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

The pelvis is a ring structure with strong ligamentous support. This support includes the symphysis pubis, the anterior and posterior sacroiliac ligaments, and the strong sacrospinous and sacrotuberous ligaments. Since the pelvis is a ring, disruption of any portion of the ring is always associated with disruption in another portion of the ring. Massive pelvic disruption is an important and often life threathening. The author reviewed 36 cases of unstable pelvic bone fractures treated at the Orthopedic department of Chonbuk National University Hospital from January 1982 to December 1989, and analized the causes of injury, types of fracture by Pennal and Tiles method, associated injuries, early and late complication, methods of treatment. The clinical results were obtained as follows: 1. The incidence of injury in male was almost same in female and most of the patients were in the 3rd to 5th decade of their life. 2. The causes of injuries were traffic accidents, fall-down, others. 3. The most common fractures of unstable pelvic bone fractures were type II fractures due to lateral compression and Type III fractures due to vertical shear(Br Penall and Tile). 4. The fractures of acetabulum and tibia and fibula were the most commonly associated bone and joint injuries. Also the injury on the genitourinary tract was the most commonly associated soft tissue injuries. 5. There are various mathods of treatment in unstable pelvic bone fracture. A satisfactory results of conservative treatment were 73% and operative treatment were 85%. 6. In unstable pelvic bone fractures we consider that the external fixstior should probably be the first choice of treatment.
Accidents, Traffic ; Acetabulum ; Clinical Study ; Female ; Fibula ; Humans ; Incidence ; Jeollabuk-do ; Joints ; Ligaments ; Male ; Methods ; Orthopedics ; Pelvic Bones ; Pelvis ; Pubic Bone ; Soft Tissue Injuries ; Tibia

Recently the incidence of intertrochanteric factures of the femur has been increasing progressively due to prolongation of average life span and increased activity. Most of intertrochanteric fractures of the femur occur in elderly patients with osteoporotic bone change and general weakness. The goal of treatment is early mobilization with immediate weight bearing to prevent the complications such as deep vein thrombosis, pulmonary embolism, pneumonia or atelectasis, and pressure sore. We have tried to assess the outcome and complications of bipolar hip prostehsis for the femoral intertrochanteric fracture in elderly patients. The twenty octogenarian patients received a bipolar hip prosthesis due to femoral intertrochanteric fractures from January 1989 to December 1994 at the Department of Orthopedic Surgery of Chonbuk National University Hospital. The results were as follows: 1. The average age of patients was 83.5 years and underlying problems are hypertension, cerebral vascular accident, pulmonary problem, diabetes mellitus, and osteoarthritis. 2. By Tronzo classification, Type III was the most common (80%) type. 3. Complications were peroneal nerve palsy, intraoperative femoral shaft fracture, postoperative stem tip fracture, dislocation and shortening. 4. Postoperative ambulation was possible at 2 weeks after surgery. 5. In elderly unstable osteoporosis patient, bipolar hemiarthroplasty can be recommended for the first treatment of intertrochanteric fracture.
Aged ; Aged, 80 and over ; Classification ; Diabetes Mellitus ; Dislocations ; Early Ambulation ; Femur ; Hemiarthroplasty ; Hip ; Hip Fractures ; Hip Prosthesis ; Humans ; Hypertension ; Incidence ; Jeollabuk-do ; Orthopedics ; Osteoarthritis ; Osteoporosis ; Paralysis ; Peroneal Nerve ; Pneumonia ; Pressure Ulcer ; Pulmonary Atelectasis ; Pulmonary Embolism ; Venous Thrombosis ; Walking ; Weight-Bearing

Lung Volumes and alveolorespiratory function were studied in 30 cases of pure or predominat mitral stenosis in slightly to moderately compromized state, and the results were compared with those in the normal controls. In patients with mitral stenosis, there was a singnificant reduction in the vital capcity and the total lung capacity, whereas the residual volume and its ratio to the total lung capacity were significantly increased. The distribution of inspired gas was uneven as reflected by increase in the lung clearnace index and in the slope of phase III of the single breath nitrogen washout curve. The alvelolar arterial oxygen tension gradient and the physiological dead space were singinificantly increased despite a singinificant decrease in the arterial carbon dioxide tension. The diffusing capacity was also reduced in some cases.
Carbon Dioxide ; Humans ; Lung* ; Mitral Valve Stenosis* ; Nitrogen ; Oxygen ; Residual Volume ; Total Lung Capacity

