No abstract available.
Coxa Vara* ; Follow-Up Studies*

Authors presented the experience of Ender nail treatment for the humeral shaft fractures in 24 patients. The results of treatment in all were satisfactory, though there were four cases of delayed union. Bridging callus was formed at 8.2 weeks on an average. The average clinical union time was 14 weeks. No complications developed during nailing procedure. A case of radial nerve palsy after fracture recovered spontaneously. Longer nails which hit the end of medullary canal of distal fragment distracted the fracture gap, and resulted in delayed union in 4 cases. Therefore, it is recommended to use the proper size of nail to avoid the distraction effect of the inserted nail, and to use two nails at minimum for better fixation. However, when intramedullary Ender nailing is properly done, single nailing also can give consistently good anatomic and functional results.
Bony Callus ; Humans ; Humerus ; Paralysis ; Radial Nerve

Osteogenesis Imperfecta is a rare affection characterized by fragility of the bones, blue sclerae, and deafness, less frequently by hypermobility of the joints. The etiology is unknown, but it appears to be a mesenchymaldefect. A cases of osteogencesis imperfecta (tarda form) in a 18 yesrs old male is presented with a review of the literatures. The chief complaints were bowing deformity of the all extremites and blue sclera. In this cases, other typical features such as deafness and hypermobility of the joints were not observed. X-ray showed multiple malunited fraeture, of all long bones of extremities except Ieft humerus. For the treatment of bowing deformity of right humerus, multiple corrective osteotomy and intramedullary nailing was performed and the result was good.
Congenital Abnormalities ; Deafness ; Extremities ; Fracture Fixation, Intramedullary ; Humans ; Humerus ; Joints ; Male ; Osteogenesis Imperfecta ; Osteogenesis ; Osteotomy ; Sclera

It has been known that the inducing factors of low back pain are numerous such as songenitaI anormalies, degenerative, traumatic and inflamatory pricess of the spine and its adjacent structures. Despite many relevant literatures upon low back pain, it has been also known that to differentiate causes of low back pain is difficult but very important for treatment. Exclusive of those who had defenite trauma history of spine, 704 cases low back pain in adult, treated at Dept. of Orthopedic surgery Kyungpook University Hospital during recent 3yr & 4 months were reviewed and analyzed by the X-ray findings of lumbar spine. Anterioposterior and Iateral films of lumbar spine were available in each cases but oblique fiIms and myelography was also available as indicated, The results obtained were as follows. 1. The roentgenograms of the spine of 704 cases were reviewed. 494 cases revealed structual changes of the spine. 273 cases were non specific. 2. Of 494 cases reavold structual changes, 273 cases were disease entities, 190 cases were bony abnormalities, and combined cases were 67. 3. Among 273 cases of disease, disc herniation was most common except osteoarthritis(32cases) Tuberculous, spondylolitis, 23cases and pyogenic spondylolitis was 3 cases. 4. Among 257 cases of Bony afnormalities, spina bifida was most common (128 cases). 5. Degenerative changes of the spine was appeared in 3rd. decades (4.8%) and the incidence and severity increased with age. 6. Among 34 cases of multiple abnormalities, 33 cases were combined with spina bifida.
Abnormalities, Multiple ; Adult ; Gyeongsangbuk-do ; Humans ; Incidence ; Low Back Pain ; Myelography ; Orthopedics ; Spinal Dysraphism ; Spine

To assess the influence of diabetes mellitus on the healing of segmental defect of rat, a defect measuring 5mm was made at right sciatic nerve in thirty-three adult female Wistar rats(control group:17, diabetic group:16). To induce diabetes in rats, Streptozotocin(50mg/kg body weight) was injected into tail vein after dissolution in saline solution. Both proximal and distal nerve ends were connected with 9mm long silicone tube, and the tube was filled with 10µl collagen(Vitrogen 100) solution. Two and 4 weeks after the operation, electromyographic study(latency period and amplitude) and histologic examination(the number of myelinated axon, non-neuronal cell, and vessel at mid-chamber level, the mid-chamber cross-sectional area) after toluidine blue staining were carried out. From the results, we concluded that diabetes mellitus retarded the healing process of segmental defect of sciatic nerve in rat. And we might suggest that if we meet this situation in clinical practice, we have to consider some supportive measures to overcome the bad effect of diabetes mellitus on the healing of nerve defect.
Adult ; Animals ; Axons ; Diabetes Mellitus ; Female ; Humans ; Myelin Sheath ; Rats ; Sciatic Nerve ; Silicon ; Silicones ; Sodium Chloride ; Tail ; Tolonium Chloride ; Veins

