Latissimus dorsi tendon transfer is a well-established method for treatment of irreparable posterosuperior rotator cuff tears. We report on an anterolateral mini-open technique with a porcine dermal patch augmentation for latissimus dorsi tendon transfer. Use of this technique would result in avoidance of deltoid damage by anterolateral mini-open approach and reduction of failure rate by patch augmentation.
Rotator Cuff* ; Superficial Back Muscles* ; Tears* ; Tendon Transfer* ; Tendons*

Four members of a family suffering from frequent attacks of flaccid paralysis with asymptomatic myotonia were evaluated. There was an autosomal dominant pattern of inheritance and their earliest symptoms were noticed between 1-3 years of age. The plasma potassium level rised during the attack and an EMG demonstrated myotonic discharge. Treatment with acetazolamide was beneficial. These findings were consistent with adynamia episodica hereditaria. The clinical features and pathogenesis were also described.
Acetazolamide ; Humans ; Myotonia ; Paralysis ; Paralysis, Hyperkalemic Periodic* ; Plasma ; Potassium ; Wills

Limb lengthening with any kind of lengthening apparatus is accepted as a standard method to correct leg length discrepancy. And furthermore, the deformity accompanying shortening is corrected by multifocal lengthener. twenty two patients have undergone lower limb reconstruction by the technique of unilateral bone transport for diaphyseal bone defect, nonunion or deformity in the presence of shortening from May 1990 to August 1993 in Wilson Leprosy Center & Rehabilitation Hospital. All Patients had bifocal procedure using bifocal monofixator(Orthofix) and bone defects were graduaily filled by bone transport. Average healing index(days/cm)was 61. Average bone defect was 7,4cm, and average transported length was 5.4cm. In conclusion, the unilateral bone transport system using bifocal monofixator has satisfactory outcome, and salvaged limbs where amputation has been previously the only option.
Amputation ; Congenital Abnormalities ; Extremities ; Humans ; Leg ; Leprosy ; Lower Extremity ; Methods ; Rehabilitation

The hip joint subluxation and dislocation due to poliomyelitis worsen the limping and caused the painful hip. Shelf procedure has been described as a safe, conservative and reliable approach to the of a dysplastic acetabulum. We performed shelf procedure for the dysplastic hip in poliomyelitis in thirteen patients since May, 1990. The age at operation was 21 to 38 years old and three of them were male and ten were female. All the patients were followed up for average 2.5 years(1-4. 5yrs). The hip joints showed better stability after shel'f procedure and less limping. There was no complication except one redislocation.
Acetabulum ; Dislocations ; Female ; Hip Joint ; Hip ; Humans ; Male ; Poliomyelitis

Deep infection following total hip replacement arthroplasties remains one of the most serious complications in orthopaedic surgery. Between Jan. 1986 to Dec. 1991, 1130 cementless total hip arthroplasties were performed at Wilson rehabilitation hospital. Among them, fourteen patients (incidence :1.2%) developed deep wound infection, and they were retrospectively reviewed including clinical features, laboratory datas and their managements. The infection was noted in ten patients within three months, in one patient between three to twelve months and in three patients after twelve months from cementless total hip replacement arthroplasties. All of them were suffered from hip pain, six patients were manifested with generalized fever, and twelve patients with draining fistulas. Thirteen patients showed elevated ESR. Major infecting organism was Staphylococcus in ten patients. They were initially treated with meticulous debridement, ingress and eress tube irrigation, and antibiotics, but four patients had to be operated Girdlestone arthroplasties due to recurrence of infection and loosening of the prosthesis. Eight patients got quiescency from infection for at least five months from the last drainage operation. But two patients still have draining fistulas inspite of bony ingrowth achieved to the prosthesis.
Anti-Bacterial Agents ; Arthroplasty ; Arthroplasty, Replacement, Hip ; Clinical Study ; Debridement ; Drainage ; Fever ; Fistula ; Hip ; Humans ; Prostheses and Implants ; Recurrence ; Rehabilitation ; Retrospective Studies ; Staphylococcus ; Wound Infection

No abstract available.
Frontal Bone* ; Humans

No abstract available.
Cystectomy* ; Lasers, Gas* ; Volatilization*

As tuberculous otitis media is nowadays not common, young physicians are not good at the disease. Accordingly, the correct diagnosis can be delayed causing complications, for instances, irreversible hearing loss, facial nerve paralysis, and so on. It is, moreover, so hard to make clear diagnosis when aural cholesteatoma is combined with tuberculosis of the middle ear. Recently, we experienced a case of tuberculous otitis media combined with cholesteatoma. The patient had a history of chronic otorrhea and was operated on with a presumptive diagnosis of chronic otitis media with cholesteatoma. Postoperatively the diagnosis of tuberculosis with cholesteatoma was established by histologic examination. We believe that any patient with a long history of discharging ears needs histologic examination, as tuberculosis might be the cause of infection. We report our findings in this patient and discuss the relationship between the tuberculosis and chronic otitis media with cholesteatoma with review of literatures.
Cholesteatoma* ; Cholesteatoma, Middle Ear ; Diagnosis ; Ear ; Ear, Middle ; Facial Nerve ; Hearing Loss ; Humans ; Otitis Media* ; Otitis* ; Paralysis ; Tuberculosis

No abstract available.
Craniocerebral Trauma* ; Head* ; Hematoma*

No abstract available.
Osteogenesis Imperfecta* ; Osteogenesis*