Many different methods have tried for the treatment of fractures of the calcaneus in order to search for better results. But there was no general agreement on the treatment of the fracture of the calcaneus, especially involving the subtalar joint. Thirteen displaced intra-articular fractures of the calcaneus(in eleven patients) were treated by open reduction and internal fixation with a plate and screws, or Steinmann pins using a lateral and when needed, a medial approach, followed by early motion. From Feb. 1985 to June 1987, 13 feet in 11 patients of calcaneal fractures involving the subtalar joint were treated by open reduction and internal fixation at the Dept. of Orthopedic Surg., Chonbuk National University Hospital and the results were ss follows : l. Of 11 patients, 9 patients were male and 2 were femsle. 2. The main cause of frscture of calcaneus wss a fall from a height in 81.8% of cases. The spine fractures were associsted in 3 patients. 3. Of these displaced intra-articular frsctures, 3 fractures were tongue type and 9 fractures were joint depression type by Essex-Lopresti classificstion. 4. The tongue type fractures were treated with Steinmann pin and joint depression type fractures were treated with plate and screws. Anatomic reduction was obtained by open reduction snd internal fixation. 5. The average Bohler's angle was 8.1 before reduction and the aversge bohler's angle was 22.1 after open reduction. So, Bohler's angle was 14 increased. 6. After sverage seventy-two months follow-up, the assessment of result by Salama was satisfied in 76.9%-excellent in four(30.8%), good in six(46.1%)-and unsatisfied in 23.1%-fair in two(15.4%), poor in one(17.7%). 7. The surgical approach was used usually lateral approach and, when needed, a medial approach, followed by early motion. 8. The most common complication after treatment was pain on the heel snd subtalar joint.
Calcaneus ; Depression ; Follow-Up Studies ; Foot ; Heel ; Humans ; Intra-Articular Fractures ; Jeollabuk-do ; Joints ; Male ; Orthopedics ; Spine ; Subtalar Joint ; Tongue

No abstract available.
Allografts* ; Cadaver* ; Fascia*

No abstract available.
Femur Neck*

No abstract available.

Forty-six patients (fifty hips) underwent revisions of a total hip arthroplasty that had failed but was not associated with infection, Three of these patients had a third revision. The mean length of follow-up was approximately two years. Thirty patients reported that their condition was improved. On final roentgenographic examination showed, two loosening of the acetabular components and five of the femoral components in which there was one sympto matic loosening (moderate severe pain and probable roentgengraphic loosening) noted. The extralong stems are not necessary in all revision cases, cortical defects at the tip of standard stem obviously should require bypass the stress riser with a longer stem. If the stability can be achieved with host bone, Revision may be carried out with a relatively short stem. Significant postoperative complications as subsidence and progressive loosening were noted in seven out of the forty-six patients. We consider that extensive porocoated cementless stem or standard flute stem seem to be a better outcome in revision arthroplasty.
Acetabulum ; Arthroplasty ; Arthroplasty, Replacement, Hip* ; Follow-Up Studies ; Humans ; Postoperative Complications

The authors experienced a case of gastroduodenojejunal trichobezoar detected by ultrasongraphic examination. We thought that tricholbezoar had relatively specific ultrasonographic findings such as a broad hyperechogenic superficial bandlike rim with a complete posteior sonic shadowing and multiple linear echogenic strands on its surface representing hairs, which were better seen after water ingestion. So we were able to get the correct diagnosis of trichobezoar prior to conventional barium studies in a patient who could not be suspected suspected clinically.
Barium ; Bezoars* ; Diagnosis ; Eating ; Hair ; Humans ; Shadowing (Histology) ; Ultrasonography* ; Water

Subluxation of hip is a disease commonly experienced in orthopaedic field, which is classified into primary subluxation and secondary subluxation. Generally, secondary subluxation of the hip in children who once suffered from infected hips, Legg-Calve-Perths disease and also as sequellae of incompletely treated congenital dislocation of the hip can be often seen in Korea. Especially in Korea, subluxation of the hip with some destruction of the affected femoral head frequently arose from late complication of the tuberculous or septic hip in children. But, no definite treatment for the condition was established and no satisfactory results were obtained with various operative methods. Authors experienced satisfactory result by combining the intertrochanteric varus osteotomy and administration of crystalline glucosamine sulphate (Viatril, Rotta pharmaceuticals, Italy) in subluxated burnt-out tuberculous hip of 6 years old male.
Child ; Crystallins ; Dislocations ; Glucosamine ; Head ; Hip ; Humans ; Korea ; Male ; Osteotomy ; Tuberculosis

Dislocation of peroneal tendons are caused by forceful domifiexion of the foot accompanied by a powerful contraction of the peroneal muscles. This mechanism of injury tears the superior pemneal retinaculum and allows the tendons to snap anteriorly. It is an important, although infrequent, cause of disability of the ankle. The acute injury can be treated by immobilization in a plaster cast, but when there is chronic recurring dislocation, surgical reconstruction is necessary. Authors experienced two cases of dislocation of pemneal tendons which were treated by use of Sarmiento's and Platzgummer's(modified) operative procedures with good results.
Ankle ; Casts, Surgical ; Dislocations ; Foot ; Immobilization ; Muscles ; Surgical Procedures, Operative ; Tears ; Tendons

Despite the continually improving results of total knee arthroplasty, infection remains the most debilitating complication. The treatments of infected total knee arthroplasty were variable, but initially we removed infected implants and inserted antibiotic containing cemented spacer. Postoperatively, patients were mobilized in a 30 knee flexion state and treated with parenteral antibiotics. After control of infection was clinically and radiologically determined, we inserted PCL substitute total knee prosthesis. Five days postoperatively, patient began touch down standing exercise. We observed two cases in whom infected total knee arthroplasty had been salvaged successfully with two-stage implantation using cement spacers containing antibiotics.
Anti-Bacterial Agents* ; Arthroplasty* ; Humans ; Knee Prosthesis ; Knee* ; Replantation*

Displaced acetabular fractures have given rise to difficulty to the management, It has been unique diagnostic and operative challanges for the surgeon. We made a retrospective study of hip arthroplasty in fourteen patients who had a history of previous acetabular fracture. The most of patients was sutfered from traumatic osteoarthritis, We performed two bipolar hemiarthroplasty, eleven non-cement cup and one case Charnley cup replacement were done. The purpose of this stady was to determine the outcome long-term cup. The clinical results showed that pain was most improved at foliow-up, but the incidence of radiographic loosening and revisions were higher 42.8% within 10 years. We conclude that a history of prior acetahular fracture has a significant adverse impact on the long term out come of acetabular cup in total hip arthroplasty.
Acetabulum* ; Arthroplasty ; Arthroplasty, Replacement, Hip* ; Hemiarthroplasty ; Hip ; Humans ; Incidence ; Osteoarthritis ; Retrospective Studies