss

Pregnancies consisting of complete hydatidiform mole with a coexisting fetus are relatively rare and associated with a risk of persistent gestational trophoblastic tumor. Recently, hydatidiform moles with a fetus have become more and more common due to utilization of induction agents for ovulation, and many clinicians have been confronted with the difficulty of determining whether to undergo immediate intervention or expectant management. However, there are limited data to guide the antenatal management of complete hydatidiform mole coexisting with a fetus. We experienced a case of complete hydatidiform mole with a coexistent live fetus, which was diagnosed by ultrasonography at 19 gestational weeks, showing a molar pattern and normal fetal structure, and confirmed normal karyotype of the coexistent fetus. Antenatal management was done with an additional serial check of beta-hCG levels and blood pressure. The levels of serum beta-hCG in serum level were progressively decreased after 19 gestational weeks and fell within normal range during advancing gestation. Pregnancy was terminated at 30 gestational weeks due to fetal hypoxia resulting from severe pre-eclampsia with a live small for gestational age infant. We report our case with a literature review to provide a guideline of management about complete hydatidiform mole with a coexisting fetus. Our result suggest that the pregnancy of complete mole with a coexisting live fetus may be allowed to continue when the fetal karyotype and development are normal and serum beta-hCG titers are falling with advancing gestational age.
Blood Pressure ; Female ; Fetal Hypoxia ; Fetus* ; Gestational Age ; Humans ; Hydatidiform Mole* ; Infant ; Karyotype ; Molar ; Ovulation ; Pre-Eclampsia ; Pregnancy ; Pregnancy, Twin ; Reference Values ; Trophoblastic Neoplasms ; Ultrasonography

It has come to my attention that the manuscript below contains an accidental mistake in writing the institution that approved the IRB approval.