Spondylolisthesis is characterized by forward displacement of the vertebral body with bilateral defects of the partes interarticulares. Because the progression of slipping occurs in young adults, difficult problems are present in the treatment of this condition. Watkins(1953) described the technique of posterolateral fusion between transverse processes, which was accepted in the dynamics of spine motion. In this procedure, grafted bone is placed close to the center of axis of the spine motion and so, bony fusion is not affected by flexion motion but distracted by a Iateral shearing force. The role played by the Norton-Brown back brace is in the restriction of lateral bending. However it pormits somewhat flexion motion of the spine. It is suggested that early ambulation may be possible without the interference of bony union after the posterolateral fusion operation when this brace is applied instead of longterm cast immobilization. In clinical analyses and follow-up studies after operative treatments in 55 patients with spondylolisthesis, the following results were obtained: 1. 30 patients (54.6%) were distributed between 21 and 40 years of age. 2. Males (52.7%) were slightly more than females (47.3%). 3. Among clinical symptoms and signs, low back pain was most common (87.3%). Sciatica was present in 45.5% 4. Duration of symptoms at admission was variable. 5. 15 patients (27.3%) had a previous history of trauma. 6. 5th lumbar vertebra was most commonly involved (74.5%) followed by the 4th lumbar vertebra(23.6%). There was a case(1.9%) in which the 5th and 4th lumbar vertebrae were involved. 7. Degrees of slipping were divided into 4 grades (Grade I–IV) by Meyerdings method. Grade 1 was most common (72.2%), Grade II 22.2% and Grade III 5.6%. 8. In follow-up studies of the operative treatment, laminectomy & H-graft were satisfactory in 84.9% and posterolateral fuion in aII cases (13 patients). 9. Early ambulation was preferred without healng disturbance in a case in which the Norton-Brown back brace was applied after posteroIateraI fusion and also, other advantages were expected as follws: a) Elimination of prolonged cast immobiIization b) Financial aid c) Early return to work d) Mental comfort.
Braces ; Early Ambulation ; Female ; Follow-Up Studies ; Humans ; Immobilization ; Laminectomy ; Low Back Pain ; Lumbar Vertebrae ; Male ; Methods ; Return to Work ; Sciatica ; Spine ; Spondylolisthesis ; Transplants ; Young Adult

Subperiosteal Ganglion is a rare cystic lession, although ganglions are frequently found in close proximities to joints and tendon sheaths. It is characterized by a thin-walled cyst containing tenacious mucoid fluid and by the pedicle attached to periosteum. This report describes a middle-aged man with a subperiosteal ganglion which occured beneath the periosteam of the tibia. Presenting symptoms were pain and circumscribed swelling over the anteromedial aspect of the right proximal tibia.
Ganglion Cysts ; Joints ; Periosteum ; Tendons ; Tibia

No abstract available in English.
Acromioclavicular Joint ; Dislocations ; Methods

This is a case of synovial chondromatosis involving the left knee joint of a forty one year old man. Chief complaints were gradual development of pain and limitation of knee joint motion of about 10 years duration. K-ray study revealed a single radio-opaque loose body filling the joint cavity. This body, measuring about 3×2×2cm, was removed surgically and found to have a pedicle from the synovial membrane, consisting of fat and fibrous tissue. The diagnosis of synovial chondromatosis was confirmed by pathological study. The postoperative course was uneventful and three months after the operation, the range of motion of the affected knee joint was good.
Chondromatosis, Synovial ; Diagnosis ; Joints ; Knee Joint ; Knee ; Range of Motion, Articular ; Synovial Membrane

Injuries to the ankle or various disease in ankle are one of the most common musculoskeletal problem. The ankle is amazingly tolerant to at least minor anatomic disruption. But in situation of severed ankle it is the anxious problem to solve the pain, disability and so on. Since past time, ankle fusion can solve the pain problem, and there is little disabiiity from walking on standard surfaces, comparing the ankle arthroplasty. So we analyse 48 cases of the ankle fusion at Wonju Christian Hospital, Yonsei University College of Medicine for ten years. The results are summerized as follows: l. Applying method for fusion are distraction-compression bone graft arthrodesis, Charnley compression method, extraarticular arthrodesis, anterior sliding graft-21, 16, 2 and 9 cases respectively. 2. Post-operative complications are wound infection, loss of position of grafted bone, skin necrosis, fracture of the grafted bone and phlebitis
Ankle ; Arthrodesis ; Arthroplasty ; Gait ; Gangwon-do ; Humans ; Immobilization ; Joints ; Methods ; Necrosis ; Osteoarthritis ; Phlebitis ; Skin ; Talus ; Tarsal Joints ; Transplants ; Walking ; Wound Infection

62 cases of the fracture of the pelvis admitted to the orthpedic department of Wonju Christian Hospital during past 5 years from 1975 to 1979 were reviewed and clinical results were obtained as follows: 1. Males were frequent than females and almost 3rd to 4th decades of life. 2. The causes of injury were traffic accident, coal minor accident, and falling. 3. Stable type is the most common in this series and among the unstable types, lateral compression type is the most common and then straddle type and vertical shear type. 4. The most common complication is uro-genital injury. 5. The residual complications at the end of treatment remained in some cases, Arthritis of sacroiliac joint, Impotence, Urethral stricture, Low back pain, etc. 6. All of the cases were treated conservatively and their results were somewhat good except 4 cases. 7. Surgical treatment would be considered, if necessory, to decrease the complications and reduce hospital days.
Accidental Falls ; Accidents, Traffic ; Arthritis ; Coal ; Erectile Dysfunction ; Female ; Gangwon-do ; Humans ; Low Back Pain ; Male ; Pelvic Bones ; Pelvis ; Sacroiliac Joint ; Urethral Stricture

