78 cases of ankle fracture are experienced and especially 25 cases of supination-outward rotation injuries treated during the period from January 1959 to October 1970 were analyed. 1) 17 cases of male and 8 cases of female, and 11 caces in right side and remaider in left side. 2) According to the Lauge-Hansens classification, 5 cases in type II, and 20 cases in type IV. 3) Conservative treatment was given in 8 cases and open reduction in 17 cases. 4) A comparison has been made between functional results treated by conservative treatment and open reduction; satisfactory results were obtained in 3 cases of type II and I case of type IV by conservative treatment. I case of type II and 14 cases of type IV by open reduction. 5) Time of complete healing by bony union were 7. 8 weeks in conservative treatment and 9. 3 weeks in open reduction. 6) Wound infection, necrosis of wound edge and pseudoarthrosis were noted as post-operative complications.
Ankle Fractures ; Ankle ; Classification ; Female ; Humans ; Male ; Necrosis ; Pseudarthrosis ; Wound Infection ; Wounds and Injuries

6 cases of idopathic asceptic necrosis of femoral head were experienced at the Department of Orthopedic Surgery. Age distribution ranged from 19 to 58 years and the ratio of sex was 3:3. Two of them had bilateral involvement of necrosis of femoral head. Two of them were primarily treated by means of arthrotomy, joint debridement and drilling of the necrotic area. Symptoms only temporarily relieved and required further surgical procedure. As a whole, arthrodesis in 2, cup arthroplasty in 1, Austin-Moor hip prosthesis in 2 and total hip prosthesis, McKee-Farrar type, in 1 case were performed. Four of the mobile operation of the hip restored satisfactory range of hip motions despite the types of surgery.
Age Distribution ; Arthrodesis ; Arthroplasty ; Debridement ; Head ; Hip ; Hip Prosthesis ; Joints ; Necrosis ; Orthopedics

From June, 1988 to Feb, 1989 a total of 47 cases of percutaneous mitral valve balloon valvuloplasty(PMV) and 4 cases of aortic valve balloon valvuloplasty(PAV) were done at the Guro Hospital of the Korea University. Among these patients first 18 patients of PMV are the subjects of this study. 1) Among a total of 28 patients,10 patients were male and 18 patients were female patients. The age of the patients were between 21 and 59 years with the mean age of 40.9+/-12.2 Aortic Valve ; Atrial Fibrillation ; Balloon Valvuloplasty* ; Blood Pressure ; Cardiac Output ; Cardiac Tamponade ; Catheters ; Drainage ; Electrocardiography ; Embolism ; Female ; Humans ; Korea ; Male ; Middle Cerebral Artery ; Mitral Valve Insufficiency ; Mitral Valve Stenosis* ; Mitral Valve* ; Sepsis ; Thrombosis ; Vascular Resistance

We report on a patient with spontaneous rupture of hemorrhagic renal cyst into the pyelocaliceal system. He had no history of trauma, bleeding disorders, urinary tract infection or urinary tract obstruction. Gross hematuria followed by left flank pain occurred 1 day prior to admission. Although radiologic findings were suggestive of rupture of renal cyst into the calyx or calyceal diverticulum. exclusion of malignant disease or renal carbuncle was difficult. He was managed by partial nephrectomy. Microscopic findings revealed ruptured cyst lined with low cuboidal epithelium without evidence of malignancy.
Carbuncle ; Diverticulum ; Epithelium ; Flank Pain ; Hematuria ; Hemorrhage* ; Humans ; Nephrectomy ; Rupture ; Rupture, Spontaneous* ; Urinary Tract ; Urinary Tract Infections

The authors reviewed 2,420 pediatric age group patients in the emergency room in Inchon Christian Hospital during 2 years period from Jul. 1974 to Jun. 1976. The results were obtained as follow. 1. Among the patients visting the emergency room, the patients under the 15 years of age were 21.9% of total emergency patients. 2. The male to female ratio was 1.6 :1.3. The patients under the 3years of age among the pediatric age group were occupied 43.7%. 4. Monthly distribution of patients showed high incidence in Jun., aug. and Sep. 5. Most frequent disease was respiratory diseases (26.6%), followed by accident (22.1%), gastrointestinal disease (13.6%) and neurologic disease(11.2%). 6. In the reapiratory diseases, the most frequent disease was URI (57.9%), followed by pneumonia (18.9%) and bronchitis (8.6%), In the accidents, the most frequent disease was traffic accident (28.3%), followed by trauma (24.9%) and burn (15.9%). In the gastroentestinal diseases, the most frequent diseas was diarrhea (47.9%), followed by gastrointerits (26.2%)and dysentery (10.1%). In the neurologic diseases, the most frequent diseas was febrile convulsion (32.3%), followed by tbc. Meningitis (21.3%) and epilepsy (19.5%). In the neonatal diseases, the most frequent disease was aspiration pneumonia (23.1%) and epilepay (19.5%). In the neonatal diseases, the most frequent disease was aspiration pneumonia (23.1%), followed by dehydration fever (17.1%) and prematurity (14.5%). In the poisonings, the most frequent factor was CO gas (37.7%), followed by food poisoning (21.9%)and insecticide (9.6%). In the infectious diseases, the most frequent disease was measles (34.3%), followed by pulmonary tbc. (16.2%) and mumps (12.1%). 7. Most popular time of visiting the emergency room was betwiin 8 : 00 pm to 12 : 00pm, at which time about 33.9% of patients were seen. 8. Admission rate through emergency room was 28.5% of total admitted patients.
Accidents, Traffic ; Bronchitis ; Burns ; Communicable Diseases ; Dehydration ; Diarrhea ; Dysentery ; Emergencies* ; Emergency Service, Hospital* ; Epilepsy ; Female ; Fever ; Foodborne Diseases ; Gastrointestinal Diseases ; Humans ; Incheon ; Incidence ; Male ; Measles ; Meningitis ; Mumps ; Pneumonia ; Pneumonia, Aspiration ; Poisoning ; Seizures, Febrile ; Statistics as Topic*

