Foot drop from paralysis of the muscles of the anterior and lateral compartments of the leg is common in leprosy. Surgical correction of foot drop in leprosy appears to have been neglected until Brand pointed out that anterior transposition of the tibialis posterior tendon to the intermediate cuneiform bone gave encouraging results. Many methods of correcting the functional problems associated with a foot drop have been tried with the object of providing a foot that is stable and socially acceptable. Fifteen cases of foot drop admitted to the Hospital of Leprosy Mission in Taegu, Korea during past 3 years from 1965 to 1968 were reviewed.
Daegu ; Foot ; Korea ; Leg ; Leprosy ; Muscles ; Paralysis ; Tarsal Bones ; Tendons

Malgaigne fracture is relatively rare and has many difficult problems for treatment. The author reviewed 15 cases of Malgaigne fracture treated at the orthopedic department of Kyungpook National University Hospital during the period from January 1963 to July 1969, and analyzed as to the cause of injury by mechanical forces, type of fracture, average duration for treatment, complication and end results. The clinical results were obtained as follows: 1. The causes of injury were mostly traffic accident (66.6%), cool miner accident (20%) and falling and stumbling(13.4%). 2. Males are roughly 5 times more frequent than females and almostly 4th to 5th decade of life. 3. Vertical shear type is the most common type in this series and had not been experienced the type of total pelvic disruption. 4. The most common complication is bladder and urethral injury and experienced a case of multiple long bone fracture. 5. All cases were treated by skeletal traction except 2 cases which were treated by skin traction. 6 Time of traction is 8 to 16 weeks (average 12 weeks) and observation was done 10 of 15 cases for 2 to 25 months (average 15 months).
Accidental Falls ; Accidents, Traffic ; Female ; Fractures, Bone ; Gyeongsangbuk-do ; Humans ; Male ; Miners ; Orthopedics ; Skin ; Traction ; Urinary Bladder

It was in 1906 that Apert first described in detail the detail the group of deformities which now bears his name. He proposed the name Acrocephalosyndactly for this syndrome and presented a case he had personally examined in 1896 as well as a review of similar cases reported prior to his publication. since that time Acrocephalosyndactyly and Apert's syndrome have become synonymous. More than 200 cases have been reported in the world literature. The purpose of this article is to report an additional case along with review of previous literatures.
Congenital Abnormalities ; Humans ; Publications

A cause for spontaneous paralysis of the posterior interosseous nerve has been sought for many years. In recent times an increasing number of reports on this subject has appeared. This paper describes a probable anatomical factor, the arcade of Frohse, in non-traumatic progressive paralysis of the posterior interosseous nerve. Though this arcade, described by Frohse (Frohse and Fraenkel 1908), the posterior interosseous nerve passes to enter the plane between the two heads of the supinator muscle. In this case, the arcade of Frohse may well play in causing progressive paralysis of the posterior interosseous nerve, with old anterior dislocation of the radial head. Paralysis of the muscles supplied by this nerve with no evidence of recovery should be treated by exploration and splitting of the arcade of Frohse.
Dislocations ; Head ; Muscles ; Paralysis

Basal cell carcinoma is the most common skin cancer, especially on the eyelid and nose. As it rarely invades to a underlying bone or metastasizes an distant site, and is usually found at an early stage, it is regarded as a curative disease. However, basal cell carcinoma on the eyelid and nose may be resected incompletely due to efforts to preserve important structures or as a result of esthetic considerations. We experienced two cases of basal cell carcinoma with local invasion to underlying bone. One was a recurred case on the nasal area extending to the nasal bone arts medial wall of the ethmoid sinus. The lesion was widely resected and covered with a radial forearm free flap. The other was on the eyelid extending to the orbit. It was treated with orbital exenteration and resection of the involved eyelid. The defect was reconstructed with the temporalis muscle flap with split-thickness skin graft. These patients were followed up for 7 months with no evidence of recurrence. Since basal cell carcinoma can invade to the bone and metastasize to a distance site, it should be resected radically in the regions of the eyelid and nose.
Carcinoma, Basal Cell* ; Ethmoid Sinus ; Eyelids ; Forearm ; Free Tissue Flaps ; Humans ; Nasal Bone ; Nose ; Orbit ; Recurrence ; Skin ; Skin Neoplasms ; Transplants

