The treatment of acute osteomyelitis has been much improved with the development of better antibiotics, but still a number of problems have remained unsolved. To find out possible problems in our method of management and to help resolve these problems, a clinical study was done of 34 cases of acute childhood osteomyelitis treated from August 1980 to January 1985. The results were as follows: 1. Bone scan helps diagnosis and localization of this disease; blood culture is significant in the selection of relevant antibiotics by sensitivity test. 2. All the causative organisms cultured were staphylococcus aureus which showed 100% sensitivity to cephalosporin and 100% resistant to penicillin: methicillin was not much effective compared with other reports. 3. 22 cases were trcated with decompression operation and 12 cases with conservative method: surgery is considered to be better method of treatment in the viewpoints of clinical process and complications.
Anti-Bacterial Agents ; Child ; Clinical Study ; Decompression ; Diagnosis ; Humans ; Methicillin ; Methods ; Osteomyelitis ; Penicillins ; Staphylococcus aureus

Six. patients with clavicular nonunion were treated at the Daegu Catholic Hospital from Aug. 1980 to Jun, 1986. Five patients were male and one was female, and their ages ranged from 35 to 52 years. There were hypertrophic nonunion in four patients and atrophic nonunion in two patients; all six patients had symptoms due to nonunion. Factors that might have influenced the development of nonunion in our cases seem to be inadequate operative treatment, severe trauma and inadequate external fixation due to combined injuries. Five patients were treated with semitubular plating and iliac graft, and one was treated with intramedullary K-wire fixation and iliac graft. All patients achieved good union by average 10 weeks postoperatively and symptoms disappeared. It was concluded that symptomatic nonunion of the mid-clavicle could be treated by operation, and the procedure of choice seemed to be rigid internal fixation with plating applied in compression and bone graft.
Clavicle ; Clinical Study ; Daegu ; Female ; Humans ; Male ; Transplants

In 38 patients with femorsl neck fracture trested at Cstholic Hospital from Aug. 1980 to Jun. 1985, 24 patients were followed for more thsn 2 years. Preoperative bone scanning with 99m Tc MDP was performed in those 24 patients and postoperative follow-up bone scan assesment of the femorsl vascularity was done in 9 patients of them. Following results were obtained. 1 . Tc 99m methylenediphosphonate bone scanning was effective in assesing the femoral head vascularity in the femoral neck fracture patients. 2. The femoral head activity could be changed in the postoperative scanning : there could be further injury to the blood supply during operation or femoral head revascularization after operation 3. Some information about the possibility of future avascular necrosis could be obtained by comparing preoperative and postoperative bone scan in order that early preventive measures might be applied against the late head collapse. 4. It was conculuded that internal fixation should be considered first in the treatment of fresh femoral neck fracture : the indication of head replaement surgery could not be rnade by preoperative bone scan only.
Equidae ; Femoral Neck Fractures ; Femur Neck ; Follow-Up Studies ; Head ; Humans ; Neck ; Necrosis ; Prognosis

Sixty fracture patients (98 fractures) with spastic paralysis due to brain damage have been treated and managed at the Department of Orthopedic Surgery and Neurosurgery, Kyungpook National University Hospital during the 3 years period from June 1970 to June 1973. The authors experenced many problems such as nonunion, malunion which results of spasticity and exuberant callus formation. Up to now, there has been a few literatures regarding in the particular field. They were analysed clinically and the results of this study are as follows: 1. Immobilization of fracture site was unstable due to repeated and continued severe muscle spasm and many cases developed severe deformity which necessitated secondary correction. 2. The cases were handled with conservative or operative method according to the patients condition and less deformities were found in the cases which treated with skeletal traction. 3. Exuberant callus formation was observed very frequently in the healing stage of fractures associated with spastic paralysis. 4. In order to detect of inducing factors of exuberant callus formation, the authors studied blood chemistries including calcium, phosphorus, alkalinephosphatase and acid-phosphatase of the patients but no significant changes were found.
Bony Callus ; Brain ; Calcium ; Congenital Abnormalities ; Gyeongsangbuk-do ; Humans ; Immobilization ; Methods ; Muscle Spasticity ; Neurosurgery ; Orthopedics ; Paralysis ; Phosphorus ; Spasm ; Traction

Combined injury of peroneus brevis rupture and bimalleolar fracture is very rare. The avulsion of peroneus brevis tendon from insertion maybe neglected and may prevent anatomic reduction of lateral malleolar fracture. We have treated open bimalleolar fracture with avulsion of peroneus brevis tendon from its insertion.
Ankle Fractures ; Rupture ; Tendons

