No abstract available.
Humans ; Incontinentia Pigmenti* ; Male*

A 67 year-old male patient had butterfly-shaped ulcer with oozing on the face since 25 years ago. Histopathologically the lesion showed basal cell and squamous cell carcinoma. He received skin graft after surgical excision and showed no evidence of recurrence or metastasis for over six months.
Aged ; Carcinoma, Squamous Cell ; Humans ; Male ; Neoplasm Metastasis ; Recurrence ; Skin ; Transplants ; Ulcer

No abstract available in English.

Malignant lymphoma of the bone is a rare, but involves the shaft or metaphysis of the bone, producing destruction, frequently pelvis, spine, skull and femur. Most of the patients are over thirty years old and equal sex distribution. The authors experienced one case of lymphoma involving the left ilium.
Femur ; Humans ; Ilium ; Lymphoma ; Pelvis ; Sex Distribution ; Skull ; Spine

Interlocking nailing technique has many advantages in the fracture treatment. Such as the prevention of infection and devitalization by closed technique, stable intramedullary osteosynthesis, bone grafting effect of reaming debris, and early restoration of loading and function, comparing to the conventional intramedullary nailing. However, we met many problems during the operative procedure due to deficient concept and technique. We have checked the possible problems during and after the procedure of interlocking nailing for the tibia or femur fractures in 69 cases. 1. Sixty nine cases were consisted by 26 cases of femur fractures and 43 cases of tibia fractures. 2. The inadequate implant length was the most common error in the implant selection (4 cases in femur, 6 cases in tibia). 3. A new fragment was made in 12 patients(17%) during surgery, more commonly in the femur (9 cases), especially medial side and distal to the fracture line. 4. Bone shortening, angulation deformity or rotational deformity, caused by incomplete reduction, were developed more commonly in the tibia than in the femur. 5. Post-operative deep infection were developed in 2 cases(3%). 6. Delayed or non-union were developed in 18 cases(28%), who were followed for more than 3 months. 7. Circumferential wiring or bone grafting using semiclosed technique is thought to be useful to prevent delayed or nonunion when there is a wide gap between fractured fragments pre-operatively.
Bone Transplantation ; Congenital Abnormalities ; Femur ; Fracture Fixation, Intramedullary ; Fractures, Bone ; Surgical Procedures, Operative ; Tibia

Partial knee ankylosis is a recognized complication of following open operative procedure, trauma and disease processes about the knee. Intraarticular trauma or surgical procedures such as TKR, synovectomy or patellar fracture were main source of intraarticular or extraarticular soft tissue adhesion and contracture were resulted from distal femoral and proximal tibial fractures. The purpose of this study is to report the value of arthroscopic adhesiolysis of partial knee ankylosis and to evaluate the clinical results of its application in various conditions. From October 1982 to December 1992, 56 cases in 54 patients who had severe limitation of motion in the knee joint following open operative procedure or trauma about the knee were treated by fibroarthrolysis under the arthroscopic control. For release of thick fibrous tissue, we used our designed blunt metal bar. The following results were obtained. There were 30 males and 24 females and the age at the time of release ranged from 20 to 69 years old(average 38.7 years old). The interval between last open operative procedure or trauma and arthroscopic adhesiolysis ranged from 3 months to 6 years(average 16 months). The interval between arthroscopic adhesionlyssis and the last follow up evaluation ranged from 1 year to 9 years(average 49 months), The average preoperative range of knee motion was 42.2 and the postoperative range of motion under the anesthesia was 115.5 and the average final knee range of motion at follow up was 101.3. So the average loss of motion between postoperative and final motion was 14.2. Complications were one case of patellar and tibial condylar fracture respectively. In the author's experience, arthroscopic adhesiolysis seems to be applied to the various condition of the partial knee ankylosis and the results are better than the other surgical procedures when it was performed early enough16).
Anesthesia ; Ankylosis ; Contracture ; Female ; Follow-Up Studies ; Humans ; Knee Joint ; Knee ; Male ; Range of Motion, Articular ; Surgical Procedures, Operative ; Tibial Fractures ; Tissue Adhesions

One of the most basic function in brachial plexus injury is the recovery of elbow flexion. So the important purpose in nerve surgery of brachial plexus injury is the recovery of the function of the musculocutaneous nerve. However, failure of the recovery of function of the biceps through surgery or in cases of neglected nerve surgery of more than 1 year needs the consideration of tendon transfer or free vascularized muscle graft. In these failed or neglected brachial plexus injury, flexorplasty is more often indicated because of associated surrounding muscle weakness or paralysis. We analyzed the functional results in brachial plexus injured 12 patients who underwent elbow flexorplasty between June, 1987 and Aug. 1994. In 2 patients, the elbow flexorplasty was augmented by a glenohumeral arthrodesis. The mean length of the follow-up was 52 months. The mean are of active flexion following flexorplasty was 81 degrees. The postoperative active Supination and loss of elbow extension was 40 and 28 degree respectively. At final objective evaluation, 6 patients were judged to have excellent; 2 good; 1 poor; 3 failure. At final subjective evaluation, 3 patients were judged to have excellent; 3 good; 3 failure.
Arthrodesis ; Brachial Plexus ; Elbow ; Follow-Up Studies ; Humans ; Muscle Weakness ; Musculocutaneous Nerve ; Paralysis ; Recovery of Function ; Supination ; Tendon Transfer ; Transplants

The most common cause of chronic draining sinus tract on the face and neck is the extension of chronic dental infection. The presence of an intermittently draining granulomatous lesion on the face or neck should alert clinicians to the necessity of routine dental examination including radiographic studies. Early correct diagnosis and appropriate dental treatment can pre-vent unnecessary and ineffective antibiotic therapy or surgical treatment. We report a case of a 22-year-old woman with a cutaneous sinus tract on submental region, associated with a periapical abscess of the left mandibular lateral incisor.
Cutaneous Fistula ; Diagnosis ; Female ; Humans ; Incisor ; Neck ; Periapical Abscess ; Young Adult

No abstract available.

Peripheral nerve injury is relatively common in post-trauma surgery. Although various microsurgical techniques and repair methods can recover the continuity of the injurcd nerve. But, functional recovery achive is difficult. The purpose of this study examines the effect of electrical stimulation on muscle strength or sensibility increase in hrachial plexus injury with clinical results. We have retrospectively analyzed 44 cases of brachial plexus injury. The group(20 cases) which received nerve surgery and electrical stimulation was compared with the group(24 cases) which received nerve surgery only. Electrical stimulation was performed to nerve for axonal regeneration-strength & sensibility(18 cases) and to muscle for strengh(2 cases). All cases had heen evaluated for motor power recovery by 24 months after nerve surgery. A significant difference(P<0.05) between the power of elhow flexion and shoulder abduction, hut not sensibility of forearm in the two groups suggests that electrical stimulation to nerve or muscle enhanced the progress of nerve regeneration or muscle strength respectively. The results suggest that electricai stimulation is promising supplementary method for functional recovery in brachial plexus injury.
Axons* ; Brachial Plexus* ; Electric Stimulation* ; Forearm ; Muscle Strength ; Nerve Regeneration ; Peripheral Nerve Injuries ; Regeneration* ; Retrospective Studies ; Shoulder