We clinically reviewed and analysed 19 patients treated as Girdlestone operation with or without Batchelor osteotomy at the Department of Orthopedic Surgery, Busan National University Hospital from April 1979 to June 1981. The results were as follows: 1. The underlying disease were infected pinning and nailing of 8 cases, pyogenic hip of 4 cases, failed total hip arthroplasty of 4 cases, tuberculous hip of 2 cases and femur neck fracture of 1 case. 2. Satisfactory results were obtained in 7 or 8 cases treated as secondary Girdlestone operation over 50 years of age. 3. Postoperative shortening ogleg length was 3.2cm in average (from 1.7cm to 5.0cm), which was average 2.5cm at 12 weeks traction and average 3.7cm at 6 weeks traction. 4. Postoperative average range of motion was; flexion to 80 degrees and abduction to 30 degrees. There was statistical significancy in activity of daily living of hip function at 12 weeks traction in postoperative score. 5. 6 cases out of 11 cases without pain in postoperative condition showed severe bony contacts and ir- regularities of proximal portion of the operated femur radiologically.
Arthroplasty, Replacement, Hip ; Busan ; Femoral Neck Fractures ; Femur ; Hip ; Humans ; Orthopedics ; Osteotomy ; Range of Motion, Articular ; Traction

A statistical observation was made on congenital anomalies of the genito-urinary tracts of the out-patients and in-patients in the Department of Urology, Han Ill Hospital during the period April, 1969 through Mar. 1970 and the following results were obtained. I. Statistics on out-patients. 1) During the period, 2,115 cases (1.653 males, 462 females) bad seen at our out-patient Department, 53 cases (40 males, 13 females) bad congenital anomalies of the genito-urinary tracts, giving a rate of 2.5% (male 1.9%, female 0. 6%). 2) Of 53 cases, 49 cases (92.5%) were seen by us at the ages of 39 years or below, and 4 cases (7.6%) at the ages of 40 years or above. 3) Of the anomalies (54.7%) were in penile. 13 cases (24.5%) in renal, 5 cases (9.4%) in ureteral, 3 cases (5.7%) in urethral and 3 cases (5.7%) in testicular. 4) Congenital complete phimosis was observed in 54. 7% of all the anomalies, wandering kidney in 13.3%, ureterocele in 5.7% and hypospadia in 5. 7%. II. Statistics on in-patients 1) During the period, of 156 cases hospitalized (96 males, 60 females), 11 cases (4 males, 7 females) had congenital anomalies of the genito-urinary tracts, giving a rate of 7.1% (male: 2. 6%, female: 4.5%). 2) Of 11 cases, 10 cases (90.9%) were seen by us at the ages of 40 years or above. 3) Of the anomalies, 7 cases (63.6%) were in renal, 3 cases (27.3%) in ureteral, 1 case (9.1%) in urethral. 4) Wandering kidney was observed in 27.3% of all anomalies, ureterocele in 18.2% and double kidney in 18.2%.
Female ; Humans ; Hypospadias ; Kidney ; Male ; Outpatients ; Phimosis ; Ureter ; Ureterocele ; Urology

No Abstract Available.
Humans ; Kidney Failure, Chronic* ; Rupture* ; Tendons*

A supracondylar fracture of the humerus is the most common fracture of the elbow in children, and it may also be one of the most difficult fracture to treat. To obtain a good result after a supracondylar fracture of the humerus, an accurate reduction is needed. This region of humerus is very thin, and even if reduction is obtained it may be unstable. 104 children with 104 supracondylar fractures of the humerus were managed at the Department of Orthopedic Surgery, Busan National University Hospital from Jan. 1979 to Dec. 1983. Of 104 patients, 48 cases which fixed internally were reviewed and following results were obtained. 1. The average age was 7.6 years, ranged from 18 months to 15 years, and 68.8% were bodys. The left humerus was affected in 58.3%. 2. In type of fracture, extension type was 95. 8%. Type II was 12 cases (26.1%), Type III 22( 47.8 and Type IV 12 (26.1%). Posteromedial displacement was 75% (35 cases). 3. Average loss of motion was 11.9°, and change of carrying angle was 5.1° In change of range of motion by the final follow-up date, during 3 to 6 months that was relatively high by 37.5°, and then the change was improved. During 2 to 5 years the change was 5. 6°, and 1 to 2 years that was similiar to the whole average by 11.7°. 4. By the modified Mitchell & Adams criteria for grading results, excellent were obtained in 30.4%, good in 45.3% fair in 10.0% and poor in 6.3%. Namely, satisfactory was 93.7% and unsatisfactory was 6.3%.
Busan ; Child ; Elbow ; Follow-Up Studies ; Humans ; Humerus ; Orthopedics ; Range of Motion, Articular