Patella position in the normal knee jolnt has been discussed by many authors such as Boon-Itt 1930, Blumensaat 1938, and Insall 1971. But measure with Boon-Itt's method was so complicated and with Blumensaat's was denied by others due to inefficacy. Insall suggested more simple and clinically applicable method that was based on the fact that patellar tendon is inelastic. Now, we measured 100 healthy Korean knee accordlng to Insall's method. The following results were obtained in the study, 1. The length of the patellar tendon is 4.45 In males, 4.08 In females, and 4.26±0.40 cm. in average. (p<0.001) 2. The length of the patella is 4.51 in males, 4.09 In females, 4.36±0.40 cm. in average. (p<0.001) 3. The length of the patellar tendon (LT) and the dlagonal length of the pattella (LP) are almost same (LT: LP is 0.99 in both males and females, 98% of normal knees are contained within the difference of +20%). Difference above this limit may mean high-riding patella. 4. Blumensaats line on the distal femur doesnt pass the lower pole of the patella but the Iine passes 1 cm. below it in average. 5. The length of the patella (LP) and of the width of the femoral condyles at Blumensaat's line (WCBL) are almost same. When LP is markedly decreased in comparison with WCBL, this case may suggest hypoplasia of the patella. 6. Height of insertion of the patellar tendon (Hl) dlffers among various indlviduals. Its length is cllnically not so significant.
Female ; Femur ; Humans ; Knee Joint ; Knee ; Male ; Methods ; Patella ; Patellar Ligament

A retrospective study has been made of 6,184 cases of motor vehicle accidents which had been reported to Automobile Insurance Co., Taegu Branch, from Jan. 1,1977 to Dec. 31, 1977. It was considered necessary to find out some preventive measures which could be obtained from the epidemiological facts. The aim of this study was not to indicate direct preventive measures but to focus attention on fields in which best results should be given by the preventive measures. Third decade of age group showed the highest numbers of accident casualties, as much as 23%, and preschool age group showed 5%. Casualties showed a maximum during the winter and a minimum during the summer. Highest occurrence of accidents was on Saturday, 17.5% and least on Friday, 11.1%. On working days, highest occurrence was during afternoon and early evening(4 p.m.–9 a.m.), coinciding with the time for home-bound traffic after work and another maximum at an hour before curfew. There was smaller increse in occurrence at the time when people go to work in the morning. Least accidents occurred in the early hours of the morning. In the 2,751 accidents involving dollision between motor vehicles, sustained injuries-i.e;48.1% of the total casualties in passengers in vehicles and a much higher incidence than in accidents involving pedestrians. In accidents involving pedestrians in the urban area, 51.2% of casualties sustained injuries on the street and 39% at pedestrians crossings. Accidents involving collision between motor vehicles and bicycles accounted for 17.2% of casualties in the urban area. Of these, 79.2% were injured in accidents on the street, and in general, the injuries were more serious than those sustained by passengers in cars.
Accidents, Traffic ; Automobiles ; Daegu ; Epidemiology ; Humans ; Incidence ; Insurance ; Motor Vehicles ; Pedestrians ; Retrospective Studies

