No abstract available.
Animals ; Macrophages, Peritoneal* ; Mice* ; Mycobacterium bovis*

The purpose of this study was to evaluate the role of anterior cervical plate after discectomy and autologous iliac bone graft in the treatment of cervical spondylosis. One hundred and seven cervical spondylotic patients from Jan. 1995 to Mar. 1998 were separated into two groups: Group 1. consisted of 58 patients treated with anterior discectomy, bone fusion, and anterior cervical plate fixations(54 cases of Caspar nonlocking plate and 4 cases of Orion locking plate system), Group 2. consisted of 49 patients treated with anterior discectomy and bone fusion. The mean follow-up duration was 26.5 months(from 6 to 45 months). The overall fusion rate did not showed any difference between the two groups, but in multi-level patients, graft materials related complications(extrusion or collapse of graft) were significantly high in group 2.(p<0.01). Group 1. patients ambulated on POD 1 with Philadelphia collar. The average admission period was 8.4 days following operation. Group 2. patients ambulated on POD 5-7 with Philadelphia collar. The average admission period was 11.9 days after surgery. In conclusion, bony fusion was successfully achieved in both groups and graft materials related complication rate showed no difference in the single level, but was significantly low in group 1 in the multilevel.
Diskectomy* ; Follow-Up Studies ; Humans ; Spondylosis* ; Transplants

Spinal epidural abscess is an uncommon, but a significant disease due to its high morbidity and mortality rate if not diagnosed in time. Although early diagnosis and prompt surgical intervention is needed for better prognosis of this disease, the diagnosis of spinal epidural abscess is often elusive despite modern medical advances, and depends on a high index of suspicion. we report a case of lumbar spinal epidural abscess of unknown origin complicated by cauda equina syndrome.
Cauda Equina* ; Diagnosis ; Early Diagnosis ; Epidural Abscess* ; Mortality ; Polyradiculopathy* ; Prognosis

No abstract available.
Animals ; Cricetinae* ; Macrophage Activation* ; Macrophages* ; Macrophages, Peritoneal* ; Mice* ; Nitric Oxide ; Phagocytosis

An isolated unilocular renal hydatid cyst is very rare and to the best of our knowledge, no such case has been reported in the Korean literature. A 56 year old woman, who liked eating raw vegetables fertilized by dog feces, visited our department because of an incidentally found renal cyst. Ultrasonography and the computed tomography (CT) scan showed a typical daughter cyst within the 6cm sized mother cyst. We performed retroperitoneal laparoscopic cyst marsupilaization after aspiration of the cystic contents and injection of a scolecidal agent. No dissemination and no recurrence have occurred to date.
Animals ; Dogs ; Eating ; Echinococcosis* ; Feces ; Female ; Humans ; Kidney ; Laparoscopy ; Middle Aged ; Mothers ; Nuclear Family ; Recurrence ; Ultrasonography ; Vegetables

Urethral diverticulum is a relatively uncommon abnormality for a man. We report here on a case of acquired anterior urethral diverticulum with giant calculi and cutaneous fistula in a 64-years old male patient who had suffered from urethritis 10 years previously. Retrograde urethrography and urethroscopy confirmed the anterior urethral diverticulum with giant calculi, and these procedures ruled out the presence of any associated obstructive urethral anomalies. We performed urethral diverticulectomy, with removal of the calculi, and then we performed urethroplasty.
Calculi* ; Cutaneous Fistula* ; Diverticulum* ; Humans ; Male* ; Middle Aged ; Urethra ; Urethritis

Herein, a rare case of port site metastasis, following a laparoscopic radical nephrectomy in a 62-years old male patient with a stage pT2N0M0 and Fuhrman grade III renal cell carcinoma, is reported. The patient suffered port site metastasis, with local recurrence. The port site metastasis was incidentally found in the patient during the laparoscopic examination for a laparoscopic mass resection of a local recurrent tumor. The most important appropriate surgical techniques are those where the port site metastasis can be controlled.
Carcinoma, Renal Cell* ; Humans ; Laparoscopy ; Male ; Middle Aged ; Neoplasm Metastasis* ; Nephrectomy* ; Recurrence

No abstract available.
Adult ; Fingers ; Humans

Displaced fracture of the ankle are probably the most common skeletal injury managed today by open reduction and internal fixation. But, it is recommended that metallic implant might be removed to restore normal biomechanical forces on hone and to reduce discomfort directly under the skin. in order to reduce the resources needed for the removal of metallic fixation devices, absorbable impiants of biodegradable synthetic polymers were deveioped. However reports of clinical application of such implants have so far been very few. This prospective study represents the good resuits in 15 displaced non-comminuted closed malleolar fractures of the ankle treated using hiodegradahle internal fixation in department of orthopedic surgery of Kwang Myung Sung Ae general hospitai from June I 995 to December 1996. The results were as follows 1. All cases were united and the average time for union was 7.6 weeks. 2. As a results of comparison with normal side, a restriction of 10 degrees or more of dorsiflexion of the ankle joint was present in 4 cases, a restriction of 20 degrees or more of plantar tlexion was present in 2 cases, a restriction of supination was present in 3 cases and a restriction of plantar flexion was present in 4 cases. 3. According to Phillips functional scoring scale, 4 cases were excellent, 7 cases good, 4 cases fair and no cases were poor. 4. There were no complications in all cases.
Ankle ; Ankle Joint ; Orthopedics ; Polymers ; Prospective Studies ; Skin ; Supination

It is usually difficult to obtain an exact reduction of bony mallet finger involving more than one third of the articular surface by closed manipulation and extension splinting and needs the operative treatment to obtain an exact anatomical reduction. Operative treatment of a mallet finger is a difficult procedure, fraught with many potential problems, including intraoperative fragmentation of dorsal lip fracture, difficulty of exposure and anatomical reduction of the fragment, skin slough, and postoperative loss of fixation. The purpose of this study is to evaluate the fixation technique and to reduce intraoperative complications. We retrospectively reviewed 13 patients of bony mallet fingers, who were treated by tension wire fixation between January 1994 and August 1995 at the Department of Orthopaedic Surgery, Kwangmyung Sung Ae Hospital. There were 6 male and 7 female pateints. The most common cause was sports injury (6 cases). According to Wehbe and Schneider classification, 8 cases were type II and subtype B, 7 cases were the other types. According to modified Abouna and Brown criteria, the clinical results were success in 10 cases and failure in 3 cases. Postoperative complications were superficial infeciton (2 cases), skin necrosis (1 case), nail deformity (1 case) and secondary extensor tendon rupture (1 case). In conclusion, tension wire fixation of bony mallet finger was a simple and effective fixation of the fragment under the direct vision, which make it possible to exercise early and fix sturdily. But it should be avoided some pitfalls associated with internal fixation of small bony fragments.
Athletic Injuries ; Classification ; Congenital Abnormalities ; Female ; Fingers* ; Humans ; Intraoperative Complications ; Lip ; Male ; Necrosis ; Postoperative Complications ; Retrospective Studies ; Rupture ; Skin ; Splints ; Tendons