No abstract available in English.
Fracture Fixation, Intramedullary

Fracture healing in the hand is not an isolated goal. The functional end result is of paramount importance. When the correct techniques are used, miniplate fixation for metacarpal and phalangeal fractures of the hand provides rigid internal fixation, stabilizes the skeleton, preserves the gliding tissue, and therefore allowing immediate active range of motion exercise as well as minimizing joint and tendon complications. The authors have reviewed 39 patients, 52 cases of metacarpal and phalangeal fractures of the hand which were treated with miniplate in the department of orthopaedic surgery, Chang Ang Gil hospital from Sep. 1989 to Feb. 1993. The following results were obtained. 1. Miniplate fixation, in terms of fracture reduction and maintenance, allows on accurate anatomic reduction with rigid fixation which in turn affords on early mobilization without loss of reduction alignment. 2. The roentgenographic union was obtained within 15.1 weeks in average. The mean total acitve motion at the fractured finger was 230°. The complication rate was 11.5%. 3. In the treatment of metacarpal and phalangeal fractures of the hand, especially fractures of metacarpal bones, fixation with miniplate is considered to be an useful method in terms of getting fracture union and good range of motion with relative low complication rates.
Early Ambulation ; Fingers ; Fracture Healing ; Hand ; Humans ; Joints ; Metacarpal Bones ; Methods ; Range of Motion, Articular ; Skeleton ; Tendons

No abstract available.
Hepatitis* ; Incidence*

Eosinophilic granuloma of bone well-documented in the literature. This lytic bone disease most commonly occurs in children, but a fraction of the cases does occurs in adult. When the disease occurs in adults, the bone most often affected include the skull, ribs, mandible, clavicle, pelvis, and long bone of the extremities. We report the case of a 31-year old woman with isolated eosinophilic granuloma of the thoracic spine. She had a 1-month history of progressive back pain that radiated to the right anterior chest. Authors performed resection of vertebral body lesion and soft tissue lesion and anterior fusion from T7 to T9. Immunochemical staining showed a positive S100 protein stain. EM demonstrated characteristic Birbeck granule. Postoperatively, the patient underwent a 5-day course of RT to the T6-T10 spine with 200cGY fractions (total dose 1000cGY). Postoperatively, the patient's back and chest pain had disappeared. There is no evidence of local recurrence or distant metastasis at 18 months follow-up. Though rare, eosinophilic granuloma of the adult spine could be considered in the differential diagnosis of osteolytic lesions.
Adult* ; Back Pain ; Bone Diseases ; Chest Pain ; Child ; Clavicle ; Diagnosis, Differential ; Eosinophilic Granuloma* ; Eosinophils* ; Extremities ; Female ; Follow-Up Studies ; Humans ; Mandible ; Neoplasm Metastasis ; Pelvis ; Recurrence ; Ribs ; Skull ; Spine* ; Thorax

Recently, intramedullary nailing has been used classically in a closed transverse fracture in middle one-third of the fernur. But difficult femorsl fracture, such as severe comminution or nonunion, present a much more difficult problem. To treat these difficult femur fractures effectively, several investigators have developed and implemented a interlocking nail. Huckstep nail, one of the variants of the inter-locking nail, is a solid four sided intramedullary nail with screw fixation device and titanium alloy. For the purpose of rigid fixation and compression, screw fixation the nail and both cortice has been used in the difficult femorsl fractures. The author have experienced the 19 cases of Huckstep nailing for the treatment of difficult femoral fracture at the Choongahng Gil Hospital from Jan., 1984 to Dec., 1987. The results are summarized as follows. 1) In the difficult femoral fractures, such as fracture on severe comminuted fracture, nonunion and metal failure etc, Huckstep nailing may be excellent fixation. 2) Open comrninuted femoral frsctures were treated by conservative treatment as antibiotic therapy and skeletal traction, but when general conditions return to normal and risk of infection rate minimized, Huckstep nailing should be done. This generally requires 4 to 6 weeks. 3) The mean duration of bone union was 21.2 weeks. 4) Early joint mobilization can be done. The results of 17 cases were excellent by Denker's criteria. 5) Important complication were metal failure with refracture, screw failure and refracture after extraction of nail, these were caused by incorrect placement of nail, incorrect length of nail and more rapidly early weight bearing. 6) Nail of 11.5 mm in diameter is suitable in our study.
Alloys ; Femoral Fractures ; Femur ; Fracture Fixation, Intramedullary ; Fractures, Comminuted ; Humans ; Joints ; Research Personnel ; Titanium ; Traction ; Weight-Bearing