A clinical analysis was done on forty-five patients with fracture of the femoral neck, who have been admitted and treated at our orthopedic department during the period of 6 years, from January 1975 to December 1980. The following results were obtained: Age over 60 comprised 60% of the patients. Male to female ratio revealed no significant difference, being 21 to 24. However, with advancing age, female was affected more frequently than male. The major cause of injuries were “fall or slip down” occuring in 33 patients (73.3%) and “hit by car” in 12 patients (26.7%). Of the 39 patients in whom Garden's calssification of fracture could be applied. Stage II was the most common type occuring in 29 patients (75%), followed by Stage N in 6(15.4%), and Stage 5 in 4 (10%). Of the total 45 cases, forty patients were reduced and fixed with multiple Knowles pins and two patients with Jewett nail. Three patients with neglected treatment of the fracture for over 1 to 4 months were treated with primary replacement arthroplasty of the femur in two and total hip replacement in one. Fractures were united within 3 months in 10 patients (23%), 4 to 6 months in 19 patients (45.2%), and non-union in 2 patients. Relationship between accuracy of reduction using Gardens alignment index and develepment of avascular necrosis was evaluated. Of the 27 patients with reduction in the range of 155 180 in both frontal and lateral views, 3 patients were developed avascular necrosis, and of the 9 patients with reduction of less than 155 in frontal view or greater than 180 in lateral view, 4 patients were developed avascular necrosis.
Agriculture ; Arthroplasty, Replacement ; Arthroplasty, Replacement, Hip ; Clinical Study ; Female ; Femoral Neck Fractures ; Femur ; Femur Neck ; Humans ; Male ; Necrosis ; Orthopedics

The incidence of pelvic fractures with or without dislocation of the sacro-iliac or symphysis pubis, is continually increasing. Such injuries not only are serious but can result in disabling complications and deaths. The author reviewed 57 cases of Malgaigne fractures treated at the orthopedic department of Kyungpook National University Hospital during the period from January 1978 to December 1977, and analized as to the cause of injury by mechanical forces, type of fracture, average duration for treatment and complications. We have adopted the classification of unstable fractures of Dunn and Morris. The fractures were classified as followes: vertical shear, 11: bucket handle, 8: lateral compression, 6: straddle, 5: total pelvic disruption, 4: dislocation, 3. Twenty-four patients were male thirteen, female. Traffic accident caused the injury in twenty-seven of the patients, accident of mine and factory, each three. Two fell from heights. Frequent associated soft tissue injuries were rupture of bladder (6 patients) and rupture of urethra (10 patients) The principle of treatment consisted of skeletal traction through the lower limb (supracondyle of femur) on the involved side and balance skin traction on the normal side. Pelvic sling were used. In lateral compression type, reduction was obtained by application of lateral skeletal traction with pelvic screw. Traction was continued for eight weeks. After discarding the traction physiotherapy start in bed and continued for further four weeks. Complete reduction of the displaced fragment and an adequate period of immobilization in recumbency is necessary to obtain the best results in treatment of Malgaigne fractures.
Accidents, Traffic ; Classification ; Clinical Study ; Dislocations ; Female ; Gyeongsangbuk-do ; Humans ; Immobilization ; Incidence ; Lower Extremity ; Male ; Orthopedics ; Pubic Bone ; Rupture ; Skin ; Soft Tissue Injuries ; Traction ; Urethra ; Urinary Bladder

No abstract available in English.

The steadily increasing frequency of car accidents and industrial injuries have contributed to increasing numbers of injuries to the femoral shaft. Fractures of the femoral shaft have always created camplicated problems associated with long periods of immobilization, resultant functional disability and economic loss. The methods of treatment are variable, therefore it is important to choose the correct form of treatment. The authors have reviewed 67 fractures of the femoral shaft in 66 patients for the 5 years period from Jan., 1972 to Dec., 1976, who were treated in the department of Orthopedic Surgery, Kyoungpook National University Hospital. The results were as follows; 1. Most of fractures occured in person who are in their third and fourth decades. Male are predominant. 2, Eliciting causes were mainly traumatic and most of them were car accidents. 3. Middle third of the femur was most prevalent location of the fracture site, and comminuted type was most frequent in the fracture type. 4. The period of immobilization for femoral shaft fracture was 7 weeks for those treated with compression plate and Kuntscher nailing; 11. 7 weeks with conventional plate and screw fixation and 17. 8 weeks with skeletal traction. 5. Postoperative infection rate was 3% and infection was treated by conservative methods.
Adult ; Clinical Study ; Femur ; Humans ; Immobilization ; Male ; Orthopedics ; Traction

Flexor tendon injuries have long been considered one of the Problem areas for hand surgeons because of occasional unsatisfactory results of treatment. The authors reviewed 111 cases of flexor tendon injuries which were treated by primary repair in the Department of Orthopedic Surgery, Kyungpook National University Hospital for about 6 and a half years from Jan. 1977 to Aug. 1977. The results obtained were as follows; 1. Sex ratio between male and female was 4. 3: 1. 2. Age distribution showed the most frequent occurrence between 21 and 30 (38.7%). 3. Most of the patients were injured by glass (67.5%) and at the wrist level or proximal to it. 4. Average follow up period was 6 months and over-all end result was satisfactory in 83.9% by the Klienert criteria. 5. 9 cases of the 10 flexor pollicis longus only injured showed satisfactory result by the arbitrary criteria based on active flexion range of thumb i-p joint and functional difficulties in the daily living.
Age Distribution ; Female ; Follow-Up Studies ; Glass ; Gyeongsangbuk-do ; Hand ; Humans ; Joints ; Male ; Orthopedics ; Sex Ratio ; Surgeons ; Tendon Injuries ; Tendons ; Thumb ; Wrist