No abstract available in English.
Dislocations ; Knee Joint ; Knee

A clinical study of 147 clavicle fracture patients (one patient had bilateral fractures) who were admitted and treated by the Department of orthopedic surgery of Wonju Christian Hospital, Wonju Medical College, Yon Sei University. The period covered was from September 1974 to August 1981, a total of seven years. The study focused on three fertors in relation to the pain and limitation of motion and these causes were comminution of fracture, shortening of the clavicle length and external deformity. The results were as followings; l. Of the 148 cases, 125 were male and 22 female (one with bilateral fractures). The majority were between 31 and 40 years of age. 2. The mid 1/3 fracture was most common and both sides showed no difference in incidence(left ; 73 cases, right; 75 cases). 3. The mean follow up ranged from 4 months to H3 months with a mean 49.5 months. 4. The complications resulting from comminution, shortening of clavicle length and malunion were shoulder joint pain-16 cases (10.8%), limitation of motion-17 cases(11.5%) and external deformity-18 cases(12.9%). 5. Using a rating scale of excellent(no apparent factors), good( one factor), fair(two factors), poor(more than three factors) the results showed, 106 excellent, 31 good, 9 fair and 2 poor. 6. On a percentage scale, the pain showed difference of 9 times with initial comminution, 7 times with shortening of clavicle length and 7 times with deformity. 8. On a percentage scale, the limitation of motion of shoulder joint showed difference of 6 times with initial comminution, 6 times with shortening of clavicle length and 17 times with deformity.
Clavicle ; Clinical Study ; Congenital Abnormalities ; Female ; Follow-Up Studies ; Gangwon-do ; Humans ; Male ; Orthopedics ; Shoulder Joint

Fractures of the neck of the femur have always presented great challenges to orthopedic surgeons and still remain as one of the unsolved fracture as far as treatment and results are concerned. With life expectancy increasing with each decade, becoming more and more patients suffering from femoral neck fractures and their sequelae. The objoct of this study is to observe the relationship between the clinical results and the degree of displacement of fracture, degree of osteoporosis and duration between injury and operation in femoral neck fractures treated with multiple pin fixation. The author clinically analyzed 56 patients of the femoral neck fractures treated with closed reduction and multiple Knowles pinning followed by more than 1 year at Korea University Hospital from January 1986 to December 1991. There were 20 male and 36 female. The age of patients were ranged from 32 to 88 years(average:65.1 years) and most commonly occurred in 7th decade (23cases,41%). The most common cause was slip down(44 cases;79%). The most common type of fracture was stage III (48%) following to Gardens classification. The obtained results were as follows; 1. Union occurred in 49 cases(88%). 2. Among fifty-six cases, five cases(9%) of avascular necrosis, two cases(4%) Of non-union, two cases(4%) of malunion and one case of posttraumatic arthritis were occurred. 3. The functional results by Lunceford criteria were excellent in 30 cases(53% ), good in 13 cases(23%), fair in 5 cases(10%) and poor in 8 cases(14%). 4. Unsatisfactory results were noted in Garden stage II or IV, osteoporosis below Singh index 3 and delayed treatment over 1 week. Above results suggest that multiple Knowles pinning in femoral neck fractures offers high union rate and low complication rate, and so is also one of salvaging method of femoral head.
Agriculture ; Arthritis ; Classification ; Clinical Study ; Female ; Femoral Neck Fractures ; Femur ; Femur Neck ; Head ; Humans ; Korea ; Life Expectancy ; Male ; Methods ; Neck ; Necrosis ; Orthopedics ; Osteoporosis ; Surgeons

The hand is a part of the human body, which has a complex structure, various functions and is one of the parts of the body most susceptible to trauma. With the increasing number of the traffic and occupational accidents proportionate to the rapld development of modern culture, fracture of the hand have become one of the commonest fracture of the human body. The object of treatment of fracture of the hand is to restore function the greatest degree possible with exact diagnosis and proper treatment based on the knowledge of anatomical structure and function. The authors have reviewed 228 cases of fractures of the hand (fracture with severe soft tissue injury were excluded) which were treated in the department of orthopedic surgery, Severance hospital from 1969 to 1978. The following results were obtained; 1. Fractures occured more commonly In man (80.3%) than woman. 2. Fractures occured more commonly in the second decade and the group between 10 and 30 years of age accounted for 73.7% of all fractures. 3. There was no significant differnnce between the left and right side. (105:123) 4. The commonest cause of the fracture was traffic accident (38.6%), machinary injury was the second (21.1%). 5. Most of the patients were brought to our hospital within 12 hours after injury (61.8%). 6. The most frequently fractured bone was the metacarpal (34.4%), then the proximal phalanx (28.1%), distal phalanx (16.9%), middle phalanx (10.5%) in decreasing frequency. 7. The average time for clinical union was 4.2 weeks in the case of the distal phalanx, 6.8 weeks in middle phalanx, 7.3 weeks in proximal phalanx and 6.5 weeks in metacarpal. 8. Complications were found in 8.3% of all cases and angulation deformlty was the most frequent.
Accidents, Occupational ; Accidents, Traffic ; Clinical Study ; Diagnosis ; Female ; Hand ; Human Body ; Humans ; Orthopedics ; Soft Tissue Injuries