The clinical observation was performed on 27 patients of acetabular fracture, who had been admitted and treated at Department of Orthopedic Surgery, Choong-ahng Gil Hospital from January 1983 to December 1986. The results obtained were as follows. 1. The prevalent age ranged from 20 to 50 years, and the ratio between males and females was 2.4:1. 2. The most common cause of injury was traffic accident. 3. According to Letournel's classification, 8 cases were posterior wall fractures, 4 cases were pure transverse fractures, 3 cases were “T” shaped fractures, and 3 cases were fractures of both column. 4. The most common associated injury of the another part of the body was pelvic bone fracture and the most common associated soft tissue injury was cerebral contusion. 5. The satisfactory result of conservative treatment was 84.6% and surgical treatment was 78.6%. 6. The complications were degenerative arthritis(66.7%), bed sore(13.3%), ectopic ossification(6.7%), sciatic nerve palsy(6.7%), pin tract infection(6.7%) respectively. 7. The accurate anatomical reduction & rigid fixation was an important factor for intraarticular fracture.
Accidents, Traffic ; Acetabulum ; Classification ; Clinical Study ; Contusions ; Female ; Humans ; Intra-Articular Fractures ; Male ; Orthopedics ; Pelvic Bones ; Sciatic Nerve ; Soft Tissue Injuries

Authors has analyzed 75 cases of the femoral shaft fractures in children, treated by 90-90 skeletal traction methods at Jung Ang Gil General Hospital during last six years, from March 1982 to April 1988. The results were as follows :1. The 90-90 Skeletal traction can be widely applicable to the age group ranging from 3 to 13 years, while other traction methods have a certain age limits. 2. Maintenance of initial reduction snd correction of angular and rotational deformity of femoral shaft fracture were easily achieved. In addition, later angular deformity can also be easily corrected. In angular deformity and instability type, the correction and maintenance of deformity and instability were helped by use of 2 cast slabs. 3. Follow-up observation as well as wound care of open fracture and associated soft tissue injury were relatively easy. 4. The period of immobilization necessory after fracture was not longer than the other methods of treatment, and during treatment, evaluation of bony alignment and union was possible by direct palpation and inspection with out the help of X-ray. 5. The limitation of knee motion as well as circulatory and neurogenic complication were not found. Therefore, these results revealed that 90-90 skeletal traction was the easy, safe and effective method in treatment of femoral shaft fractures in childeren.
Child ; Clinical Study ; Congenital Abnormalities ; Femur ; Follow-Up Studies ; Fractures, Open ; Hospitals, General ; Humans ; Immobilization ; Knee ; Methods ; Palpation ; Soft Tissue Injuries ; Traction ; Wounds and Injuries

Essential osteolysis is a rare, progressive, slow and bone-resorptive disease that mainly involves carpal bone, metacarpal bone, tarsal bone, metatarsal bone and elbow joint. Authors had recently experienced one case of “essential osteolysis” that had involved the bilateral carpal, metacarpal, bilateral tarsal, metatarsal bone, elbow and ankle joint without associated renal insufficiency, hypertension and significant familial history.
Ankle Joint ; Carpal Bones ; Elbow ; Elbow Joint ; Hypertension ; Metatarsal Bones ; Osteolysis, Essential ; Renal Insufficiency ; Tarsal Bones

No abstract available.
Femur* ; Hip Fractures*

No abstract available.
Femur* ; Tibia*