A total 12 cases of tuberculous spondylitis of thoracic spine had been treated by anterior decompression and interbody fusion through extrapleural approach from March, 1979 to June, 1980. In this study, six impending or complete paraplegics were included. Prognosis of paraplegia depends on its grade, duration and local pathology. Extrapleural approach seems to offer the following advantages over all the other ones; lesser risk, no Iimitation of surgical fleid, less chance of contaminating pleural cavity, less postoperative complications, especially indicated for the elderly paraplegics of Incomplete or complete type and less cumbersome Immediate postoperative care.
Aged ; Decompression ; Humans ; Paraplegia ; Pathology ; Pleural Cavity ; Postoperative Care ; Postoperative Complications ; Prognosis ; Spine ; Spondylitis ; Tuberculosis, Spinal

Dislocation of index metacarpophalangeal joint is complex and usually cannot be reduced by closed method. It is a relatively rare injury and there are no widely published studies on its management. We have experienced a case combined with osteochondral fracture of the dorsoulnar aspect of metacarpal head and reduced it using extensor tendon splitting simplified technique with good results. This technique is seemed te be simpler and safer than volar approach described by Kaplan.
Dislocations ; Head ; Metacarpophalangeal Joint ; Methods ; Tendons

No Abstract Available.
Hepacivirus* ; Hepatitis C* ; Hepatitis*

No abstract available.
Hemoptysis*

No abstract available.
Anticonvulsants* ; Carnitine* ; Liver*

No abstract available.
Extremities* ; Ilizarov Technique*

Detection and evaluation of early soft tissue changes are important in rheumatoid arthritis or other jointdiseases. The most important factors for radiologic demonstration of soft tissue changes are resolving power andthe optimization of contrast differences between structures representing skin and subcutaneous tissue densities.Phantom study was done by using combination of immersion technique and mammography to get the most reliable methodfor improvement of soft tissue contrast without deterioration of resolution. Clinical application was also done in5 normal volunteers and 5 rheumatoid patients. The results indicate that soft tissue contrast, especially betwenskin and subcutaneous tissues can be significantly imporved with combination of immersion technique andmammography with 50% ethanol in both phantom and clinical study.
Arthritis, Rheumatoid ; Clinical Study ; Ethanol ; Healthy Volunteers ; Humans ; Immersion ; Mammography ; Radiography ; Skin ; Subcutaneous Tissue

PURPOSE: To evaluate factors associated with the development of strabismus after cataract extraction and primary intraocular lens implantation. METHODS: Medical records of 80 patients who had undergone cataract extraction with primary intraocular lens implantation between 6 months and 21 years of age from March 1993 to March 2008 were reviewed. Nine patients (11 eyes) with strabismus before cataract surgery were excluded. Patients were divided into 2 groups; patients with congenital bilateral cataracts (43 patients, 86 eyes) or patients with unilateral cataracts (28 patients, 28 eyes). Data were collected on age at cataract surgery, pre and post-cataract extraction visual acuity, interocular visual acuity differences, nystagmus, operation method, and the existence of associated other ocular diseases to evaluate the association of the onset of strabismus and after cataract. RESULTS: Factors statistically significantly associated with the development of strabismus include presence of nystagmus in bilateral cataracts and postoperative visual acuity differences > 0.3 in unilateral cataracts. A post-cataract extraction mean visual acuity < or = 0.2 and preservation of posterior capsule were significant factors in both groups. CONCLUSIONS: Children with congenital cataracts should be monitored carefully after cataract surgery for the development of strabismus especially when they have poor postoperative visual acuity, nystagmus, large postoperative interocular visual acuity differences, or preservation of posterior capsule.
Cataract ; Cataract Extraction ; Child ; Humans ; Lens Implantation, Intraocular ; Lenses, Intraocular ; Medical Records ; Strabismus ; Visual Acuity

PURPOSE: To evaluate the incidence and risk factors of glaucoma after pediatric cataract surgery. METHODS: We retrospectively reviewed 173 eyes which underwent pediatric cataract surgery from June 1998 to December 2009. The following parameters were ascertained: sex, laterality of cataract, age at diagnosis, age at surgery, cataract type, operation methods, optic capture, axial length (AXL), keratometry, follow-up period, and association of general abnormality. RESULTS: Out of the 173 eyes reviewed, 8.6% were diagnosed with glaucoma. The factors not significantly different in the glaucoma group compared to the non-glaucoma group were sex, laterality of cataract, age at diagnosis, AXL, and keratometry (p > 0.05). The incidence of glaucoma was significantly higher in the aphakic group compared to the pseudophakic group. Young age at surgery, no optic capture, pars plana lensectomy, sulcus IOL implantation, and nuclear type cataract were significantly associated with increased risk of postoperative glaucoma (p < 0.05). CONCLUSIONS: Patients with several predictors of postoperative glaucoma which may affect visual acuity may require extensive postoperative care after pediatric cataract surgery.
Cataract ; Eye ; Follow-Up Studies ; Glaucoma ; Humans ; Incidence ; Postoperative Care ; Retrospective Studies ; Risk Factors ; Visual Acuity

No abstract available.
Drug Therapy* ; Extremities* ; Osteosarcoma*