The object of this study was to determine the physiological range of talar tilt angle of the Korean and to establish the basis for diagnosis and treatment of the lateral instability of the ankle. The anteroposterior inversion stress view of both ankles was taken in the 108 healthy Korean who had no history of ankle injury or disease. The sagittal stress films were also performed on 96 ankles (48 cases) of these to further define the physiological limits of the sagittal mobility of the normal talus. We compared these two values of normai mobility of talus to deterrnine the significance and relationship of the rwo. The results obtained were as follows: 1) Talar tilt over 10 degrees was seen in only 6 ankles (1.9%) and most of the ankles (279 ankles, 88.4%) showed a tilt less than 5 degrees. 2) Normal talar tilt angle was increased in 30 degrees plantarflexed position than in 90 degrees neutral position of ankle. In 12 cases the value was different between the right and the left; but there was no significant difference between the sexes. 3) The anterior displacement index over 200 was seen in only 5 ankles (5.2%). 4) There was gross positive inter-relationship between physiological. range of talar tilt angle and talar sagittal mobility.
Ankle ; Ankle Injuries ; Diagnosis ; Talus

There has been much dispute about the pathomechanics and the significance of the test even among the most competent surgeons in this field. Some have claimed that the posterolateral capsule must be torn to initiate the pivot shift. Some have even gone as far as to deny the importance of the anterior cruciate ligament as a main stabilizing structure of the knee. We evaluated the concept of MacIntosh in anatomical studies which were carried out at the both Pathology and Orthopedic department of Kyungpook National University, School of Medicine, Taegu Korea. Experiments have been carried out to study the etiology of anterolateral instability and the production of a pivot shift sign. In the cadaver knees and A/K amputation knees, which did not have any sign of instability or osteoarthritis, the anterior cruciate was severed by a short medial incision. We could immediately detect a pivot shift. No pivot shift resulted however when the posterolateral capsule was completely divided first and the anterior cruciate left intact, or when the medial collateral ligament and medial capsule were cut. If both the anterior cruciate and posterolateral capsule were divided the pivot shift became more prominent than after cutting the anterior cruciate alone. When the medial collateral ligament including the capsular structures was completely severed, however, the pivot shift disappeared. In summary the experiments show the following: 1. An isolated rupture of the anterior cruciate ligament or its combination with a partial tear of the medial collateral ligament may be detected with the pivot shift sign. 2. If the rupture of the medial collateral ligament is complete the pivot shift test can be negative in spite of a tear of the anterior cruciate ligament.
Amputation ; Anterior Cruciate Ligament ; Cadaver ; Collateral Ligaments ; Daegu ; Dissent and Disputes ; Gyeongsangbuk-do ; Humans ; Knee ; Korea ; Orthopedics ; Osteoarthritis ; Pathology ; Rupture ; Surgeons ; Tears

A clinical analysis was done on forty-five patients with fracture of the femoral neck, who have been admitted and treated at our orthopedic department during the period of 6 years, from January 1975 to December 1980. The following results were obtained: Age over 60 comprised 60% of the patients. Male to female ratio revealed no significant difference, being 21 to 24. However, with advancing age, female was affected more frequently than male. The major cause of injuries were “fall or slip down” occuring in 33 patients (73.3%) and “hit by car” in 12 patients (26.7%). Of the 39 patients in whom Garden's calssification of fracture could be applied. Stage II was the most common type occuring in 29 patients (75%), followed by Stage N in 6(15.4%), and Stage 5 in 4 (10%). Of the total 45 cases, forty patients were reduced and fixed with multiple Knowles pins and two patients with Jewett nail. Three patients with neglected treatment of the fracture for over 1 to 4 months were treated with primary replacement arthroplasty of the femur in two and total hip replacement in one. Fractures were united within 3 months in 10 patients (23%), 4 to 6 months in 19 patients (45.2%), and non-union in 2 patients. Relationship between accuracy of reduction using Gardens alignment index and develepment of avascular necrosis was evaluated. Of the 27 patients with reduction in the range of 155 180 in both frontal and lateral views, 3 patients were developed avascular necrosis, and of the 9 patients with reduction of less than 155 in frontal view or greater than 180 in lateral view, 4 patients were developed avascular necrosis.
Agriculture ; Arthroplasty, Replacement ; Arthroplasty, Replacement, Hip ; Clinical Study ; Female ; Femoral Neck Fractures ; Femur ; Femur Neck ; Humans ; Male ; Necrosis ; Orthopedics