No abstract available.
Meconium* ; Peritonitis* ; Ultrasonography*

Animal experiment was carried out to measure the physiologic changes of thoracic or thoracolumbar spine that occurred as a result of electrical stimulation, and to evaluate the usefulness of electrical stimulation as a possible treatment for scoliosis. Unilateral electrical stimulations were applied to the back muscle of immature rabbits.They were subgrouped into medial, intermediate, and lateral muscle stimulated groups in order to observe the effects of various electrode placements. The radiograms were taken every other week to observe the changes of the spinal curvatures for the period of 12 weeks. The histological studies of the muscles, which were obtained from the stimulated(right) and the nonstimulated(left) sides at the same level, also were carried out to determine the response of the muscles to the electrical stimulation. The results were as follows. l. A significant scoliotic curvature was observed two weeks after electrical stimulation, and those curvatures did not change more for the next six weeks in spite of prolonged stimulation. 2. Scoliotic curvature induced by electrical stimulation for eight weeks remained unchanged for another four weeks after stopping stimulation. 3. There were no statistical differences in the induced scoliotic curvature among the three groups stimulated at different sites of the medial, intermediate, and lateral regions respectively. 4. A prolonged unilateral electrical stimulation could induce the scoliosis, and may be used as a method for treatment of scoliosis.
Animal Experimentation ; Back Muscles ; Electric Stimulation ; Electrodes ; Methods ; Muscles ; Scoliosis ; Spinal Curvatures ; Spine

To identify clinical situations or techniques that tended to increase the incidence of either success or complications. we evaluated retrospectively the experience with rigid ureteroscopy in 85 patients from June 1989 to December 1990. The ureteral stone removal was successful in 48 of 85 patients (56%). Early complications occurred in 12 patients( 14%) : ureteral perforations in 6 patients, intramural ureteral mucosa avulsions in 2 patients, flank pain more than 2 days in 2 patients and uncomplicated urinary tract infection in 2 patients. On excretory urography performed in 60 patients 1 to 3 months after ureteroscopy mild strictures were noted at the ureteral office in 2 patients(3% ), which was relieved on upright position in one case and was improved spontaneously en followup excretory urography 3 months later in the other case. In conclusion, ureteroscopic removal of stones can be a successful and safe treatment modality of mid and lower ureter stones, especially with experience and good surgical skill.
Constriction, Pathologic ; Flank Pain ; Follow-Up Studies ; Humans ; Incidence ; Mucous Membrane ; Retrospective Studies ; Ureter ; Ureteroscopy ; Urinary Tract Infections ; Urography

Eosinophilic cystitis is a rare inflammatory disease of bladder with unknown etiology. The disease is known to be associated with several different processes such as allergy or injury. Eosinophilic cystitis is similar to interstitial cystitis, tuberculosis and bladder neoplasms in the clinical manifestations and should be differentiated from them. A 42-year-old male patient presented with gross hematuria, frequency and dysuria. Urinalysis showed hematopyuria. Cystoscopy revealed a hemorrhagic and necrotic polypoid mass, measuring 3cm in diameter on the dome of the bladder. Pathology of the lesion revealed the diffuse eosinophilic infiltration of the bladder wall without evidence of malignancy. The patient was treated with a 2-month course of 10mg prednisolone 3 times a day. The symptoms improved. After 3 months, followup cystoscopy and cystography showed normal findings.
Adult ; Cystitis* ; Cystitis, Interstitial ; Cystoscopy ; Dysuria ; Eosinophils* ; Follow-Up Studies ; Hematuria ; Humans ; Hypersensitivity ; Male ; Pathology ; Prednisolone ; Tuberculosis ; Urinalysis ; Urinary Bladder ; Urinary Bladder Neoplasms

Intrarvesical instillation of Bacillus-Calmette-Guerin (BCG) is known to be one of the most effective treatment for prevention of recurrent transitional cell carcinoma of the bladder, but its mechanism of action is not well defined yet. We evaluated the fraction of immunocompetent cells in peripheral blood of 17 patients with transitional cell carcinoma of the bladder before and after intravesical instillation of BCG. Among them, 7 patients had TURB and instillation of BCG(BCG group) and others had TURB only (non-BCG group). The fraction of B cells, total T (T3) cells, helper T (T4) cells, suppresser T (T8) cells, and natural killer (NK) cells in peripheral blood was determined using flowcytometric analysis. No significant changes of the fraction of B cells, T3, T4, T8 cells and T4/T8 ratio were noted after BCG instillation. The fraction of NK cells was significantly increased at 1 month after the start of BCG instillation (P=0.03), however, there was no significant increase in the fraction of them at 1 month after completion of 6 week course BCG instillation. In addition, none of parameters measured in this study showed any significant difference between BCG group and non-BCG group either before or after BCG instillation. Since no significant changes of systemic immune parameters in patients with transitional cell carcinoma of the bladder were observed after BCG instillation, local immune response may play a major role in the mechanism of BCG action for prevention of tumor recurrence.
Administration, Intravesical ; B-Lymphocytes ; Carcinoma, Transitional Cell ; CD8-Positive T-Lymphocytes ; Humans ; Killer Cells, Natural ; Mycobacterium bovis* ; Recurrence ; Urinary Bladder ; Urinary Bladder Neoplasms