Entrapment of the posterior interosseous nerve is an uncommon syndrome characterized by an inability to extend the fingers and thumb. This entity bas become recognized increasingly since reported in 1966 by Capener and Muholland et al. The pathogenesis could be explained as an anatomical basis. And various cases were reported that trauma, local swelling, inflammation, postural and iatrogenic factors were concerned with the causes. In recent 4 cases of posterior interosseous nerve syndrome were experienced at Busan National University Hospital and following result were obtained.1l. Arcade of Frohse, fibrous band, recurrent radial artery are important compressive factors. 2. Surgical decompression led to an effective cure. 3. Tendon transfer is indicated after severe degenerative change.
Busan ; Decompression, Surgical ; Fingers ; Inflammation ; Radial Artery ; Tendon Transfer ; Thumb

The authors analysed 261 cases of mycoplasmal pneumonia in children who were admitted to the pediatric department of Seoul Adventist Hospital between July 1986 and June 1991. The result obtained were as follows; 1) Yearly distribution of the cases showed high in 1987 and 1991, but no significant difference was noted in seasonally or monthly distribution. 2) The peak incidence of age was between 2 and 6 years of age, and the sex ratio of boy to girl was 1.1:1. 3) pulmonary manifestations were asthma in 21 cases (8.0%), atelectasis in 5 cases (1.9%), emphysema in 3 cases (1.2%), pleural effusion in 16 cases (6.1%), otitis media in 4 cases (1.2%) and sinusitis in 9 cases (3.4%). 4) Extrapulmonary complication were hepatitis in 53 cases (20.3%), skin rash in 9 cases (2.4%), proteinuria in 6 cases (2.3%), and hematuria in 4 cases (1.5%). 5) On the chest X-ray examination, the most common type of pneumonia was interstitial pneumonia (94 cases, 39.8%), and unilateral involvement was common (85.6%), and the most common involvement was right lower lobe (83 cases, 41.4%). 6) The relationship between the type of pneumonia and cold agglutinini titer, and between the type of pneumonia and Mycoplasma antibody titer were not found (P>0.05). 7) In the 16 cases of pleural effusion, The type of pneumonia was lobar, lobular (9 cases), bronchopneumonia (7 cases), and interstitial type was not present. The site of pneumonia was left (6 cases), right (9 cases), and 1 case showed bilatrality. The extent of pleural effusion was mild (10 cases), moderate (3 cases), and severe (3 cases). The result of pleural fluid exam in severe cases was all exudate. 8) The mean duration of admission was most common from 6 to 10 days. the mean duration of admission by the type of pneumonia was lobar, lobar (10.71+/-3.40), interstitial (8.78+/-2.14), and bronchopneumonia (8.83+/-2.47). 9) Both mycoplasma antibody test and cold agglutinin test were carried out in 185 cases and sensitivity of mycoplasma antibody test was 55.1%.
Asthma ; Bronchopneumonia ; Child* ; Emphysema ; Exanthema ; Exudates and Transudates ; Female ; Hematuria ; Hepatitis ; Humans ; Incidence ; Lung Diseases, Interstitial ; Male ; Mycoplasma* ; Otitis Media ; Pleural Effusion ; Pneumonia* ; Pneumonia, Mycoplasma* ; Proteinuria ; Pulmonary Atelectasis ; Seasons ; Seoul ; Sex Ratio ; Sinusitis ; Thorax

No abstract available.
Child* ; Edema* ; Humans

No abstract available.
Arteriovenous Fistula* ; Humans ; Renal Dialysis*

No abstract available.
Arteriovenous Fistula* ; Humans ; Renal Dialysis*

In order to study the relationship between life-style and serum lipids level in young adults, the author measured the concentration of serum total cholesterol (TC), triglyceride (TG) and high density lipoprotein cholesterol (HDL-C) and investigated age, relative weight, weekly alcohol intake and daily cigarette smoking through questionnaire in 310 male workers aged 20 to 39, in Ulsan area. The results obtained were as follows: 1. In the factors being able to influence serum lipids level there was negative correlation between age and alcohol intake, and the positive corrrelation between age and relative weight, alcohol intake and relative weight, alcohol intake and smoking with the strongest correlation between alcohol intake and smoking. 2. In univariate analysis, mean total cholesterol concentration were significantly different according to age, smoking and relative weight; mean triglyceride concentration were significantly different according to relative weight only; mean HDL-C concentration were significantly different according to alcohol intake alone. 3. In non-drinkers, HDL-C concentration of smokers were significantly lower than that of nonsmokers but triglyceride concentration of smokers were significant higher. And in drinkers, total cholesterol concentration of smokers was significantly higher than that of non-smokers. 4. In multiple regression analysis, significant independent variables were relative weight, age and smoking in the total cholesterol concentration, and relative weight, age and alcohol intake in the triglyceride concentration, and alcohol intake, relative weight and smoking in the HDL-C concentration. By these independent variables, total variation in each dependent variable was explained 7.9%, 17.6% and 7.4% respectively.
Cholesterol ; Cholesterol, HDL ; Humans ; Male* ; Surveys and Questionnaires ; Smoke* ; Smoking* ; Triglycerides ; Ulsan ; Young Adult*