Acute colonic pseudoobstruction was first reported in 1948 by Sir H. Ogilvie. It is characterized by an acute, abrupt right-sided colonic distention in the absence of physical reasons for obstruction. If untreated, it may progress to cecal perforation, peritonitis, and death. Although primary cases have been reported, 87 percent of cases were secondary results of medical or surgical conditions. The most common medical conditions were infections, cardiac disease, and neurologic problems. In surgical conditions, cesarean section has been reported as the most common cause of Ogilvie's syndrome. In 1995, the first case of Ogilvie's syndrome complicated after a cosmetic surgical procedure(abdominoplasty) was reported by Bradley et al. We report a case of Ogilvie's syndrome complicated after breast reconstruction with TRAM flap that developed in the postoperative third day in 35-year old woman. The complications are primarily related to decreased flap perfusion. No reference of intestinal pseudoobstruction was found in the literature conducted in regard to complications of TRAM flap breast reconstruction.
Adult ; Breast* ; Cesarean Section ; Colon ; Colonic Pseudo-Obstruction ; Female ; Heart Diseases ; Humans ; Intestinal Pseudo-Obstruction ; Mammaplasty* ; Perfusion ; Peritonitis ; Pregnancy

In clinical practice fractures of the forearm bones are encoutered as frequently as fractures of other bones. As has been pointed out in many articles, however, the surgical anatomy of the forearm evokes problems in dealing with the diaphyseal fractures of the forearm bones not found in the treatment of diaphyseal fractures of other long bones, The authors have experienced 107 cases of diaphyseal fractures of the forearm bones during the fiveyear period from January, 1972 through December, 1976. A comparison has been made between the two groups one treated by conservative method and the other by open reduction and internal fixation. The results are as follows: 1. The time required for the healing of the fractures was shorter in the conservatively treated group. 2. Restoration of function was more satisfactory in the surgically treated group. 3. Rotational and angulatory deformities were less in the surgically treated group. 4. Forty-one fractures were internally fixed with compression plates, the union rate of which was 100%.
Congenital Abnormalities ; Forearm ; Methods

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 study was done for 103 cases of the trochanteric fractures which were admitted and treated at the department of orthopedic surgery, Kyungpook National University Hospital during the period of 9 yeras from January 1972 to December 1980. Following results were obtained: 1. Of the 103 cases of the trochanteric fractures, 73 cases were in man, with peak age at 6th decade and 21 out of 30 in woman were over 50 years of age. 2. Causes of the fracture were ear accidents in 67 cases and “slip or fall down” in 36 cases. 3. According to the classification of the trochanteric fractures by Boyd and Griffin, most common type was type 11 in 40 cases and followed by type 111 in 27, type 1 in 24 and type 1V in 12. 4. Upon the treatment, 53 out of 103 cases were conservatively treated with Thomas splint and skeletal tractior. Those cases were mostly combined injury on other organs. Open reduction and internal fixation was done on 50 cases with Jewett nail in 48, Zickel nail in 1 and Judet plate with screw in 1. Most of unstable fractures were reduced by Dimon-Hughston method and fixed with Jewett nail. 3. Union of thef ractures ranged from 10 to 16 weeks, average 13 weeks, by open reduction with internal fixation and from 12 to 24 weeks, average 17. 5 weeks, by conservative treatment. 6. Complications were encountered 31% of those cases with conservative treatment and 16% of those cases with operative treatment. Major complicationss after the conservative treatment were decubitus ulcer in 14 cases (27%), coxa vara deformity in 8(16%) and urinary tract infections in 5(10%).
Classification ; Clinical Study ; Congenital Abnormalities ; Coxa Vara ; Ear ; Female ; Femur ; Gyeongsangbuk-do ; Hip Fractures ; Humans ; Methods ; Orthopedics ; Pressure Ulcer ; Splints ; Urinary Tract Infections

Experimental osteoarthritis has been studied by various methods such as local compression of the joint, immobilization of the joint, relief of the contact and incision of the meniscus. The instability caused by the ligament injuries of the knee joints of the rabbits induced degenerative changes of the articular cartilages. After excision of the medial collateral ligament, medial meniscus and both cruciate ligament, the articular cartilages were observed serially after 1, 2, 3, 4, 6, 8, 10 and 12 weeks, grossly and microscopically. The results obtained are as follows; 1. Loss of transluscency and luster was observed even in the early group of the first week, and was followed by erosion and fissure on the articular cartilage in the groups of the third and later weeks grossly. 2. Microscopically, cluster formation of the chondrocytes on the articular cartilage was observed in the group of the first week and there was tendency of increase in its numbers and extents in the subsquent groups. Fibrillation and cleft formation was also observed in these groups. 3. Loss of metachromasia was observed in the groups of the second and subsquent weeks, but it was most prominant in the groups of the sixth and eighth weeks. 4. The tendancy of cluster formation was more prominent, compared with those of fibrillation or erosion.
Cartilage, Articular ; Chondrocytes ; Collateral Ligaments ; Immobilization ; Joints ; Knee Joint ; Knee ; Ligaments ; Menisci, Tibial ; Osteoarthritis ; Rabbits