The frequency of infected non-union of long bones is increased due to an increment of open fractures, and so its treatment give orthopedic surgeons a rather difficult obstacles. In treatment of twenty two cases of trouble infected non-union that we undergone from march, 1980 to decmber, 1984, we use some principles of treatment, that is, rigid osteosynthesis, autogenous cancellous bone graft and irrigation system, so we obtain the good results. The conclusion are as follows: 1. All cases were men, and they occured more commonly in young adults, 10 cases (45.5%) were in third decade. 2. The fractures of the tibia showed a high frequency of infected non-union, 17 cases (77.3%) were the fractures of the tibia. 3. All cases showed a grave comminution initially, of them 18 cases (81.8%) were open fractures. 4. The most common causative organism of an infection was staphylococcus aureus, 14 cases(63.6%), showed that organism in pus culture. 5. Using the above mentioned principles of treatment, bony union was achieved in 18 cases for average 5 months except 2 cases losting the follow-up and 2 cases undergoing the below knee amputation.
Amputation ; Follow-Up Studies ; Fractures, Open ; Humans ; Knee ; Male ; Orthopedics ; Staphylococcus aureus ; Suppuration ; Surgeons ; Tibia ; Transplants ; Young Adult

There are many procedures described for the treatment of acromioclavicular seperation but there are still controversies concerning the best management of these injuries. Thirteen cases were operated on by technique of modified Phemister method and four cases by Bosworth method, Dept. of Orthopedic Surgery, Chonbuk National University Hospital from January 1980 to December 1984. The following results were obtained. The following results were obtained. 1. This injuries is more prevalent in male (76.4%) with peak incidence in the second, third and fourth decades(76.4%). 2. The most common causes of the injuries were traffic accidents and followed by falling from the height. 3. Fifteen patients were grade 3 by Allmans classification. 4. Operative method consists of modified Phemister method (76.4%) and Bosworth method (23.6%). 5. The operative procedures in Type 2 and Type 3 are good treatment of acromioclavicular seperation.
Accidental Falls ; Accidents, Traffic ; Classification ; Humans ; Incidence ; Jeollabuk-do ; Joints ; Male ; Methods ; Orthopedics ; Surgical Procedures, Operative

Apert syndrome, or acrocephalosyndactyly is a complex of associated malformations, which are craniosynostosis and symmetric complex syndactyly of the hands and feet. The syndrome was first described by Apert in 1906. Review of the worlds literature disclosed about 200 similar cases and 9 Cases in Korea. Authors experienced one case of Apert syndrome and treated surgically for acro-syndactyly and polydactyly of both hands and feet. The case was compared with the other previously reported cases in Korea.
Acrocephalosyndactylia ; Craniosynostoses ; Foot ; Hand ; Korea ; Polydactyly ; Syndactyly

The femoral neck fracture in children is rare and occurred by severe trauma and the treatment method and prognosis are different from adult, and it is difficult to treat due to frequent complication, which is so called “unsolved fracture”. Twelve cases of children's femoral neck fracture were treated at Chon Buk National University Hospital from July, 1981 to May, 1988 were analysed clinically and radiologically and following results were obtained 1. The commonest age group was between the age of 14 and 16 years and the ratio of boys and girls was 2:l. 2. The main cause of fracture was traffic accident(6 cases) and fall down was 5 cases and slip down was 1 case. 3. According to the Delbet and Colona's classification, the transcervical fracture was most common type and displaced fracture was 8 cases. 4. Associated injuries were extremity fracture(3 cases) and pelvic bone fracture(2 cases) and head injury(2 cases), etc. 5. Seven cases were treated by open reduction and internal fixation and five cases by cast immobilization after skin or skeletal traction. 6. The commonest complication was coxa vara(5 cases) and other complication was avascular necrosis of femoral head(3 cases) premature epiphyseal closure(3 cases), nonunion (2 cases). 7. According to Ratliff's assessment of results, eight cases were good result and two fair results and two poor results. 8. Secondary operation (muscle pedicle bone graft, corrective subtrochanteric valgus osteotomy) was done in three cases and showed one good result, one fair result and one poor result.
Adult ; Child ; Classification ; Clinical Study ; Extremities ; Female ; Femoral Neck Fractures ; Femur Neck ; Head ; Hip ; Humans ; Immobilization ; Methods ; Necrosis ; Pelvic Bones ; Prognosis ; Skin ; Traction ; Transplants

The femoral neck fractures in children remain an unsolved problem because of lack of the optimal treatment followed by unpredictable, serious complications. Since the first trial of muscle pedicle bone graft by Judet(1962), Meyers et al(1973) refined and promoted this method for nonunion and as a primary procedure, and Baksi(1983, 1986) expanded its indication to post-traumatic avascular necrosis of the femoral head. Two cases of avascular necrosis and Two nonunion cases treated by quadratus femoris muscle pedicle bone graft at the Chonbuk National University Hospital from Jan. 1986 to Jun. 1988 were reported. The age of the patients varied from 6 to 16 years ; Follow-up ranged 6 to 29 months ; all cases were displaced transcervical fracture. In according to Ratliffs assessment, three cases showed satisfsctory results and one poor.
Child ; Femoral Neck Fractures ; Femur Neck ; Follow-Up Studies ; Head ; Humans ; Jeollabuk-do ; Methods ; Necrosis ; Transplants

No abstract available.
Head*